DEBRA A WILSON

• Provides excellent customer service to members regarding their benefits packages, including answering questions and resolving issues.
• Educates member on gaps in care and assists with closure of gaps
• Assist members in registration and navigating UnitedHealth Group websites
• Handle call transfers for claims reconsiderations and member education
• Contact care providers on behalf of the member to assist with appointment scheduling

Served as a patient and provider advocate in a fast paced environment. Answered all specific questions, while education and guiding through the complicated process of member benefits and claims processing. Followed-up on calls by completing research, solving problems, and contacting various parties to implement solutions. Intensely focused on problem solving, patient advocacy, and provider education.

• Collaborated with physician's offices and medical facilities to ensure the most cost effective benefits for members
• Scheduled medical appointments for members
• Verified insurance benefits from 3rd parties and coordinated benefits
• Educated members on their medical insurance benefits, copays, deductibles, and out of pocket maximums
• Coordinated with numerous human resource departments collecting data to update demographic and employment information for members
• Proven ability to prioritize multiple data entry tasks to meet the company’s goals
• Exceeded or met quality goal every quarter for 5 consecutive years while providing excellent customer service to members and medical providers

Provided administrative/secretarial support such as answering telephones, assisting visitors, resolving and referring a range of administrative problems and inquiries. Managed accounts receivable/ payable, prepared monthly business and variance reports, and produced quarterly newsletters.

• Scheduled all vendor projects, oversaw office staff and budgeting
• Managed a maintenance team of 5
• Increased occupancy 30% in 6 months
• Processed applications, payments, and corrections
• Experienced in Microsoft Office, Excel, SharePoint, and legal office management software