Kortnie Wilson
Herriman
Summary
Multi-talented Executive Assistant with expertise in the healthcare, behavioral health, and health insurance industries. Hardworking, dedicated to top outcomes. Excellent time manager, communicator, and problem solver. Experienced in coordinating care for individuals. Proactive and resourceful professional able to make appropriate decisions for high-quality and cost-effective care.
Overview
14
14
years of professional experience
Work History
Senior Clinical Appeals Reviewer
UnitedHealth Group
02.2022 - Current
- Create excel spreadsheets for easy tracking of new projects and statistics.
- Maintained strong attention to detail while reviewing numerous documents daily, ensuring consistent quality and accuracy.
- Maintained strict confidentiality with sensitive client information, adhering to industry standards and company policies.
- Reduced turnaround time for reviews by effectively prioritizing tasks and managing deadlines.
- Ensured consistency across multiple review projects by maintaining strict adherence to established protocols and procedures.
- Contributed to the development of a knowledge base for common issues encountered during reviews, streamlining future problem-solving efforts.
- Conducted in-depth research to strengthen the overall quality and credibility of each review.
Healthcare Advocate Manager/ Executive Assistant
Denials Management Inc.
03.2018 - 01.2023
- Worked with families who have children with mental illnesses to navigate their appeals process of their insurance policies
- Assisted with creating concrete arguments and assist families with providing evidence for their appeals
- Managed 200+ cases, responsible for all new cases coming in, as well as managing a team of 2-5 advocates
- Also, assist with scheduling calls and meetings for the Executive Director
- Responded to emails from clients for Executive Director, took client calls for them, reviewed cases and made case notes
- Helped manager and schedule travel for Executive Director
- Worked alongside President’s Assistant to coordinate meetings and made sure I was available to assist in anyway
Customer Care Specialist
EBay Inc.
04.2016 - 03.2018
- Prepared, completed and processed customer account forms and database changes
- Reviewed customer data to assess current issues and determine potential solutions
- Promptly responded to customer inquiries and resolved complaints to promote loyalty
- Assisted sellers with violation issues as well and limit increases
Trainer
C3
08.2010 - 12.2015
- Coordinated, led, and executed brand training presentations for training classes up to 40 employees
- Created successful instructor-led courses based on evaluation of student needs
- Reduced process gaps by effectively training new hires on best practices and protocols
- Documented participant attendance, engagement, and progress
- Created practice exams, and exercise documents
- Responsible for any disciplinary action up to termination
Education
Associates Degree - Criminal Justice
Eagle Gate College
Salt Lake City, UT01.2017
Skills
- MS Office proficient
- High customer service standards
- Employee relations specialist
- Strong problem-solving ability
- Skilled multi-tasker
- Managing Executives calendar and schedule
- Management skills
- Healthcare Legal/ laws knowledge
- Case management skills
- Time management skills
- Patient education and advocacy
- Understanding of medical records and HIPAA
- Working closely with high level executives
Timeline
Senior Clinical Appeals Reviewer
UnitedHealth Group
02.2022 - Current
Healthcare Advocate Manager/ Executive Assistant
Denials Management Inc.
03.2018 - 01.2023
Customer Care Specialist
EBay Inc.
04.2016 - 03.2018
Trainer
C3
08.2010 - 12.2015
Associates Degree - Criminal Justice
Eagle Gate College
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