Mae Wilkerson
Advocate Aurora Health Care
River Grove,IL
40
years of professional experience
Customer-focused professional with expertise in conflict resolution and problem-solving to enhance satisfaction and loyalty. Collaborates effectively with teams and adapts to changing needs, driving results through efficient service. Demonstrates reliability and a proactive approach to achieving organizational goals.
Work History
Senior Financial Analyst/Medical Claims Specialist
5 Years 6 Months- Processed financial assistance applications for patients seeking help with hospital and physician bills; assisted patients in setting up payment plans.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Resolved customer inquiries across multiple channels, ensuring timely and effective communication.
- Maintained knowledge of benefits claim processing, claims principles, medical terminology, and procedures and HIPAA regulations.
- Analyzed patient financial data to assess eligibility for assistance programs and resources.
- Process financial assistance applications for patients seeking help paying hospital & physician bills, Prior to this position assisted patients to setup payment plans.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, facilitating prompt payment for services rendered.
Customer Service Representative I
1 Year 1 Month- Provided benefit information to participants, processed address changes, performed retirement modeling, verified member eligibility, and enrolled participants in Cobra coverage.
- Gained skills on three different client teams, enhancing versatility and adaptability in customer service roles.
- Skills Used Typing,Communication,Accounting,Detailed Oriented,Data Entry
Collector
3 Months- Collected on client accounts for past due amounts
- Skills Used Computer,Listening,I Calculator
- Managed collections through effective communication and negotiation with clients.
- Analyzed account statuses to determine appropriate collection strategies and actions.
- Developed and maintained positive relationships with clients to facilitate timely payments.
Senior Claims Analyst/Senior Customer Service Representative
13 Years 7 Months- Processed and adjusted claims for efficient resolution. Handled incoming and outgoing calls to update clients on claim status. Facilitated seamless service delivery by verifying customer referrals and checking eligibility information.
- Implemented quality assurance measures, resulting in reduced error rates within claims processing.
- Collaborated with cross-functional teams to streamline claims processing workflows and enhance operational efficiency.
Member Service Specialist
11 Months- Coordinated interdepartmental communication to resolve member inquiries, enhancing member satisfaction.
- Responded to customer requests, providing support and tailored recommendations to address individual needs.
- Achieved customer call guidelines for service levels and handle time, ensuring consistent service quality.
Member Service Representative
1 Year 7 Months- Delivered exceptional customer service by resolving inquiries and issues efficiently.
- Processed membership applications accurately, ensuring compliance with company policies.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
Customer Service Representative
1 Year 9 Months- Used critical thinking to break down problems, evaluate solutions, and make decisions.
- Handled inbound calls from members, hospitals, vendors, and health plans.
- Worked well in a team setting, providing support and guidance.
- average of 300 to 500 extremely sensitive calls and assisted an emergency suicidal call with 911 operators
Associate Underwriter Auto
10 Years 4 Months- Analyzed insurance applications to assess risk and determine coverage eligibility.
- Collaborated with underwriting team to evaluate policy terms and conditions for accuracy.
- Reviewed policy documentation for compliance with regulatory standards and internal guidelines.
- Utilized underwriting software to streamline application processing and enhance efficiency.
Education
Certificate - Medical Terminology and Word Processing in Medical Terminology
No Degree - Business
High School Diploma
Skills
Claims
Scheduling
Patient Interaction
Claims management
Scheduling
Billing
Customer support
Claims reporting
Attention to detail
Account reconciliation
Financial data analysis
Timeline
Senior Financial Analyst/Medical Claims Specialist
Advocate Aurora Health Care
07.2015 - 01.2021Read More
Customer Service Representative I
Aon
05.2014 - 06.2015Read More
Collector
Van Ru Credit Corporation
01.2014 - 04.2014Read More
Senior Claims Analyst/Senior Customer Service Representative
West Suburban Health Providers
12.1998 - 07.2012Read More
Member Service Specialist
Mid-America Health Partners
04.1997 - 03.1998Read More
Member Service Representative
Rush Prudential Health Plans
09.1995 - 04.1997Read More
Customer Service Representative
Value Behavioral Health
12.1993 - 09.1995Read More
Associate Underwriter Auto
Aetna, Life and Casualty
03.1981 - 07.1991Read More
MSTA Business School
Certificate from Medical Terminology and Word Processing in Medical Terminology
Read More
Western Illinois University
No Degree from Business
Read More
Richard T Crane
High School Diploma
Read More