Maria Wheeler
Milwaukee
Summary
Detail-oriented healthcare professional with experience in medical records review, patient advocacy, claims-related documentation, and regulatory compliance. Skilled in auditing documentation, analyzing medical information, and communicating professionally with patients, providers, and internal stakeholders. Adept at managing high-volume caseloads, meeting strict deadlines, and ensuring compliance with HIPAA and healthcare regulations. Seeking to contribute strong healthcare knowledge and analytical skills as a Quality Assurance Appeals Coordinator.
Overview
9
9
years of professional experience
1
1
year of post-secondary education
Work History
Medical Assistant
Froedtert Health
Milwaukee
12.2016 - Current
- Reviewed and maintained accurate medical records, ensuring completeness for billing, audits, and insurance review.
- Assisted with insurance-related documentation, including referrals, prior authorizations, and claim follow-ups.
- Communicated with patients, providers, and insurance representatives regarding coverage issues and care coordination.
- Ensured HIPAA compliance when handling confidential patient and insurance information.
- Documented all patient interactions clearly and professionally in electronic health record (EHR) systems.
- Managed multiple priorities in a fast-paced healthcare environment while meeting strict deadlines.
- Recognized for strong attention to detail and thorough documentation
- Reduced claim follow-up delays through organized tracking and communication
Healthcare Support / Administrative Experience
Aurora Health Care
Milwaukee
02.2022 - 08.2022
- Processed and tracked healthcare documentation related to claims, referrals, and appeals.
- Supported audit and quality review processes by gathering required medical and administrative records.
- Drafted professional written communications for patients and internal teams.
- Maintained organized electronic files to support compliance and reporting requirements.
Education
Medical Assistant Diploma -
Concordia University
Milwaukee , WI 08.2014 - 09.2015
Certified Nursing Assistant (CNA) -
Quality Healthcare Options
Wauwatosa, WISkills
- Appeals & Grievances Coordination
- Claims & Medical Record Review
- HIPAA
- CMS
- Healthcare Compliance
- Case Management
- Documentation
- Audit
- Quality Assurance Support
- Denial Review
- Root Cause Analysis
- Professional Written Correspondence
- Cross-Functional Collaboration
- MS Word
- Excel
- Outlook
- PowerPoint
- Remote Work
- Independent Productivity
- Microsoft Word
- Electronic Health Records (EHR) Systems
- Appeals & Case Tracking Databases
- Secure Document Management
Timeline
Healthcare Support / Administrative Experience
Aurora Health Care
02.2022 - 08.2022
Medical Assistant
Froedtert Health
12.2016 - Current
Medical Assistant Diploma -
Concordia University
08.2014 - 09.2015
Certified Nursing Assistant (CNA) -
Quality Healthcare Options