Summary
Overview
Work History
Education
Skills
Timeline
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Stephanie Wilhelm

Fredericksburg,VA

Summary

Accomplished Senior Medical Expense Reviewer at GEICO, renowned for unparalleled attention to detail and adaptability. Expert in enhancing review accuracy and efficiency, evidenced by a comprehensive training program that significantly improved team performance. Skilled in proofreading and clear communication, my contributions have fostered better patient outcomes and streamlined operations.

Overview

22
22
years of professional experience

Work History

Senior Medical Expense Reviewer

GEICO
04.2012 - Current
  • 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.
  • Conducted in-depth research to strengthen the overall quality and credibility of each review.
  • Contributed to the development of a knowledge base for common issues encountered during reviews, streamlining future problem-solving efforts.
  • Increased review accuracy by implementing a comprehensive training program for new reviewers.
  • Sustained high levels of productivity under tight deadlines by efficiently using available resources.
  • Enhanced customer satisfaction with prompt and accurate responses to inquiries.

Licensing Specialist

GEICO
10.2011 - 04.2012
  • Developed comprehensive training materials for new team members, ensuring consistent understanding of licensing policies and procedures.
  • Accomplished successful renewal of expiring licenses through meticulous preparation, submission, and follow-up of relevant documentation.
  • Provided exceptional customer service to applicants, addressing inquiries with accurate information and timely responses.
  • Enhanced cross-functional collaboration between departments through effective communication and coordination of licensing activities.
  • Served as primary point of contact for regulatory agencies, fostering positive relationships that facilitated smooth communications during inspections or audits.
  • Conducted regular reviews of existing licenses to ensure continued alignment with evolving regulations and standards.

Medical Expense Review

GEICO
10.2002 - 11.2011
  • Maintained up-to-date knowledge of industry standards, regulations, policies, and procedures to ensure compliance throughout the review process.
  • Played a key role in reducing claim denials due to incorrect documentation or billing practices through proactive identification of potential issues during the review process.
  • Safeguarded against potential fraud or abuse by vigilantly reviewing cases for inconsistencies or suspicious patterns of behavior.
  • Reduced errors in medical records through diligent review, improving overall patient data integrity.
  • Contributed to better patient outcomes by ensuring proper utilization of resources through accurate medical necessity evaluations.

Education

High School Diploma -

Stafford Senior High School
Fredericksburg, VA
06.1993

Skills

  • Proofreading
  • Email Communication
  • Attention to Detail
  • Adaptability and Flexibility
  • Accuracy and Precision
  • Team contribution
  • Microsoft Office
  • Data Entry
  • Clear Communication

Timeline

Senior Medical Expense Reviewer

GEICO
04.2012 - Current

Licensing Specialist

GEICO
10.2011 - 04.2012

Medical Expense Review

GEICO
10.2002 - 11.2011

High School Diploma -

Stafford Senior High School

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Stephanie Wilhelm