Wyionna Winfield
Greensboro,NC
Summary
Goal-oriented recruiting professional motivated to achieve demanding targets under tight deadlines. Proficient in developing and overseeing diverse candidate pipelines, marketing plans and advertising strategies. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses.
Overview
8
8
years of professional experience
Work History
Senior Recruiting Coordinator
Randstad
12.2021 - Current
- Work with recruiting teams and human resources representatives to accomplish hiring objectives
- Operate and maintain applicant tracking and candidate management systems
- Improve organizational filing systems for confidential employee records, resulting in improved accessibility and efficiency.
- · Serves as point of contact for provision of consultative service to hiring authorities
- Conducted performance reviews and provided feedback to managers on employee performance.
- Managed high-volume recruitment projects, ensuring timely fulfillment of open positions while maintaining quality standards in candidate selection.
- Improved office efficiency by effectively managing internal communications and correspondence.
Claims Adjustment Specialist
UnitedHealthcare
07.2020 - 12.2021
- Reviewed and researched more complicated claims by navigating multiple computer systems and platforms
- Captured accurately pricing, prior authorizations, applicable benefits, coding and other information
- Updated claim information based on research and communication from members.
- Negotiated fair settlements with clients and vendors, maintaining strong professional relationships throughout the process.
- Streamlined communication with clients through regular updates on claim status, fostering a positive experience during difficult times.
- Identified insurance coverage limitations with thorough examinations of claims documentation and related records.
Clinical Administrator (SME)
UnitedHealthcare
04.2018 - 07.2020
- Processed incoming and outgoing referrals, including intake, notification, and census roles
- Assisted the clinical staff with setting up documents/triage cases for Clinical Coverage Review
- Access claims information in the claims payment system.
- Coordinated with other healthcare providers concerning treatment plans for patients.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Collaborated with physicians to create effective treatment plans that prioritized patient needs and preferences.
- Developed comprehensive staff training programs for clinical administrators, enhancing overall performance and productivity.
- Maintained up-to-date information in electronic medical records software.
- Maintained knowledge of standardized medical billing codes.
- Discussed medical histories with patients in effort to provide most effective medical advice.
Provider Data Specialist
Laboratory Corporation Of America Holdings
02.2016 - 11.2017
- Reviewed the complex medical records and accurately codes the primary/secondary diagnoses and procedures using ICD-10CM and CPT coding conventions
- Collaborated with multi-functional roles to communicate and align development efforts
- Performed systems and data analysis using variety of computer languages and procedures.
- Maintained strong relationships with external stakeholders such as medical groups and health plans to ensure seamless collaboration on provider-related matters.
- Demonstrated a high level of initiative and creativity while tackling difficult tasks.
Education
High School Diploma -
James B. Dudley High School
Greensboro, NCBachelor of Science - Human Resources & Technology
DeVry University
Villa Park, ILSkills
- Customer Service-Oriented
- Skilled Collaborator
- Critical & Analytical Thinking
- Efficient and Detail-Oriented
- Documentation and Reporting
- HIPPA Compliance
- Medical Terminology
- Medical Records Maintenance
- Appointment Scheduling
- Insurance Verification
- Policy and Procedure Writing
- Claims Negotiation
- Medical Coding
- Claims File Management Processes
- Administrative Duties
- Health Insurance Verification
- Electronic Recordkeeping
- Patient Account Reviews
- Human Resources Support
- Healthcare Information Technology
- Claims Processing
- CPT & ICD-10 Codes
Timeline
Senior Recruiting Coordinator
Randstad
12.2021 - Current
Claims Adjustment Specialist
UnitedHealthcare
07.2020 - 12.2021
Clinical Administrator (SME)
UnitedHealthcare
04.2018 - 07.2020
Provider Data Specialist
Laboratory Corporation Of America Holdings
02.2016 - 11.2017
High School Diploma -
James B. Dudley High School
Bachelor of Science - Human Resources & Technology
DeVry University
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