Open To Work
Yolanda Wilson
Raleigh
Summary
Results-driven Healthcare Administration Professional specializing in healthcare insurance processes. Skilled in insurance benefit verification, pre-authorizations, and database management. Facilitates utilization management and collaborates effectively with healthcare providers to streamline authorization. Background in customer service, communication, and billing coding accuracy, supported by a bachelor's in healthcare management.
Overview
13
13
years of professional experience
Work History
Patient Financial Services Representative
UNC Hospital
Chapel Hill
07.2012 - 08.2020
- Coordinated with patients, physician offices, and clinical staff to obtain necessary pre-authorizations for scheduled outpatient radiology services.
- Verified insurance coverage through internet resources and third-party vendor contacts, facilitating accurate pre-authorization for medical services.
- Maintained accurate and up-to-date patient records in collaboration with financial counselors and clinical staff.
Pre-Authorization Representative
WellPath Select Inc.
Morrisville
03.2010 - 07.2012
- Facilitated utilization management, authorization, and referral processes for primary and specialty care providers, streamlining patient access to services.
- Secured medical authorizations for routine services and ensured accurate data entry for authorizations and referrals, enhancing operational reliability.
- Conveyed information about authorizations, denials, and appeals processes to healthcare providers, fostering clear communication and understanding.
Customer Service Representative
Blue Cross Blue Shield
Durham
07.2007 - 03.2010
- Responded to inquiries from members and providers regarding medical benefits, claims, and billing issues, ensuring timely and accurate information delivery.
- Educated members on Explanation of Benefits (EOB) and facilitated communication with providers to resolve billing concerns and process refund requests.
- Maintained and updated patient demographics, adding and removing members on policies while providing detailed quotes for medical, dental, and mental health benefits.
Education
Bachelor's - Business Administration/Healthcare Management
Mount Olive College
RTP, NC01-2012
Skills
- Customer support
- Pre-authorization coordination
- Communication skills
- Medical billing
- Medical terminology
- Database management
- Data entry
- Verbal and written communication
Work Preference
Job Search Status
Open to workWork Type
Full TimeLocation Preference
RemoteHybridSalary Range
$22/hr - $1000/hrTimeline
Patient Financial Services Representative
UNC Hospital
07.2012 - 08.2020
Pre-Authorization Representative
WellPath Select Inc.
03.2010 - 07.2012
Customer Service Representative
Blue Cross Blue Shield
07.2007 - 03.2010
Bachelor's - Business Administration/Healthcare Management
Mount Olive College