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Charnell WilsonCW
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Charnell Wilson

@charnellwilson

Quality Assurance Specialist at Health Plan One conducting daily quality evaluations for 22+ agents and identifying process gaps.

United States
Message

At Health Plan One, I conduct daily quality evaluations for 22+ agents, reviewing customer interactions for accuracy, compliance, documentation quality, and policy adherence. I document recurring errors and communicate actionable feedback to support consistent performance.

I monitor quality trends and recurring defects, identify potential root causes, and support corrective and preventive improvements. I also maintain evaluation records and audit documentation while protecting confidential information.

At Your Way Insurance, I review member information, enrollment documentation, plan records, and account details for accuracy and alignment with Medicare requirements. I coordinate follow-up on missing information and maintain member records and case notes in CRM and workflow systems.

Earlier, I supported Medicare enrollment and customer service at GoHealth and SelectQuote, coordinated project workflows at Emerson Automation Solutions, and investigated billing discrepancies at FirstEnergy. My work has included CRM documentation, operational reporting, and following established privacy and regulatory procedures.

Experience

Work history, roles, and key accomplishments

FirstEnergy logoFI

Billing Specialist / Data Analyst

Jun 2007 - Mar 2013 (5 years 9 months)

Investigated billing discrepancies and documented findings for accurate resolution. Used Excel and reporting tools to maintain records and support operational reporting.

Education

Degrees, certifications, and relevant coursework

University of Phoenix logoUP

University of Phoenix

Bachelor of Science, Business Administration

Bachelor of Science in Business Administration from the University of Phoenix, completed in 2012.

BT

Bloodborne Pathogens Training

Training, Health and Safety

Training in Bloodborne Pathogens.

OC

OSHA for Healthcare Certification

Certification, Occupational Safety

Certification in OSHA for Healthcare.

HC

HIPAA Compliance Certification

Certification, Compliance

Certification in HIPAA Compliance.

Tech stack

Software and tools used professionally

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