lww wee
@lwwwee
Healthcare customer service specialist resolving complex billing, insurance, and authorization issues efficiently.
What I'm looking for
I am a healthcare customer service professional with over eight years of experience in high-volume call centers and remote member services. I specialize in resolving complex insurance, billing, and prior authorization issues with a strong focus on patient-centric outcomes.
At Kaiser Permanente I handled 65+ escalated member inquiries daily and maintained a 96% resolution rate, served as a CRM super-user, and led training that reduced ramp-up time by 20%. My work emphasizes accuracy, compliance, and collaboration with finance and provider teams to correct claim processing errors.
Previously at Emory Healthcare and TTEC I reduced aged accounts receivable, supported high-dollar claim appeals, and earned recognition for member satisfaction and performance. I routinely perform secondary insurance verifications, COB analyses, and full-cycle prior authorization management.
I bring advanced EHR/CRM navigation skills (Epic Resolute, Microsoft Dynamics CRM), strong data and process-improvement experience, and a commitment to HIPAA and quality assurance standards. I seek roles where I can continue improving patient financial experiences and mentor peers in best practices.
Experience
Work history, roles, and key accomplishments
Member Services Representative
Kaiser Permanente
Feb 2023 - Nov 2025 (2 years 9 months)
Resolved 65+ escalated member inquiries daily across claims, billing disputes, pharmacy benefits, and prior authorization denials with a 96% first-contact resolution rate and maintained QA scores of 98%+. Led CRM super-user activities that reduced team ramp-up time by 20%.
Patient Financial Services Rep
Emory Healthcare
Apr 2019 - Jan 2023 (3 years 9 months)
Served as primary contact for patient billing, resolving 50+ account inquiries weekly and reducing aged A/R by 15% through denials remediation and account audits; created tracking tools that cut denials by 10%.
Handled inbound member and provider calls on coverage, claims, and pre-service reviews while collaborating with nurse advocates for care coordination; recognized twice as Consultant of the Quarter for member satisfaction.
Pharmacy Service Associate
Walgreens
Jun 2014 - Aug 2016 (2 years 2 months)
Provided front-line pharmacy customer service for 100+ patients daily, resolved complex pharmacy billing rejections, supported immunization scheduling, and trained new associates while maintaining HIPAA compliance.
Education
Degrees, certifications, and relevant coursework
University of Lagos
Bachelor of Science
Completed a Bachelor of Science degree at the University of Lagos focused on foundational science coursework.
Availability
Location
Authorized to work in
Job categories
Skills
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