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lww wee

@lwwwee

Healthcare customer service specialist resolving complex billing, insurance, and authorization issues efficiently.

United States
Message

What I'm looking for

I seek a remote or hybrid role in patient/member services focusing on complex billing, prior authorizations, revenue cycle improvement, and opportunities to train or lead peers.

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

Kaiser Permanente logoKP

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%.

TT

Healthcare Customer Care Rep

Sep 2016 - Mar 2019 (2 years 6 months)

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.

Walgreens logoWA

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 logoUL

University of Lagos

Bachelor of Science

Completed a Bachelor of Science degree at the University of Lagos focused on foundational science coursework.

Tech stack

Software and tools used professionally

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lww wee - Member Services Representative - Kaiser Permanente | Himalayas