Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Dawn Hart

Holiday,Fl

Summary

Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational growth.

Overview

17
17
years of professional experience
1
1
Certification

Work History

Quality Audit Specialist

Parallon/HCA-CSO Division
06.2019 - Current
  • Provide quality assurance and system support for the QA Manager and Center Director
  • Perform center quality assurance activities for A/R to ensure work efforts satisfy customer requirements.
  • Ensured compliance with industry standards and regulations by staying up-to-date on best practices and incorporating them into audit procedures.
  • Supported continuous improvement efforts by analyzing audit findings and recommending corrective actions.
  • Improved overall product quality by conducting thorough audits and identifying areas for improvement.
  • Reduced customer complaints by implementing robust quality control measures during the auditing process.
  • Developed comprehensive reports summarizing audit results, enabling management to make informed decisions about resource allocation and process improvements.

Medicaid Eligibility - Patient Benefits Advisor

RCPS - Parallon Business Systems HCA
12.2013 - 06.2019
  • Back-end support for Directors and Management and facility PBAs and PSR - Daily reports processor work from-home team member.

· Previously Worked onsite – St Petersburg General Hospital /Largo Medical/Northside/Palms of Pasadena

· Provides support for Director and Management

· Instrumental in assisting with PME training and education

· Training of new team members onsite at facilities, as well as through daily communication

· Responsible for Completion of all daily, weekly, and monthly reports, including but not limited to:

Certified, Denied, NHI, Recon, Month-end, Quality Assurance, and Exception reports

· Subject Matter Expert for PME

· Selected for focus groups for departmental process resolutions

· Billing all approved accounts and working with SSC for any issues needing resolution

· Supports all facility PBC staff -Consistently providing daily assistance, education, and coverage for other facilities

· Review all referred accounts of uninsured patients for potential state and federal assistance programs.

· Completes all applications and processes to facilitate possible assistance approval and timely billing.

· Visits with patients in a hospital or outside locations to finalize documents vital to assistance approval.

· Submits inpatient applications directly to social services, follows application status to completion,

· Update the account with verified insurance information and ensure timely billing.

· Maintains knowledge of all state and federal programs; shares information with coworkers and supervisors.

Executive Assistant to Director of Operations

Suncoast Medical Clinic
09.2010 - 10.2013
  • Supervisor of Referral and Authorization Department, providing administrative support to both Executive Management and department.
  • Provided professional administrative support during board meetings, including agenda preparation and minute-taking duties.
  • Supported executives in decision-making processes by conducting research and presenting findings in clear formats.
  • Ensured smooth daily operations through consistent maintenance of office equipment, troubleshooting issues when necessary.
  • Assisted in the development of company policies and procedures, contributing to a more organized work environment.
  • Delivered exceptional organizational support enabling executive focus on high-level strategic initiatives fostering company growth.
  • Used advanced software to prepare documents, reports, and presentations.

Medicaid Eligibility - Financial Assistance Specialist

BayCare Health Systems
09.2010 - 10.2013
  • Responsible for identifying ER patients through bedside assessment and interview who may be eligible for financial and social assistance from community agencies.

Team Lead Patient Care Coordinator/ Surgery Scheduling/Authorization and Insurance Specialist

Florida Sports Orthopedic and Spine Medicine
01.2008 - 09.2010
  • Team Leader responsible for implementing new policies and procedures to accelerate patient/doctor flow and increase productivity and profit.

Education

Bachelor of Science -

Capella University
01.2025

Skills

  • Achieve success through change
  • Attain and leverage strategic relationships
  • Certified Revenue Cycle Representative
  • Communicate with Impact: verbal, written, and electronic
  • Customer Service satisfaction standards, willing to go the extra mile to exceed expectations
  • Drive execution and financial results
  • Effective and experienced with creating policies and procedures to increase productivity and easier workflow processes and cost control
  • Ethics and Compliance
  • Excellent interpersonal skills, ability to prioritize tasks, meet deadlines, take initiative, and maintain attention to detail
  • Expertise in Registration and Insurance Verification, Benefits and Authorization
  • Extensive knowledge of Medical terminology, CPT, and ICD-9 and 10 coding and billing
  • Lead and develop others
  • Problem-solving skills
  • Staff education and training
  • Strong Leadership abilities - over 10 years of Management/ supervisory/team lead experience
  • Subject Matter Expert PME tool
  • Subject Matter Expert Public Benefits Social Security Disability process
  • Subject Matter Expert SAIA tool
  • Surgical Scheduling
  • Technical Skills -Microsoft Office/ BI Reporting/ Excel /Avaya/Harmony/Epay/ Meditech/Artiva/ SAIA/Host/RMEX/PME /SSA/EDS/Onbase/HPF/HCRA/Lawson/WebEx/Encompass

Certification

  • Certified Revenue Cycle Representative, CRCR
  • Certified Systems Business Intelligence, CSBI
  • Communication with Emotional Intelligence
  • Completion of all HCA Leads Competencies
  • Harvard Management HCA Leadership / Leading People Badge
  • Leadership Credibility
  • Lean Six Sigma Yellow Belt, LSSYB - currently working toward LSSGB
  • LSS: Define and Measure
  • Mindfulness, Diversity, and the Quest for Inclusion
  • Operational Excellence Foundations
  • Project Management Foundations
  • Process Improvement Foundations
  • Statistical Foundations

Timeline

Quality Audit Specialist

Parallon/HCA-CSO Division
06.2019 - Current

Medicaid Eligibility - Patient Benefits Advisor

RCPS - Parallon Business Systems HCA
12.2013 - 06.2019

Executive Assistant to Director of Operations

Suncoast Medical Clinic
09.2010 - 10.2013

Medicaid Eligibility - Financial Assistance Specialist

BayCare Health Systems
09.2010 - 10.2013

Team Lead Patient Care Coordinator/ Surgery Scheduling/Authorization and Insurance Specialist

Florida Sports Orthopedic and Spine Medicine
01.2008 - 09.2010

Bachelor of Science -

Capella University
Dawn Hart