Dawn Hawkins

• Follows up on patient bills and claims to recover revenue
• Works with business entities such as commercial health payers, governmental payers, veteran's benefits, third party administrators, some attorney contact and MVA contact
• Analyzes information to identify root cause of denied or unpaid claims and determines next steps
• Pursues and obtains information needed to overturn claims
• Acts as intermediary between patient/consumers and third-party
• Ensures appropriate timely filing guidelines are met for maximum reimbursement
• Escalates complex, complicated or challenging accounts to Team Leads
• Identifies and discusses root cause issues with Team leads
• Maintains and updates account documents stored in document management system
• Answers patients questions and advised them on their insurance coverage and benefits, if applicable.
• Reviews voicemails and delegates out to other reps when needed.
• Maintains QA score above 90 consistently

• Established in home pet care provider
• Attention to safety
• Practical Skills
• Customer Service
• Record Keeping
• Experience working with animals
• Give animals proper attention to promote secure environment in owner's absence
• Exercises animals regularly with walks and rigorous play activities
• Organizes full-service care for regular customers, including picking up and dropping off animals and client locations.
• Responsible with owners home, and home security in their absence.
• Maintains consist 5 star review and repeat customers

E

• Take initial incoming calls for triage and health information services, obtains demographic information and reasons to be called using specific guidelines
• Class scheduling and physician referral duties
• Handled telephone encounters with tact and professionalism
• Screens calls to identify emergent calls
• Screens non emergent calls and advised of timely call back.
• Uses appropriate scripting to handle emergent and on emergent calls
• Communicates issue of concern to management
• Works independently and efficiently and recognizes and deals with priorities
• Trained in additional responsibilities; paging and faxing
• Quality call score of 99.6
• Incentive qualified for score goals reached
• Maintained confidentiality of all PHI

• Maintained annual revenue of $2,000,000.00
• Prepared billing statements for patients and verified correct diagnostic coding.
• Oversaw daily Billing Department functions, including medical coding, charge entry, payment posting and reimbursement management.
• Experienced in billing for Chiropractic, Physical Therapy and Mental Health.
• Set up and maintained new electronic billing system ChiroTouch and clearinghouse Trizetto Provider Solutions.
• Communicated with insurance providers to resolve denied claims and resubmitted it applicable.
• Delivered timely and accurate charge submissions
• Collected payments and applied to patient accounts
• Successfully worked with secondary and tertiary insurances
• Monitored and worked AR reports - Aging and Outstanding payments.
• Worked effectively with medical payers such as Medicare, Commercial insurances ( HMO and PPO), MVA and Workman's Comp.

• Worked concurrently to full time position to help improve billing and collections
• Executed billing tasks and recorded information in company databases
• Followed up with appropriate parties to obtain prompt payments
• Reconciled past due accounts
• Performed targeted collections on past due accounts aged over 90 days
• Worked effectively with Medical payers such as Medicare, Commercial insurances, MVA and Workman's Comp.
• Processed billing calls and answered questions from patients and third-party carriers.