Summary
Overview
Work History
Education
Skills
Timeline
Generic

Honeca Walcott

794 Del Prado Drive Kissimmee

Summary

Highly organized professional with a proven track record in coordinating complex tasks and ensuring seamless operations. Expertise in managing schedules, resources, and stakeholders to effectively achieve project goals. Recognized for fostering teamwork and adapting to dynamic environments while consistently contributing to organizational success. Committed to driving efficiency and enhancing productivity through strategic planning and collaboration.

Overview

12
12
years of professional experience

Work History

RCM Coordinator

Lifestances Health
06.2023 - Current
  • Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
  • Processed payments and applied to customer balances.
  • Ensured compliance with HIPAA regulations throughout all aspects of the patient account collection process.
  • Conducted regular audits of patient accounts to maintain accuracy and prevent revenue loss.
  • Provided exceptional customer service when addressing patient inquiries regarding their accounts, fostering positive relationships and prompt resolution of issues.
  • Negotiated payment plans with patients, ensuring timely payments and improved overall collection rates.
  • Researched billing errors and discrepancies to initiate corrective action.
  • Generated and distributed monthly customer statements.
  • Coordinated with healthcare providers to obtain necessary documentation for patient insurance verification.
  • Verified insurance information for accuracy and completeness, ensuring timely processing of claims.
  • Processed insurance claims accurately to ensure timely reimbursements.


Provider/Member Advocate

United Healthcare, UHG
05.2016 - 06.2023
  • Handles incoming and outbound calls and facilitates a positive provider / patient experience.
  • Answer incoming phone calls from health care providers (i.e. physician offices, clinics) and identify the type of assistance the provider needs (EG. benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits).
  • Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller.
  • Facilitates referral process by obtaining accurate demographics, verifies insurance coverage and schedules deliveries / shipments of medical equipment / supplies to the patient’s home or medical facility.
  • Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
  • Responsible for editing and adjusting of EDI claims.
  • Analyze and adjudicate claims to ensure accurate payment
  • Meet Department Quality and Accuracy Standards.
  • Accurately processing of professional claims.
  • Interfaces with other departments to obtain necessary information required for resolution of claims.
  • Interpret Fee for Service (FFS) and capitated provider contracts.
  • Assisted clients in setting achievable goals while providing ongoing encouragement and support throughout the process of reaching those objectives.
  • Provided crisis intervention support for clients experiencing emergencies, using appropriate techniques to de-escalate situations safely.
  • Educated clients on available programs, benefits, and services, empowering them to make informed decisions about their care needs.

Patient Access Specialist

AssistRx
03.2022 - 09.2022
  • Conducted thorough assessments of clients'' situations, identifying issues, goals, and necessary interventions.
  • Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Assisted patients with understanding personalized insurance coverage and benefits.
  • Enhanced claim processing efficiency by verifying insurance coverage and obtaining pre-authorizations for procedures.
  • Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
  • Provided exceptional service through active listening, understanding member needs, and offering appropriate solutions.
  • Monitored ongoing cases closely, adjusting case management strategies as needed based on evolving circumstances or new information.
  • Developed and implemented strategies to enhance medication adherence among beneficiaries.

DME Intake Coordinator

Univita Health
01.2014 - 11.2015
  • Demonstrates knowledge of home care regulations (CMS and AHCA) and remain current on updates and changes to regulations.
  • Handles escalated issues, mobilizing necessary resources to promptly resolve problems.
  • Process DME orders and closely monitor deadlines and deliverables to ensure compliance with health plan client requirements.
  • Act as primary liaison between Univita and assigned heath plan client while maintaining close interactions with other departments including nursing, pharmacy, and compliance to ensure client and member needs are met.
  • Review documented claim forms and contacts insured, insured's representative, or provider to request information needed to process benefit inquiry.
  • Demonstrates thorough understanding of Univita health plan contract in order to ensure that services are delivered as required and health plan and members expectations are consistently met or exceeded.

Education

High School Diploma -

Cornerstone Christian Academy
06.2001

Skills

  • Effective verbal communication
  • Proficient in Microsoft Office
  • Experienced with Microsoft Outlook
  • PowerPoint proficiency
  • Proficient in medical terminology
  • Accurate data entry
  • Strong organizational abilities
  • Insurance eligibility verification
  • ICD-10 proficiency
  • Claims processing
  • Expertise in HCPCS coding
  • Medical billing software expertise

Timeline

RCM Coordinator

Lifestances Health
06.2023 - Current

Patient Access Specialist

AssistRx
03.2022 - 09.2022

Provider/Member Advocate

United Healthcare, UHG
05.2016 - 06.2023

DME Intake Coordinator

Univita Health
01.2014 - 11.2015

High School Diploma -

Cornerstone Christian Academy

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