Summary
Overview
Work History
Education
Skills
Timeline
Generic

LAWANA JERKINS

Houston

Summary

Pursuing a Administrative position, bringing 10 years of expertise in compliance, agreement management, and strong attention to detail. Proficient in interpreting complex agreements, obligations, and legal statutes, with a proven ability to ensure accuracy in documentation. Skilled in stakeholder communication, facilitating smooth and efficient ownership transactions.

Revenue analysis professional with robust experience in financial forecasting, data interpretation, and revenue optimization. Strong focus on team collaboration and achieving results, ensuring adaptability to changing business landscapes. Skilled in financial modeling, trend analysis, and strategic planning, consistently contributing to informed decision-making and organizational growth. Valued for reliability, analytical mindset, and effective communication.

Overview

9
9
years of professional experience

Work History

Billing Support Revenue Analyst

Acclara
01.2023 - Current
  • Conducted weekly audits of over500 scanned charge documents, ensuring100% compliance with naming conventions for accurate and efficient retrieval
  • Investigated and resolved85% of billing denials by reviewing Explanation of Benefits (EOBs) and aligning claim documentation for successful resubmission
  • Managed the acquisition of200+ medical records and clinical reports from hospital clients, streamlining the retrieval process and improving billing efficiency by15%
  • Performed daily updates to patient information, including work queue edits, registrations, and address updates, reducing billing errors by20%
  • Supported billing processes by coordinating timely acquisition of clinical reports, leading to a10% decrease in payment delays

Revenue Cycle / Finance (Benefits & Charge Entry)

Baylor College of Medicine
12.2021 - 07.2022
  • Managed end-to-end insurance claims processing, ensuring accuracy and adherence to commercial payers' policies, including Medicare and Medicaid regulations
  • Successfully resolved claim denials by conducting appeals, reconciling accounts, and providing timely follow-up to ensure prompt resolution
  • Collaborated with insurance payers and patients to expedite payments, utilizing online portals such as Availity to address and resolve inquiries efficiently
  • Provided mentorship and technical guidance to junior Patient Account Representatives, improving team proficiency in reading EOBs and managing coordination of benefits
  • Monitored and tracked payment remittances, ensuring compliance with billing procedures and improving overall reimbursement rates

Senior Triage / Pre-Service Coordinator Lead

TXO - Revenue Cycle
07.2017 - 07.2021
  • Coordinated over50 patient appointments weekly by assessing needs through incoming calls, ensuring100% accuracy in capturing demographics, insurance details, and pre-visit requirements using systems like Centricity and Navigating Cancer
  • Verified insurance eligibility and obtained pre-authorizations for100+ patients across multiple payers, ensuring seamless physician scheduling and reducing appointment delays by20%
  • Performed front-end revenue cycle tasks, accurately entering charges and adjusting payments in EPIC, contributing to a15% improvement in financial operations and claim submissions
  • Streamlined billing processes by educating stakeholders, resolving payment discrepancies with team leads, and enhancing insurance claims accuracy, reducing billing errors by10%
  • Supported triage nurses by optimizing patient scheduling, improving scheduling efficiency by25%, and maintaining up-to-date physician schedules for maximum appointment capacity

Patient Access Representative Lead

Memorial Hermann
08.2015 - 12.2017
  • Verified insurance coverage and confirmed benefits for over150 patients weekly, ensuring timely authorizations and maintaining100% compliance with healthcare regulations
  • Accurately posted payments for patient accounts, processing over $50,000 in transactions monthly and resolving account discrepancies through detailed report analysis
  • Collaborated with a team of healthcare professionals to deliver high-quality patient access services, increasing patient satisfaction by20% through clear communication with patients and their families
  • Spearheaded the completion of notifications and authorizations, reducing processing time by15% and improving overall efficiency in the department
  • Enhanced patient experience by managing customer service inquiries and coordinating care with healthcare teams, contributing to a98% patient retention rate

Education

High School Diploma -

North Star Academy
01.1994

Skills

  • Account Management
  • Client Relations
  • Vendor Relations
  • Record Management
  • Database Management
  • Appointment Scheduling
  • Meeting Scheduling
  • Email Etiquette
  • Quality Control
  • Time Management
  • Task Management
  • Client Referrals
  • Accounts Payable
  • Accounts Receivable
  • Problem Resolution
  • Conflict Resolution
  • Appeals Management
  • Denials Management
  • Mathematics Proficiency
  • Accounting Principles
  • Phone Etiquette
  • Research Skills
  • Follow-Up Skills
  • Claims Management

Timeline

Billing Support Revenue Analyst

Acclara
01.2023 - Current

Revenue Cycle / Finance (Benefits & Charge Entry)

Baylor College of Medicine
12.2021 - 07.2022

Senior Triage / Pre-Service Coordinator Lead

TXO - Revenue Cycle
07.2017 - 07.2021

Patient Access Representative Lead

Memorial Hermann
08.2015 - 12.2017

High School Diploma -

North Star Academy
LAWANA JERKINS