Marquita Hawkins
Summary
Dedicated professional with excellent customer service skills and extensive experience in prior authorizations. Pursuing a full time Revenue Cycle position.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Prior Authorization Coordinator
Eskenazi Health
01.2020 - Current
- Obtain and log accurate patient insurance and demographic information for use by insurance providers and medical personnel.
- Verify eligibility and compliance with authorization requirements for service providers.
- Contact insurance carriers to obtain prior authorization for testing and procedures.
- Input all patient data regarding prior authorizations into system accurately.
- Provide prior authorization support for physicians, healthcare providers and patients in accordance with payer guidelines.
- Respond to inquiries from healthcare providers regarding prior authorization requests.
- Eliminate errors in documentation by meticulously reviewing medical records and verifying patient information.
- Prepare and distribute denial letters through secure, in basket messaging to provider, detailing reasons for denial and possible appeal measures.
- Communicate peer to peer requests to providers and provide all information to call insurance carriers to complete.
- Optimize turnaround times for prior authorization requests, collaborating closely with physicians and clinical staff to expedite necessary treatments.
- Improve patient satisfaction by efficiently managing prior authorization requests and ensuring timely approvals.
- Enhance departmental workflows by identifying opportunities for improvement and implementing best practices to optimize efficiency.
- Demonstrate exceptional problem-solving skills, addressing challenges related to patient care coordination and insurance requirements with a solutions-oriented mindset.
- Maintain the confidentiality of sensitive patient information, adhering strictly to HIPAA regulations and safeguarding medical records appropriately.
Bed Placement Coordinator & Patient Care Tech
Community Health Network
08.2015 - 01.2020
- Manage and facilitate through-put of the entire hospital
- Thoroughly assess patients charts to place them on the appropriate level of care
- Enter all patients information into the system that are directly admitted to the hospital
- Maintain record of all admissions, discharges and transfers to and from the hospital
- Collaborate with Charge Nurses and House Supervisor to appropriately assign patients to rooms
- Assisted patients with activities of daily living
- Performed blood draws, EKG's, Bladder scans, removed IV's, performed in and out caths and removed foley catheters
Technician Unit Support
IU Health Network
02.2010 - 07.2015
- Answered multi-lined telephone
- Answered patients call lights and delegated needs to appropriate staff
- Entered Physicians orders
- Kept track of daily admissions, discharges and transfers to and from unit
- Maintained patients charts
- Assisted patients with activities of daily living
- Performed blood draws, placed and removed IV's
- Performed EKG's, bladder scans and simple dressing changes
Health Unit Coordinator
St. Anthony Memorial Hospital
01.2005 - 01.2010
- Answered unit telephones
- Answered patients call lights and delegated needs
- Entered Physicians orders
- Maintained patients charts
- Consulted Physicians
- Educated patients on elective Orthopedic surgeries
- Ordered unit supplies
Education
High School Diploma -
Michigan City High School
06-2002
Skills
- Authorizations
- HIPAA compliance
- Customer service
- Insurance verification
- Organization and planning
- Medical terminology
- Data entry proficiency
- Problem resolution ability
- Documentation expertise
- Multitasking and prioritization
- Effective communication skills
- Excellent typing skills 80-100 wpm
- Great attention to detail
Certification
- Certified Patient Access Specialist(Medicaid) [Clarivate12/14/2023-12/13/2025
- Certified Patient Financial Services Specialist Clarivate 10/10/2024-10/10/2026
- Certified Revenue Cycle Leader(Medicaid) Clarivate 10/9/2024-10/9/2026
- Certified Community Health Worker INCHWA 12/5/2024
Timeline
Prior Authorization Coordinator
Eskenazi Health
01.2020 - Current
Bed Placement Coordinator & Patient Care Tech
Community Health Network
08.2015 - 01.2020
Technician Unit Support
IU Health Network
02.2010 - 07.2015
Health Unit Coordinator
St. Anthony Memorial Hospital
01.2005 - 01.2010
High School Diploma -
Michigan City High School