Renee Hawkins
Retina Consultants of Nevada
Las Vegas,NV
1
Certification
31
years of professional experience
Medical Billing Specialist managing claims submission, payment posting, appeals, and denials across full revenue cycle workflows. Resolves account discrepancies, audits billing records for compliance, and keeps patient demographics, referrals, and authorizations current to support timely reimbursement. Coordinates closely with insurers and office staff to protect clean claim performance and reduce avoidable payment delays.
Work History
Medical Receptionist
3 Years 7 Months- Greet Patients, Answer phones, route calls on a multi-phone line and schedule appointments, maintain patients' charts/EMR, handle faxes. emails. manage daily appointments process referrals and authorizations, work remote 4 days out of the week
Medical Billing Specialist
10 Years 2 Months- Identified account discrepancies and issues inhibiting claim payments.
- Conducted audits of billing records to ensure compliance with regulations.
- Submitted electronic and paper claims to insurance companies in timely manner.
- Maintained up-to-date knowledge of billing regulations and guidelines.
- Payment posting
- Appeals & Denials
- Charge entry
- Full revenue cycle
- Benefits & Eligibility
- Accurate entry of patient demographics
- Obtain referrals for all HMO plans prior to appointments
- Obtain authorization for medications, office procedures, as needed
Medical Biller & Medical Receptionist
5 Years 2 Months- Billing for Medications, toxicology, worker compensations, DMV, DOT physicals, drug screen, pre-employment for patients for different doctors' offices, request RFA, customer service, placing various calls to insurance carriers, verifying DOI, verifying claim numbers, verifying correct address to forward claim, calling employers, responsible for numerous accounts, balancing daily billing, creating spreadsheets in microsoft, following up on all accounts weekly, working independently, meeting quota daily, and monthly. Also examine, adjust and investigate claims, maintain detailed records, report audit results and errors, send denial letters out as needed, communicate with all parties of claim, process payments, follow up. Answers phones, faxing, mail, travels to different doctors' offices, fast pace, team player.
- Software used Citrix XenApp, Galen Medical Receptionist, Chart Room Clerk
Medical Receptionist
15 Years 7 Months- Working in Internal Med, Family Med, Urgent Care, Surgical Urgent Care, ED, OB, PEDS, Eye clinic, Process patients in/out, collect copay, POS machine, update demographics, book appointments, verify insurance/Medi-Cal eligibility, work with RN, MD, able to prioritize which patients need immediate care, balance cash drawer at end of shift.
- Checking patients in to the ED, verifying insurance, assigning beds, HIPAA, EMTALA Compliance.
Education
Associate of Applied Science - Health Information Technology
- Dean's List Summer 2024
Skills
Medical billing and coding
ICD-10
HIPAA
Microsoft Excel
QuickBooks
Claims submission
Payment posting
Claims denial management
Insurance eligibility verification
Accounts receivable follow-up
Certification
- Medical Billing Certification, RHIT
- HIPAA Compliance Certificate
Timeline
Medical Receptionist
Billing Solutions for You
01.2023 - CurrentRead More
Medical Billing Specialist
Retina Consultants of Nevada
06.2016 - CurrentRead More
Medical Biller & Medical Receptionist
Proclaim Physicians Services
11.2010 - 01.2016Read More
Medical Receptionist
Kaiser Medical Group
03.1995 - 10.2010Read More
DEVRY
Associate of Applied Science from Health Information Technology
Read More