Tracy Hawkins
Birmingham
Summary
Achieved high levels of service quality through effective communication and analytical skills. Enhanced team performance by fostering a collaborative and creative atmosphere. Delivered results by efficiently managing competing priorities and adapting to changing demands.
Overview
40
40
years of professional experience
1
1
Certification
Work History
Case Manager
AccuRX/Palmetto Infusion
Birmingham, AL
01.2023 - Current
- Responsible for timely acceptance and completion of new patient referrals including insurance verification, prior authorization, and predeterminations as needed for infusion services.
- Research and make determinations as to whether patients meet medical necessity for coverage per insurance and/or FDA medical guidelines.
- Research and interpret multiple insurance plans member and contract eligibility.
- Obtains patient data (medical records, demographic, insurance) from referring MD's office and enters documentation into EMR that supports approval or denial of treatment.
- Communicate with patients to schedule appointments and discuss their estimated out-of-pocket monetary responsibility.
- Reconcile and balance patient accounts according to explanation-of-benefits and patient payments.
- Knowledge of ICD-10 & CPT coding.
- Assist with training new staff.
- Submit and receive medical information from outside sources applying the Health Insurance Portability and Accountability Act (HIPAA) rules and regulations.
Kickback Bartender & Guest Services
Drury Inn & Suites Hotels
Birmingham, AL
03.2021 - 01.2025
- Managed bar area, cocktail design and menu and managed inventory, regulation compliance and customer relationships.
- Recommended food and drinks to patrons based on preference, pairings, and special promotions.
- Kept track of bar tabs and transferred open tabs to dining area for serving staff.
- Stayed up to date on latest mixology trends, bar equipment and sanitation standards.
- Maintained knowledge of bar and menu options to prepare drinks and make food recommendations.
- Completed regular bar inventories and daily requisition sheets.
- Mixed and served both alcoholic and non-alcoholic drinks for patrons by following standard recipes and procedures.
- Followed alcohol awareness procedures for preventing intoxication and managing intoxicated guests.
- Prepared cocktails from bar recipes and served wine, draft, and bottled beer.
- Checked identification of guests to verify age requirements for alcohol purchase.
- Poured wine, beer, and cocktails for patrons.
Census Field Taker
United States Census Bureau
Birmingham, AL
04.2021 - 09.2021
- Located and approached households and requested participation in census interview, thoroughly explaining process and purpose.
- Explained survey functions and objectives.
- Returned to houses to obtain additional information or resolve survey issues, politely expressing appreciation for cooperation.
- Promoted census significance and rights of participation to prospective interviewees through follow-up calls or in-person visits to address non-responsive initial interview.
- Generated accurate and complete reports and case summaries and compiled work records, including required statistics.
- Studied maps of assigned areas to plan efficient routes, reaching twenty plus community households per day.
- Contacted assigned citizens through mail, email, or phone to obtain and correct census data.
- Maintained tight deadlines to support attainment of project schedules.
- Compiled and reviewed team questionnaire submissions for completeness and accuracy at end of each day, marking incomplete or problematic surveys for further evaluation.
- Addressed non-responsive initial interviews by informing census interviewees on importance of rights of participation.
- Aided non-English speakers in translating census materials, verifying comprehension.
- Met daily with supervisor to discuss and report results.
Medicare Correspondence Representative
Cahaba GBA /Blue Cross Blue Shield of Alabama
Birmingham, AL
07.1989 - 02.2018
- Medicare Part B
- Appeals/Review, Responsible for the timely and accurate review of Medicare Part B
- Screening average of 300+ appeals per week
- Respond to written inquiries from Providers and Beneficiaries
- Interpret, analyzing identify how claims processed and evaluating additional information to solve problems.
- Knowledgeable of Medicare's and Medical Review Guidelines and claims processing policies and procedures
- Communicate with other departments to solve customer concerns.
Receptionist/Switchboard Operator
Dunn Construction Co
Birmingham, AL
02.1986 - 06.1989
- Maintained daily calendars, set appointments with clients, planned daily office events.
- Sorted incoming mail and directed to correct personnel each day.
- Keying and balancing payroll into system
- Making all necessary adjustments, reconciling, and balancing invoices from Subcontractors
- Letter Proposals for Project Managers.
- Scheduled and confirmed appointments.
- Answered and directed incoming calls using multi-line telephone system.
Education
Degree not completed - undefined
Jefferson State Community College
Birmingham, ALRegistered Medical Assistant (RMA) - Medical Assisting
Birmingham College of Allied Health
Birmingham, ALHigh School Diploma - undefined
Banks High School
Birmingham, AL05.1982
Skills
- Demonstrated expertise in mixology, showcasing extensive knowledge of various spirits
- Ensured safe serving practices while managing glassware inventory
Certification
- Drury Hotel Anti-Trafficking Training - 2021
- 2022 F&B Re-Certification Spring Quiz
- ServSafe Portal
- Spring 2022 Alcohol Compliance
Languages
English: Professional
Accomplishments
- Registered Medical Assistant - Certification
- Skills & Related Capabilities, Toastmaster International
Activities and Honors
Toastmaster Competent Communicator, Exceptional Achievements, Public Speaking and Leadership Skills, Confident Speaker, Communicator, and Leader, Self-Awareness
Timeline
Case Manager
AccuRX/Palmetto Infusion
01.2023 - Current
Census Field Taker
United States Census Bureau
04.2021 - 09.2021
Kickback Bartender & Guest Services
Drury Inn & Suites Hotels
03.2021 - 01.2025
Medicare Correspondence Representative
Cahaba GBA /Blue Cross Blue Shield of Alabama
07.1989 - 02.2018
Receptionist/Switchboard Operator
Dunn Construction Co
02.1986 - 06.1989
Degree not completed - undefined
Jefferson State Community College
Registered Medical Assistant (RMA) - Medical Assisting
Birmingham College of Allied Health
High School Diploma - undefined
Banks High School