Veisha Hawkins
Summary
Dedicated Revenue Cycle Specialist experienced in medical billing, denial claims, and appeals. Demonstrated ability to solve problems through strong communication and critical thinking skills. Committed to contributing to team success and achieving upward mobility through hard work and perseverance.
Overview
17
17
years of professional experience
Work History
Medical Collector
Rapid Radiology (Contract Job Assignment)
09.2024 - 10.2025
- Prepare and submit accurate and timely insurance claims for radiology services.
- Followed up with insurance companies to resolve unpaid claims, ensuring timely reimbursement.
- Research and resolve denied or rejected claims in a timely manner.
- Identify and verify patient information and insurance coverage prior to submitting claims.
- Identified and corrected coding errors before claim submission to reduce rejections.
- Managed the generation and tracking of claims for payment to facilitate revenue flow.
- Communicated effectively with patients and providers to address inquiries and enhance satisfaction.
- Communicated with insurance companies to resolve billing discrepancies.
- Coordinated with medical staff to gather necessary documentation for claims.
- Updated patient records to reflect current insurance information accurately.
Recovery Resolution Representative Associate
Change Healthcare/United Healthcare Group
09.2022 - 06.2024
- Resolved denied claims and appeals, managing both current and aging accounts to enhance collections.
- Worked aged accounts assertively to expedite cash flow and minimize bad debt while reducing A/R days.
- Responded to commercial payers via phone and correspondence to address claims issues, ensuring clarity and resolution.
- Completed daily worklist to manage outstanding claims efficiently.
- Investigated COB issues and obtained medical records for specific commercial claims.
Inpatient Collector
Post-Acute Medical, LLC (Contract Job Assignment)
08.2020 - 09.2022
- Resolved denial claims and appeals while addressing aged accounts.
- Assertively worked aged accounts to expedite cash, reduce bad debt and A/R days.
- Resolved COB issues by obtaining necessary medical records for commercial claims.
- Completed daily worklist to ensure timely collections.
- Responded to commercial payers by phone or correspondence concerning claims issues.
Reimbursement Specialist
CareMetx (Contract Job Assignment)
01.2021 - 03.2021
- Supported reimbursements for pharmacy and medical BI investigations, ensuring accurate processing and compliance.
- Resolved issues and collaborated with patients, healthcare providers, pharmacies, and manufacturer clients to enhance reimbursement processes.
- Determines patient’s eligibility and conducts patient’s enrollment activities.
- Determines patient’s eligibility and conducts patient’s enrollment activities.
- Supported patients by enhancing the caller/contact experience.
- Supported project objectives through remote temporary contract work.
Account Resolutions Specialist
Prime Healthcare
04.2019 - 05.2020
- Processed denial resolutions and appeals in accordance with Medicare filing guidelines, ensuring timely resolutions.
- Resolved Medicare accounts using DDE/notivasphere, identifying next steps to collect account balances.
- Reviewed government insurance follow-up accounts and returned them to provider/T screen for further action.
Patient Account Representative
Navigant Cymetrix
08.2018 - 04.2019
- Contacted insurance companies and patients to resolve outstanding account balances.
- Reviewed and resolved commercial or government insurance follow-up for hospital and physician business offices.
- Followed up on billing, appeals, and denial resolutions to ensure timely account resolution.
- Updated patient demographic information and initiate account adjustment.
- Completed projects on time, enhancing overall workflow efficiency.
Collections Specialist
Cotiviti Healthcare
12.2016 - 08.2018
- Reduced aged accounts by collecting approximately 200 accounts daily.
- Contacted insurance companies to resolve claim discrepancies, ensuring timely payment.
- Resolved outstanding overpayment balances from providers regarding insurance refunds.
- Follow up on unpaid claims within the standard department timeframe.
- Reviewed accounts to follow up with providers on outstanding audit findings and refunds.
- Maintain strict confidentiality, adhering to all HIPAA guidelines/regulations.
Collector 1
Baylor Scott & White Healthcare
03.2015 - 12.2016
- Reduced aged accounts by collecting approximately 74 accounts daily.
- Resubmitted denied or reduced payment claims to insurance companies, improving recovery chances.
- Reviewed and maintained collection notes and detailed records with high accuracy for collection follow-up.
- Reviewed accounts and contacted insurance payer by telephone.
- Evaluated collection practices and procedures to sustain established collection ratio.
- Posts insurance payments to patient accounts and ensures proper billing to patient for balance owed.
- Following practice guidelines, and working with practice Manager, refers accounts to collection agencies and writes- off bad debt.
Accounts Receivable Specialist
Conifer Health Solution
07.2014 - 01.2015
- Resolved accounts by coordinating with legal for disputes and maintained inventory on desks without backlog.
- Reviewed contracts and medical records, identified billing or coding issues, and initiated re-billing process.
- Identified potential delays with payers and implemented corrective actions to reduce A/R aging.
- Reviewing accounts and posts notes and memos, identified payer's issues and trends and solved recoup issues.
- Returned accounts to appeal writers for next level appeals as needed and collection activity.
- Met daily productivity standards of assigned accounts.
- Updated Plan IDs and Patient/Payers demographic information and requested additional from patients.
- Completed temporary contract role
Legal Administrative Specialist
Frito-Lay North America, Inc.
12.2013 - 04.2014
- Coordinated trademark filings across multiple countries, ensuring compliance with international regulations.
- Analyzed information and informed partners about trademark account issues and necessary results.
- Provided comprehensive administrative and secretarial support to enhance team productivity.
- Reviewed and filed information, developing and inputting data into the database to ensure accurate record-keeping.
Accounts Receivable Specialist
EA Conway Hospital
03.2009 - 09.2012
- Specialized in all debts relating to healthcare, including hospitalizations, surgeries and routine checkups, working directly for the healthcare provider.
- Verified insurance claims for accuracy and compliance with regulations.
- Recovered overdue payments on active accounts to improve cash flow.
- Processed credit card transactions and addressed customer inquiries regarding services billed and payment agreements.
- Maintained office organization and updated customer information records.
Education
Associate Degree - Business Management & Business Human Resources
Collin College
McKinney, TX01.2022
Associate Degree - Nursing A.A.S.
Brookhaven Community College
Framers Branch, TX01.2018
Associate of Business Administration - Medical Office Assistant & Medical Assistant
Career Technical College
Monroe, LA01.2012
Skills
- 10 key data entryanalysis
- Excellent customer service
- Excel
- Microsoft Office
- Excel
- Word
- PowerPoint
- Typing speed 45-50 wpm
- Leadership skills
Timeline
Medical Collector
Rapid Radiology (Contract Job Assignment)
09.2024 - 10.2025
Recovery Resolution Representative Associate
Change Healthcare/United Healthcare Group
09.2022 - 06.2024
Reimbursement Specialist
CareMetx (Contract Job Assignment)
01.2021 - 03.2021
Inpatient Collector
Post-Acute Medical, LLC (Contract Job Assignment)
08.2020 - 09.2022
Account Resolutions Specialist
Prime Healthcare
04.2019 - 05.2020
Patient Account Representative
Navigant Cymetrix
08.2018 - 04.2019
Collections Specialist
Cotiviti Healthcare
12.2016 - 08.2018
Collector 1
Baylor Scott & White Healthcare
03.2015 - 12.2016
Accounts Receivable Specialist
Conifer Health Solution
07.2014 - 01.2015
Legal Administrative Specialist
Frito-Lay North America, Inc.
12.2013 - 04.2014
Accounts Receivable Specialist
EA Conway Hospital
03.2009 - 09.2012
Associate Degree - Business Management & Business Human Resources
Collin College
Associate Degree - Nursing A.A.S.
Brookhaven Community College
Associate of Business Administration - Medical Office Assistant & Medical Assistant
Career Technical College