Human Resources Insurance Agent

MONICA HAWKINS 678-***-****/ adzgoc@r.postjobfree.com

Loganville, GA www.linkedin.com/in/m-monica-hawkins

HEALTH SERVICES ADMINISTRATOR

CLAIMS CONTRACT REVIEWS SYSTEM ADMINISTRATION PATIENT ACCOUNTS REVENUE CYCLE CUSTOMER RELATIONS

H

ealth Administrative Professional with over 20 years’ experience in IS support, revenue cycle management, healthcare accounting, human resources, medical billing, and clinical management. Proven strengths in administration, onboarding, process improvement, emotional intelligence, time management, communications, and teamwork. Known for interpersonal, communication, customer centric, extensive call center experience and organizational skills with excellent relationship building capabilities.

CORE COMPETENCIES & KEY KNOWLEDGE AREAS

Administration – processing claims, coding, accounting, follow-up, enrollment, developing schedules, handling multi-line phone systems, documentation, filing, data entry, billing, and business correspondence.

Organization – scheduling, facilitating meetings, providing excellent service in a fast-paced, deadline-driven environments.

Teamwork – collaborating with supervisors, EHR support staff, and customers to improve workflow.

Technical – SQL, ticketing, MS Suite - (Word, Excel, Access & Outlook), SharePoint, Kronos, AS400, Meditech, Epic, Artiva, Clearinghouse, and Web Desktop.

CAREER HIGHLIGHTS

Insurance agent/Sales rep at Primerica Financial Services

Continuously exceed monthly sales goals by 25%, successfully scheduling guests for the business opportunity, establish competitive environment for motivation, and continue to over exceed prospecting goals by 50%.

Market new business for affiliates in home security, investments, auto and home insurance, while providing a financial needs analysis to potential clients.

Licensed life insurance agent

Accounts Receivable Representative/Revenue Cycle at Med Systems

Shrank A/R and eliminated errors and duplications resulting in prompt payments within 60 days.

Established and negotiated payment arrangement with patients.

Coordinated payments with third party vendors.

Revenue Cycle Analyst/New Hire Developer at HCA

Trained new hires on HIPPA, and saved company 50% on costs of hiring an external trainer. Received kudos, as a top- performer, including rewards, and a raise.

RECENT/RELEVANT EXPERIENCE

Primerica Financial Services – Duluth, Georgia Aug. 2019 – 2023

Life Insurance agent/Field agent

Overview: Hired to recruit teams to sell products and services that help families attain financial security, free from debt.

Accomplishments

Continuously set monthly sales goals, successfully scheduling guests for the business opportunity, establish competitive environment for motivation, and continue to update prospecting goals.

Anthem Inc. – Indianapolis, Indiana 2013 – Present

Clinical Solutions Representative/New Hire Mentor/Chat Resource Rep (remote position)

Overview: Appointed to formulate objectives for each application, assist members with symptom concerns, enroll as applicable into care management programs. Provide case management resources.

Accomplishments

Constantly exceeded quality scores by 20% monthly, reduced customer complaints by 50%, shared written and oral knowledge with employees and customers daily.

(MD Live) Virtual triage to determine the best course of action on setting up provider consultations.

Aerotek– Alpharetta, Georgia 2011 – 2013

Auditor/Claims Processor – Contract position

Overview: Handled and processed claims, preauthorization and predeterminations and received payment of procedures based upon dental judgments.

Accomplishments

Successfully investigated dental claims for errors and elevated level issues.

Drove claims process improvement techniques.

Med Systems Associates, Chesapeake, Virginia 2010 – 2011

Accounts Receivable Representative/Revenue Cycle

Overview: Performed account reconciliations on self- pay and insurance accounts, generated proposals for payment negotiation, conducted charge reversals, and updated patient demographic and insurance information.

Accomplishments

Decreased the A/R by utilizing resources and monitoring the reports for errors and duplications.

Appointed as the primary liaison for the Self-Pay accounts.

Monitored the physician charges for errors and forwarded appropriately for prompt payments within 60 days.

HCA, Norcross, Georgia 2006 –2010

Revenue Cycle Specialist/New Hire Developer

Overview: Selected to train and lead new hires, problem solved medical accounts with billing issues and payments, reviewed and determined patient eligibility for Charity Care Assistance, and reconciled accounts according to insurance contracts. Managed conflict on sensitive client concerns.

Accomplishments

Created a system to pinpoint errors. Took additional company training to become a “mentor” for training new hires.

Provided feedback at a cross-functional level saving the company 50% of what is normally paid for bringing in an outside training company and correcting costly errors as they relate to HIPAA.

ADDITIONAL WORK HISTORY

Payroll Processor/ Bookeeper

Solomon Smith Blarney, East Brunswick, NJ

Account Manager

Direct Fulfillment, Robbinsville, NJ

EDUCATION

Master of Business Administration, Human Resources Management/Leadership September /2021

Strayer University – Jack Welch Management Institute, Herndon, VA

PARTIAL LISTING OF RELEVANT MBA COURSEWORK COMPLETED

Human Resource Management Health Information Systems Finance &Reimbursement in Healthcare Business Finance Business Law Quality Improvement in Healthcare Healthcare Legal Issues & Ethics Health Administration Capstone Epidemiology Executive Leadership/Management Macro/Microeconomics Small Business Management Business Law Principles of Marketing

Bachelor of Science: Healthcare Administration, Concentration in Management Dec / 2017

University of Phoenix, Phoenix, AZ

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