ISAIAH HAWKINS
Omaha
Summary
Business Systems Analyst with extensive experience at Children's Nebraska, specializing in Epic applications and revenue cycle management. Demonstrated ability in application testing and change management, leading to significant process improvements and enhanced team performance. Successfully reduced billing system issues while promoting interdepartmental collaboration.
Overview
9
9
years of professional experience
4
4
Certifications
Work History
Business Systems Analyst
Children's Nebraska
Omaha
02.2023 - Current
- Planned, designed, tested, and deployed system changes for Resolute Epic applications.
- Managed HB Claims and Remittance module within Epic EHR, overseeing upgrades and maintenance.
- Resolved technical HB and PB charging issues as an Epic Charge Router Analyst.
- Administered 3M CGS software to ensure optimal updates and functionality.
- Coordinated monthly maintenance activities for Epic SU and upgrades.
- Ensured compliance with Epic standards and Revenue Cycle expectations as Payer Plan Analyst.
Patient Access Supervisor - Revenue Cycle
Children's Nebraska
Omaha
04.2022 - Current
- Managed a team of 55 Patient Access Specialists and Senior Specialists across multiple departments.
- Conducted continuous process improvements to optimize workflows and enhance patient experience.
- Analyzed departmental structure to implement staffing changes based on patient volume.
- Reviewed daily staff productivity and quality dashboards to ensure operational efficiency.
- Assigned performance improvement plans to staff members as necessary for optimal results.
- Oversaw operations in a 145-bed Children's Facility, ensuring seamless patient access services.
Payor Clearance Analyst - Revenue Cycle
Children's National Hospital
Washington
09.2021 - 03.2022
- Utilized Cerner EMR to authorize infusion drug accounts and ensure compliance with internal KPI standards.
- Collaborated with Revenue Integrity and Operations teams to address denials, underpayments, and payment retractions.
- Educated department on HCPCS units tracking to monitor authorized drugs and prevent denials effectively.
- Reviewed claims and billing reports over two years to identify transaction trends and interdepartmental errors.
- Engaged with state and commercial payers to develop action manuals for reimbursement strategies.
- Served as Analyst and Advocate in IT meetings with Clinical partners to enhance PowerChart and Cerner PM Office builds.
- Completed project that synchronized Clearance information across one EMR for improved RN and PA access to drugs.
- Facilitated project completion leading to streamlined communication of Clearance information within the EMR.
International Financial Coordinator - Revenue Cycle
LifeBridge Health - Sinai Hospital of Baltimore
Baltimore
01.2020 - 09.2021
- Executed pre-service cost estimates using Charge Master and NAPA Affiliates.
- Negotiated Single Case Agreement contracts with provider contracting departments for MCOs and commercial payors.
- Audited physician and hospital billing accounts to identify trends and enhance A/R accountability strategies.
- Formulated non-service list for embassies and out-of-state MCOs, achieving less than 15% loss reduction in International sector within one year.
- Recovered outstanding physician bills from 2017 to 2019 through effective policy implementation.
- Achieved over $2M in self-pay transactions for outpatient orthopedic surgeries.
- Reduced denial rates from over 35% to under 15% by implementing follow-up processes and structured meetings with PBO teams.
Financial Clearance Specialist - Revenue Cycle
Johns Hopkins Health System
Baltimore
11.2018 - 12.2019
- Executed insurance verification and benefit eligibility validation, completing necessary documentation for pre-certifications and referrals.
- Navigated various workflows and service levels to secure pre-certifications while reviewing patient liability estimates.
- Achieved top 3 performance ranking among 15 team members with a 110% productivity average.
- Collaborated with Supervisor to develop performance measurement tools enhancing team productivity.
- Centralized corporate entity operations for five Johns Hopkins Hospital facilities in DC and MD.
Inpatient Patient Access Specialist
Johns Hopkins Hospital
Baltimore
07.2017 - 11.2018
- Successfully completed registrations for urgent admit ER/ED patients, Inpatient bedside patients and Elective admitting patients (Top 5 Performer).
- Functioned as one of the leads on the team to address registration quality reports or claim edits from billing regarding errors such as demographic errors and invalid insurance entry.
- Worked Claim Edit reports delegated from Denials Management Department to correct registration related errors that create first-pass denials.
- Acted as a Decedent Affairs liaison with Johns Hopkins Pathology Service, Funeral Home's & Services Medical Examiner, Maryland State Anatomy Board.
Education
Associate of Arts - Computer Studies
University of Maryland, Global
MD03-2026
Bachelor of Arts - Management Information Systems
University of Maryland, Global
MD02-2028
Skills
- Epic HB Claims & Remittance Analyst
- Epic Payer Plan Analyst
- Epic Charge Router Analyst
- Application Testing and Change Management
- 3M CGS and FinThrive Clearinghouse admin
- Cerner: Revenue Cycle, PM Office, GE Centricity user
Certifications And Associations
- National Assoc for Healthcare Access Management (NAHAM)
- National Association for Health Services Executives (NAHSE)
- Healthcare Financial Management Association (HFMA)
Certification
Certified Revenue Cycle Representative - CRCR
Timeline
Business Systems Analyst
Children's Nebraska
02.2023 - Current
Patient Access Supervisor - Revenue Cycle
Children's Nebraska
04.2022 - Current
Payor Clearance Analyst - Revenue Cycle
Children's National Hospital
09.2021 - 03.2022
International Financial Coordinator - Revenue Cycle
LifeBridge Health - Sinai Hospital of Baltimore
01.2020 - 09.2021
Financial Clearance Specialist - Revenue Cycle
Johns Hopkins Health System
11.2018 - 12.2019
Inpatient Patient Access Specialist
Johns Hopkins Hospital
07.2017 - 11.2018
Associate of Arts - Computer Studies
University of Maryland, Global
Bachelor of Arts - Management Information Systems
University of Maryland, Global