Ke'era Hawkins
Richmond
Summary
Detail-oriented Acquisition and Financial Operations Professional with over 4 years of experience in state-regulated programs and compliance. Expertise in managing high-volume caseloads, conducting financial analysis, and coordinating with stakeholders. Strong background in regulatory compliance and process improvement, aligned with federal and state requirements, seeking to contribute as a Contract Specialist.
Overview
5
5
years of professional experience
Work History
Financial Analyst
Department of Medical Assistance Services
Richmond
10.2024 - Current
- Conduct detailed cost and financial analysis to identify recovery opportunities, contributing to the recovery of significant Medicaid funds (estimated thousands monthly).
- Managed 150–300 Third Party Liability (TPL) claims monthly, ensuring compliance with federal Medicaid regulations and state policies to safeguard legal and financial integrity.
- Coordinated with 10+ external stakeholders, including insurance carriers, legal representatives, and government agencies, to negotiate and resolve claims, facilitating timely recovery.
- Review and evaluate claims, insurance data, and supporting documentation to determine liability and appropriate recovery actions.
- Utilize multiple systems (FAS, CIRI, TPL Case Management System) to track, document, and report case activity, maintaining high levels of data accuracy (98%+).
- Analyzed trends and identified process inefficiencies, recommending improvements that enhanced recovery rates and streamlined processing time.
- Ensure all actions align with federal compliance standards and audit requirements.
- Outlined key responsibilities and achievements.
Intake Specialist
Office of the Attorney General
Richmond
10.2023 - 10.2024
- Processed and reviewed 100+ Medicaid lien and claims cases weekly, ensuring compliance with legal and regulatory requirements.
- Conducted data validation and financial analysis to verify eligibility, liability, and claim accuracy.
- Coordinated with internal departments and external stakeholders to gather documentation and resolve discrepancies, ensuring compliance and accuracy.
- Maintained detailed documentation to support legal determinations and facilitate financial recovery actions.
- Identified process gaps and recommended procedural enhancements, leading to improved workflow efficiency.
- Maintained strict adherence to confidentiality, compliance, and documentation standards.
Coordinator
Covenant Woods
Mechanicsville
03.2023 - 09.2023
- Coordinated and executed 10–20+ events per month, managing logistics, vendor coordination, and scheduling.
- Supervised staff, enhancing team coordination and fostering client satisfaction through streamlined event execution.
- Managed vendor agreements, ensuring service delivery met expectations and aligned with organizational standards.
- Maintained detailed event documentation, ensuring accuracy and compliance with organizational procedures to support event success.
Registration Specialist
Recovery centers of America
Richmond
12.2020 - 10.2022
- Processed and validated 200+ records daily, enhancing data accuracy and ensuring compliance with HIPAA regulations.
- Identified and resolved discrepancies in patient and specimen data, improving data integrity.
- Documented processes accurately, supporting compliance and streamlining operational efficiency.
- Adhered to regulatory and safety standards in high-volume environment, contributing to overall operational integrity.
Education
Some College (No Degree) - Heath Administration
Southside Virginia Community College
Alberta, VASkills
- Analytical thinking
- Financial forecasting
- Cost analysis
- Budget management
- Regulatory compliance
- Data reporting
- Stakeholder management
- Cost optimization
- Risk assessment
- Financial modeling
Timeline
Financial Analyst
Department of Medical Assistance Services
10.2024 - Current
Intake Specialist
Office of the Attorney General
10.2023 - 10.2024
Coordinator
Covenant Woods
03.2023 - 09.2023
Registration Specialist
Recovery centers of America
12.2020 - 10.2022
Some College (No Degree) - Heath Administration
Southside Virginia Community College