Abiola Jegede
Chicago,IL
Summary
Highly organized professional with experience in collections, customer service and data entry. Exceptional interpersonal and problem-solving skills. Effectively mediates customer disputes and collects payment in timely manner.
Demonstrates a deep understanding of HIPAA regulations and adheres to its guidelines. Also demonstrates a deep understanding of electronic health records (EHR) systems, and insurance terminologies.
Proficient in working with EMR software and adept at utilizing Practice Management Software Applications such as Epic, Cerner, Dr. Chrono, Kareo Billing, Medpointe and Zendesk.
Overview
6
6
years of professional experience
Work History
AR Follow Up Specialist
Aya Healthcare
07.2022 - Current
- Improved customer satisfaction by promptly addressing and resolving follow-up inquiries.
- Utilize Epic software to analyze, monitor, and manage the revenue cycle process, ensuring accurate and timely claim resolution.
- Handled escalated cases professionally, demonstrating empathy towards customers while working diligently towards an agreeable resolution.
- Researched billing errors and discrepancies to initiate corrective action.
- Contacted customers to discuss past-due accounts and negotiated payment plans.
- Entered client details and notes into system for interdepartmental access and review.
- Monitored customer accounts for payment delinquency and initiated collection efforts.
- Monitor prior authorization, accuracy of information, and identify inefficiencies.
- Identify and bill secondary insurances.
AR Follow Up Representative
APS Medical Billing
02.2020 - 06.2022
- Ensure accurate billing and timely submission of electronic and paper claims.
- Investigate and coordinate insurance benefits for insurance claims across multiple service lines.
- Monitor claim status, research rejections, denials, and document related account activities.
- Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative activities in fast-paced environments.
- Post adjustments and collections of Medicare, Medicaid, Medicaid Managed care, and commercial insurance payers.
- Perform follow-up with Medicare, Medicaid, Medicaid Managed Care, and commercial insurance companies on unpaid insurance accounts identified through aging reports.
- Collect past due balances and post payments from patients and insurance, also mail patient statements.
- Maintain patient confidentiality based on HIPAA guidelines.
Payment Poster
AvMed
04.2019 - 02.2020
- Maintained accurate records of customer payments.
- Created improved filing system to maintain secure client data.
- Processed payments that had been received from insurance companies and Medicare.
- Used data entry skills to accurately document and input statements.
- Resubmit corrected claims when applicable.
- Transfer balances to self-pay or secondary insurances.
- Work closely with AR teams to resolve payment posting errors.
- Retrieve explanation of benefits (EOBs) from a variety of sources.
- Played an integral role in maintaining a clean claims submission rate above industry standards through diligent posting practices and collaboration with other departments.
- Use basic knowledge of computer programs such as PC, Microsoft Office, Excel, and Power BI.
Customer Service Representative
Jhotspur Resources
11.2017 - 03.2019
- Clarify to customers a variety of specifics pertinent to the organization's healthcare services.
- Explain plan policies, procedures, programs, and guidelines to customers.
- Answer a diverse and high volume of health insurance-related customer calls and correspondence daily.
- Document and record facts related to inquiries and correspondence.
- Verify various insurance plans and eligibility.
- Ensure member satisfaction and provide professional member support.
- Keep proper documentation of each member interaction in our computer system.
Education
Bachelor of Science - Accounting And Business Management
Lagos State University
Lagos, Nigeria01.2016
Skills
- Medical billing (inpatient, outpatient, physical)
- Claims filling and resolution
- Insurance appeal processes
- HIPAA regulations and compliance
- Electronic health records (EHR) systems
- Microsoft Office Suite (Word, Excel, Powerpoint, Outlook)
- Customer service and patient/client relations
- Problem-solving and complaint resolution
- Data entry and management
- EMR software proficiency
Timeline
AR Follow Up Specialist
Aya Healthcare
07.2022 - Current
AR Follow Up Representative
APS Medical Billing
02.2020 - 06.2022
Payment Poster
AvMed
04.2019 - 02.2020
Customer Service Representative
Jhotspur Resources
11.2017 - 03.2019
Bachelor of Science - Accounting And Business Management
Lagos State University