Summary
Overview
Work History
Education
Skills
Timeline
background-images

Ada Adokwu

Arrey,TX

Summary

Dynamic Revenue Cycle Specialist with a proven track record at Parkland Health and Hospital, enhancing revenue through meticulous claims processing and effective denial management. Skilled in insurance verification and fostering team collaboration, I excel in resolving billing disputes and optimizing workflows, ensuring exceptional customer satisfaction and timely payments.

Overview

12
12
years of professional experience

Work History

Revenue Cycle Specialist

Parkland Health and Hospital
02.2023 - Current
  • Increased revenue by identifying and resolving billing errors in a timely manner.
  • Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
  • Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
  • Ensured accurate billing with thorough audits of patient accounts and insurance claims.
  • Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
  • Reached out to insurance companies to verify coverage.
  • Contacted responsible parties for past due debts.
  • Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
  • Coordinated patient payment plans, balancing compassion with firmness to ensure timely payments while preserving positive patient relationships.
  • Streamlined the revenue cycle process for improved efficiency and faster payment collection.
  • Identified and resolved payment issues between patients and providers.
  • Maintained clear documentation of all activities related to unpaid claims or denied services.
  • Maximized reimbursements by staying current on payer requirements and maintaining strong relationships with insurance providers.

A/R Follow-Up Specialist

Aya Healthcare
01.2022 - 02.2023
  • Supported account managers in identifying opportunities for upselling or cross-selling services during follow-up conversations with clients.
  • Implemented tracking systems to monitor the status of open cases, allowing for faster resolution and improved accountability.
  • Conducted regular audits of client interactions, identifying areas for improvement in service delivery and team performance.
  • Achieved high levels of customer satisfaction through diligent attention to detail in addressing client concerns.
  • Identified trends in customer feedback to inform future improvements within the organization''s products or services.
  • Maintained accurate records of all correspondence with clients using CRM software, ensuring seamless handover between team members when necessary.
  • Enhanced team productivity with thorough documentation of follow-up actions and outcomes.
  • Participated in regular team meetings, sharing insights and experiences to collectively improve the effectiveness of follow-up strategies.
  • Reduced response times, proactively monitoring client accounts to address potential issues before escalation.
  • Collaborated with cross-functional teams to resolve complex customer issues, ensuring timely resolutions and clear communication.
  • Improved customer satisfaction by promptly addressing and resolving follow-up inquiries.
  • Managed a large caseload of outstanding issues, prioritizing tasks effectively while maintaining strict deadlines.
  • Optimized workflow processes, reallocating resources based on case volume and complexity to ensure timely followups.
  • Maintained accurate records of customer accounts, payments and payment plans.
  • Contacted customers to discuss past-due accounts and negotiated payment plans.
  • Listened to customers and negotiated solutions that met creditor and debtor needs.

Enrollment Specialist / Customer Service Represent

Well Care
10.2019 - 12.2021
  • Updated, entered, and reviewed customer data.
  • Communicated effectively via telephone, email, and in person with prospective customers.
  • Enhanced customer service by promptly addressing inquiries and resolving issues in a timely manner.
  • Conducted comprehensive applicant interviews to determine eligibility and fit for specific programs.
  • Streamlined the enrollment process for increased efficiency and enhanced user experience.
  • Understood and thoroughly explained services provided to customers and potential customers.
  • Enhanced team productivity through effective time management and prioritization techniques during peak enrollment periods.
  • Improved data accuracy, meticulously maintaining and updating applicant records.
  • Facilitated seamless transitions for enrollees, connecting them with necessary resources post-enrollment.
  • Optimized digital enrollment platforms for ease of use, resulting in higher application completion rates.
  • Enhanced customer satisfaction with personalized enrollment assistance.
  • Streamlined application processing, significantly reducing wait times for applicants.

Patient Account Representative

Nisa Premier Hospital
07.2013 - 09.2019
  • Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
  • Posted payments and processed refunds.
  • Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
  • Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
  • Worked with outside entities to resolve issues with billing, claims, and payments.
  • Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
  • Conducted regular audits of patient accounts, identifying discrepancies and rectifying errors as needed.
  • Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
  • Electronically submitted bills according to compliance guidelines.
  • Enhanced patient satisfaction by promptly addressing inquiries and resolving account issues.
  • Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
  • Maintained accurate records of all transactions, ensuring timely payments from patients and insurance providers.
  • Achieved a significant reduction in aged accounts receivable through diligent follow-up efforts with both patients and insurers.
  • Prepared reports detailing billing actions, flags, and other key information.
  • Responded to patient, family, and external payer inquiries.
  • Developed strong relationships with key contacts at insurance companies to expedite resolution of claim disputes or other account-related issues.
  • Negotiated payment plans with patients experiencing financial difficulties, supporting them in meeting their obligations without undue stress.
  • Reduced outstanding balances by implementing effective collection strategies tailored to individual patients'' needs.

Education

Bachelor of Arts - Mass Communication

Bingham University
Nigeria
07-2013

High School Diploma -

Air Force Comprehensive School
Ibadan Nigeria
07-2009

Skills

  • Claims review
  • Claims processing proficiency
  • HIPAA compliance
  • Professionalism and ethics
  • Paperwork management
  • Insurance verification
  • Verifying insurance
  • Denial management
  • Medical billing expertise
  • Analytical problem solving
  • Managing records
  • Writing reports
  • Problem-solving
  • Time management
  • Attention to detail
  • Problem-solving abilities
  • Multitasking Abilities
  • Reliability
  • Excellent communication
  • Organizational skills
  • Team collaboration
  • Active listening
  • Effective communication

Timeline

Revenue Cycle Specialist

Parkland Health and Hospital
02.2023 - Current

A/R Follow-Up Specialist

Aya Healthcare
01.2022 - 02.2023

Enrollment Specialist / Customer Service Represent

Well Care
10.2019 - 12.2021

Patient Account Representative

Nisa Premier Hospital
07.2013 - 09.2019

Bachelor of Arts - Mass Communication

Bingham University

High School Diploma -

Air Force Comprehensive School

Similar Profiles

CREATE PROFILE
Ada Adokwu