Aderonke Oseni
Dallas,TX
Summary
Detail-oriented and results-driven Revenue Cycle Specialist with over 5 years of experience managing financial operations within healthcare organizations. Proficient in all aspects of the revenue cycle, including medical billing, coding (CPT, HCPCS, ICD-10), claims processing, collections procedures, accounts receivable, and patient collections. Expertise in leveraging healthcare software systems like Epic, Meditech, and Cerner to optimize billing processes for accurate and timely reimbursement. Adept at analyzing revenue cycle metrics, resolving claim denials, and ensuring compliance with regulatory standards such as CMS and HIPAA guidelines.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Account Receivable Specialist (Billing & Collection) - Contract
Medical City Dallas Hospital
04.2024 - 05.2025
- Collaborated with the billing team to identify trends in claim denials and payment issues, recommending process improvements and corrective actions.
- Resolved billing discrepancies and insurance claim rejections by communicating with payers and patients to gather supporting documentation.
- Oversaw accounts receivable functions for a high-volume surgical center, ensuring accurate billing and timely collections.
- Reconciled accounts receivable transactions and maintained accurate billing records in compliance with regulatory standards and internal policies.
- Conducted detailed verification of patient insurance coverage and eligibility to reduce claim denials and rejections.
- Delivered exceptional customer service to patients and insurance companies by addressing billing inquiries and resolving insurance-related concerns.
- Implemented effective collection strategies, including phone calls, letters, and payment plans, to recover outstanding balances and minimize bad debt.
- Maintaining updated healthcare regulations, billing guidelines, and insurance policies to ensure compliance with coding and billing regulations, as well as privacy and security standards such as HIPAA
- Engaged in daily correspondence with insurance companies and various commercial insurers to manage coordination of benefits and resolve claim issues effectively.
- Prepared and submitted insurance claims for surgical procedures while adhering to payer guidelines to maximize reimbursement.
- Monitored aging reports and followed up on outstanding accounts receivable balances to optimize revenue collection.
- Tracked common claim errors, identified inaccurate reimbursement and contractual trends, and reported findings.
- Followed all company policies and procedures to deliver quality work.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
Insurance Accounting Representative
Kindred Hospital Dallas Central
02.2022 - 04.2024
- Reviewed and processed customer payments, ensuring accurate allocation to respective accounts.
- Communicated with clients regarding overdue balances and negotiated payment arrangements.
- Posted adjustments and collected payments from Medicare, Medicaid, and commercial insurance payers.
- Assisted in month-end closing by reconciling AR accounts and generating financial reports.
- Provided support in audits by preparing required documentation and reports.
- Reduced outstanding debt by implementing a structured follow-up process for overdue accounts.
- Identified opportunities to improve revenue cycle efficiency and effectiveness, streamlining processes, reducing claim denials and implementing best practices for coding, billing and collections.
- Collected patient copays, coinsurance, and deductible amounts due after insurance processing.
- Reached out to patients in cases where claims lack necessary information or contain incorrect member IDs to ensure proper processing.
- Initiated outgoing calls to insurance companies to confirm coverage, eligibility, and check the status of claims.
- Reviewed accounts and resolved payment by contacting payers, processing rebilling requests, and escalating issues when necessary.
- Notated accurate claim status information provided by payers and identifying potential resolutions for proper reimbursement.
- Reviewed, analyzed, and resolved complex claims issues and payer behavior using billing systems, payor portals, and EOB reviews.
AR Collection Representative
Kindred Hospital
10.2019 - 01.2022
- Used patient-centric strategies to manage and resolved complex billing issues with compassion and patience.
- Ownership of assigned Payer AR and all activities required to identify underpayments and prepare accounts for escalation to the payers in order to drive account resolution.
- Assessed trends in escalated issues and make recommendations for service enhancements.
- Resolved claims in a timely manner by completing appeals as needed or driving materials and accounts through the Plan Manager to the Payer.
- Interpreted account record, including claim history, transaction record, and account notes.
- Collaborated with insurance companies, payers/stakeholders to address payment and reimbursement.
- Identified and resolve escalated billing issues for efficient problem resolution.
- Analyzed Explanation of Benefits (EOBs) and remittance advice to identify payment discrepancies.
- Responsible for managing patient account staff in processing accounts and working with designated payers to ensure proper reimbursement.
- Acted as the billing vendor liaison to resolve billing issues.
- Identify opportunities to improve revenue cycle efficiency and effectiveness, streamlining processes, reducing claim denials and implementing best practices for coding, billing and collections.
- Initiating outgoing calls to insurance companies to confirm coverage, eligibility, and check the status of claims.
Education
B. Sc - Accounting
Ogun State University
Skills
- Healthcare billing expertise
- Claims management
- Detail-oriented
- HIPAA compliance expertise
- ICD-10 coding expertise
- Proficient in CPT codes and modifiers
- Collections management
- UB04 claims processing
- Billing and claims resolution
- Customer service coordination
- Strong communication skills
- Collaborative teamwork
- Client engagement
- Advanced problem-solving skills
- Critical analysis
- Document organization
Certification
- Certificate in International Public Sector Accounting Standards – Association of Chartered Certified Accountants (ACCA, UK)
- Certified National Accountant (CNA) - Association of National Accountants of Nigeria.
- Association of Accounting Technicians (AAT) – Institute of Chartered Accountants of Nigeria.
Timeline
Account Receivable Specialist (Billing & Collection) - Contract
Medical City Dallas Hospital
04.2024 - 05.2025
Insurance Accounting Representative
Kindred Hospital Dallas Central
02.2022 - 04.2024
AR Collection Representative
Kindred Hospital
10.2019 - 01.2022
B. Sc - Accounting
Ogun State University
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