DENISE OKAFOR
Missouri City
Summary
Dynamic Insurance Follow-Up Representative with extensive experience at Memorial Hermann Hospital, excelling in appeals processing and claims adjudication. Proven track record in customer account management and effective problem resolution, ensuring timely claim payments and enhancing patient satisfaction. Recognized for strong collaboration skills and a goal-oriented approach in fast-paced environments.
Overview
15
15
years of professional experience
Work History
Insurance Follow-Up Representative
Memorial Hermann Hospital
Houston
02.2024 - Current
- Coordinated follow-up communication with patients and insurance providers to resolve outstanding claims.
- Managed appeals process for denied claims, improving resolution rates and minimizing delays.
- Reviewed insurance claims to ensure accuracy and completeness, facilitating timely processing.
Insurance Follow-Up Representative
Kelsey Seybold Clinic
Pearland
07.2021 - Current
- Followed up with patient insurance companies to obtain claim status and expedite resolution.
- Ensured insurance companies received necessary documentation for accurate claims processing.
- Submitted appeals to insurance companies for denied claims.
- Provided additional information to get claims paid.
Addison Group/Altus Infusion Collector
12.2019 - 03.2021
- Followed up on denied insurance claims
- Used various systems on two monitors
- Verified benefits to ensure coverage at the time of service
- Sent reconsiderations and appeals as needed
Collector
Addison Group Neighbors Emergency Center
08.2018 - 12.2019
- Followed up on denied out-of-network insurance claims to facilitate resolution
- Verified benefits to ensure coverage at the time of service
- Sent reconsiderations and appeals to secure coverage for patients
- Processed physician and facility claims to ensure timely reimbursement
Insurance Follow Up Rep
Addison Group Methodist West Houston
05.2017 - 08.2018
- Contacted insurance companies to resolve denied physician claims
- Provided additional information, including medical records and appeal letters, to facilitate claim resolutions
- Managed various policies including workers' compensation, government, and commercial insurances
Insurance Follow Up/Data Entry Specialist
US Anesthesia Partners
Houston
08.2013 - 04.2016
- Operated in fast-paced environment, contacting patients and physicians, verifying insurance, inputting medical billing information, and cross-training to enhance team flexibility
- Mastered multiple complex technology systems to streamline medical billing operations
- Applied problem-solving and troubleshooting skills daily, addressing diverse scenarios to improve workflow
- Management recognized me as a reliable and trusted team member with a high degree of integrity, granting me the authority to work independently on a special project.
Patient Account Representative
The Outsource Group
Houston
06.2011 - 07.2013
- Resolved customer issues, hospital billing statements, and insurance questions efficiently, maintaining high levels of customer satisfaction
- Managed customer accounts by keeping them current, closing accounts, and rectifying discrepancies to ensure accurate billing
- Adhered to hospital payment process guidelines while providing clear communication to patients regarding their accounts
Education
High School Diploma -
Sanford–Brown
Houston, TX11-2003
Skills
- Customer Account Management
- Customer Service
- Epic experience
- Appeals processing
- Claims adjudication
- Insurance verification
- Follow-up procedures
- Team collaboration
- Goal orientation
- Medical billing
- Data entry proficiency
- Problem resolution
Websites
Timeline
Insurance Follow-Up Representative
Memorial Hermann Hospital
02.2024 - Current
Insurance Follow-Up Representative
Kelsey Seybold Clinic
07.2021 - Current
Addison Group/Altus Infusion Collector
12.2019 - 03.2021
Collector
Addison Group Neighbors Emergency Center
08.2018 - 12.2019
Insurance Follow Up Rep
Addison Group Methodist West Houston
05.2017 - 08.2018
Insurance Follow Up/Data Entry Specialist
US Anesthesia Partners
08.2013 - 04.2016
Patient Account Representative
The Outsource Group
06.2011 - 07.2013
High School Diploma -
Sanford–Brown