Fortun Mohamed
Hopkins,USA
Summary
Dynamic Medical Billing Specialist with extensive experience in claims processing and insurance verification. Trilingual with a proven ability to enhance customer satisfaction through effective communication and problem-solving. Adept at managing accounts receivable and ensuring accurate payment posting, contributing to streamlined operations and improved revenue flow.
Overview
6
6
years of professional experience
Work History
Medical Billing Specialist-Accounts Receivable
Corner Home Medical
09.2025 - 01.2026
- Temporarily employment.
- Data entry of all patient demographics, guarantor, and insurance information.
- Posting procedures and insurance/patient payments.
- Conduct insurance verification and waiver programs.
- Review service agreements and prior authorization before entering into system.
- Claims adjustment.
- Follow up with Case Manager/doctors/patients.
Pharmacy Technician
Walgreens
04.2025 - 07.2025
- Short-term Employment
- Greet customers and help them locate merchandise.
- Operate cash register to process cash or credit sales.
- Prepare prescription labels by typing or operating a computer and printer.
- Unpack, sort, count, and label incoming merchandise, including items requiring special handling or refrigeration.
- Process medical insurance claims, posting bill amounts and calculating copayments.
- Operate capsule or tablet counting machine that automatically distributes a certain number of capsules or tablets into smaller containers
- Worked with the software Intercome Plus
Medical Billing Specialist
APA Medical Equipment
03.2024 - 07.2025
- Interpreted for customers in Somali about their medical equipment
- Enter prior authorization and make sure we have the correct description and dollar amount
- Talk to multiple insurance companies about service agreements such as
- Work in Mn-its to check eligibility and obtain county waiver span
- Follow up with case manager multiple times via email/phone before voided a sales order
Customer Service Representative
Hennepin Health
Minneapolis, USA
07.2023 - 03.2024
- Taking inbound calls and making outbound calls to members about their eligibility.
- Help with the process of renewing their insurance.
- Help patient navigate in the online portal.
- Email, mail, call patient about their eligibility renewal process.
- Explain their explanation of benefits.
- Schedule transportation ride from and to clinics.
- Discuss what provider is in network and out of network.
Sales Support Representative
UnitedHealthcare
Minnetonka, USA
11.2022 - 05.2023
- Temporarily employment
- Answering general sales support questions and assisting with system navigation.
- Handling over 100 in-bound calls professionally and provide excellent customer service about Insurance plans.
- Research and Resolve Sales Agents questions relating to how to use self-service tools and to troubleshoot system issues.
- Medicaid Verification.
- Application Status and Eligibility.
- Commission questions.
- Document resolutions of each contact in various systems in a clear manner.
- Accurately evaluate data from multiple sources and update internal systems and applications with the results of the investigation using up-to-date process documents.
- Maintain professional interactions, both internally and externally
Customer Service Representative
Amplifon
01.2022 - 06.2022
- Scheduled appointments for patients to receive hearing aids
- Handled incoming phone calls from patients trying to get an appointment scheduled or asking about a previously scheduled appointment
- Entered information about insurance into computer system
Customer Service Representative
IC System, Inc
11.2019 - 02.2020
- Helping resolve consumers' delinquent accounts and make payment arrangements for clients nationwide through phone contacts.
- Making over 200 outbound calls to consumers to discuss delinquent accounts and how to resolve them.
- Discuss about financial assistance if consumer is unable to afford to pay minimum payment plan.
- Take credit/check information over the phone to process payments.
Education
Associate of Arts degree -
NORMANDALE COMMUNITY COLLEGE
Bloomington, MNSkills
- Trilingual in English, Somali, German
- CSR
- Customer Service
- Claims processing
- Insurance verification
- Prior authorization
- Data entry proficiency
- Problem solving
- Attention to detail
- Bill payment
- ICD-10 proficiency
- Accounts receivable management
Timeline
Medical Billing Specialist-Accounts Receivable
Corner Home Medical
09.2025 - 01.2026
Pharmacy Technician
Walgreens
04.2025 - 07.2025
Medical Billing Specialist
APA Medical Equipment
03.2024 - 07.2025
Customer Service Representative
Hennepin Health
07.2023 - 03.2024
Sales Support Representative
UnitedHealthcare
11.2022 - 05.2023
Customer Service Representative
Amplifon
01.2022 - 06.2022
Customer Service Representative
IC System, Inc
11.2019 - 02.2020
Associate of Arts degree -
NORMANDALE COMMUNITY COLLEGE