FUNMILAYO AGBOOLA

Followed up with insurance companies on rejected, denied and unpaid claims, resulting in increase in revenue.

Managed account reconciliations related to missing remittance, refunds required and any transfer or adjustment needed.

Posted insurance payments, contractual and non-contractual adjustments for assigned carriers by CPT code and transfer outstanding balance to secondary insurance or patient responsibility per EOB protocol.

Completed appropriate actions needed for timely claims follow up and affective appeals submission, including research, rebilling adjustments transfer to next responsible parties and escalating payer issues to leadership.

Identify and corrected billing errors, reducing billing discrepancies.

Monitors prior authorization accuracy of information, and identify inefficiencies , resulting in an increase in claims accuracy.

Adherence to HIPAA law regulations medical law and ethics regarding billing.

Identify and bill secondary insurances.

Supervise inbound and outbound service calls pertaining to patient accounts

Identified researched, resolve, and responded to customer's inquires via telephone and written correspondence.

Made outbound calls to individuals who have active prescription that needs to be filled and or picked up.

Advised customer of their options and properly document the response.

Responded to telephone inquiries from customers using standard using standard scripts and procedures.

Gathered information, research concerns and provide resolution.

Gathered information, research concerns and provide resolution.

Prepared standard reports to track workload response time and quality of input.

Verified various insurance plans and eligibility.

Helped client set up their appointments, and also handled online orders and credit card transactions.

Maintained a positive, empathetic, and professional demeanor towards customers always.

Responded promptly and following up as needed to member inquires.

Ensured accurate billing and timely submission of electronic and paper claims in a timely manner in accordance with time limit for filling.

Followed up on claim status, researched rejections, and denials, documents related account activities.

Posted adjustments and collections of Medicare Medicaid , Medicaid Managed care and Commerical insurance payers.

Followed up with insurance companies on unpaid insurance account that were identified through aging reports.

Assisted in reconciling deposit and patient collection and processed refund requests.

Collected past due balance and posted payments from patients and insurance, also mailed patient statements.

Obtained preauthorization and referrals and verified eligibility and benefits for treatments.

Reached out to patients do discuss payment and develop reasonable payment plans, entering patient data into administrative systems, and recording information about outstanding claims.

Responsible for tracking all claims filed, worked on denied claims and appealed claim until they were resolved.

Maintained patient confidentiality based on HIPPA guidelines.

• Communicated with insurance providers to resolve denied claims and resubmitted.
• Located errors and promptly refiled rejected claims.
• Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
• Identified and resolved patient billing and payment issues.
• Filed and updated patient information and medical records.
• Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
• Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.