Georgina Adekaka
Plano ,TX
Summary
Highly detail-oriented and results-driven Revenue Cycle Specialist with extensive experience in medical billing, coding, and reimbursement operations. Proven ability to streamline billing processes, ensure regulatory compliance, reduce denials, and increase collections. Skilled in interpreting EOBs, payer portal analysis, and claim resolution. Excellent communicator with strong analytical skills and proficiency in major EMR systems and practice management software, including Epic, Cerner, Medpointe, and Athena.
Overview
7
7
years of professional experience
Work History
Revenue Cycle Specialist
NSN Revenue Resources
10.2022 - Current
- Analyzed provider accounts to ensure accurate billing and compliance with coding standards.
- Managed claim rejections and denials by investigating payer reasons and submitting timely appeals.
- Interpreted EOBs and applied CPT code expertise to resolve payment issues.
- Conducted follow-ups on commercial and government payer claims.
- Served as a resource to staff for billing and reimbursement concerns.
- Initiated outbound calls to verify insurance coverage and claim status.
- Streamlined the revenue cycle process for improved efficiency and faster payment collection.
Revenue Cycle Specialist
Denton Health
08.2020 - 10.2022
- 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.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Reached out to insurance companies to verify coverage.
- Streamlined the revenue cycle process for improved efficiency and faster payment collection.
- Identified and resolved payment issues between patients and providers.
- Implemented comprehensive training program for new hires, focusing on nuances of healthcare billing and coding, which led to enhanced team productivity.
Revenue Cycle Specialist
McEwen & Associates
12.2017 - 08.2020
- Followed up with contracted payers on outstanding claims to ensure timely payments.
- Investigated and corrected claim denials through rebills and account adjustments.
- Maintained accurate records and documented all claim activities.
- Communicated payer updates to internal teams and ensured policy compliance.
- Built strong relationships with patients and payers to facilitate smoother collections.
Education
Bachelor Of Science - Accounting
Bowen University
Nigeria Skills
- Medical Billing & Coding
- Revenue Cycle Management
- Claims Processing & Appeals
- Denial Management
- CMS Guidelines & Compliance
- EOB Analysis & Insurance Follow-up
- EMR & Practice Management Systems (Epic, Cerner, Athena, ECW, Medisoft)
- Microsoft Office Suite (Excel, Word, Outlook, PowerPoint)
- Data Entry & Documentation
Timeline
Revenue Cycle Specialist
NSN Revenue Resources
10.2022 - Current
Revenue Cycle Specialist
Denton Health
08.2020 - 10.2022
Revenue Cycle Specialist
McEwen & Associates
12.2017 - 08.2020
Bachelor Of Science - Accounting
Bowen University
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