Summary
Overview
Work History
Education
Skills
Timeline
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Hakeem Dawodu

Montgomery Village,MD

Summary

Driven and compassionate health care professional with over 5 years hands-on experience in fast-paced healthcare industry and with extensive knowledge in Medicare and Medicaid statutes regulating the long term care industry. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

5
5
years of professional experience

Work History

Administrator In Training

Collingswood Rehabilitation & Healthcare Center
06.2023 - Current
  • Experienced A-I-T, Administrator in Training through Maryland Department of Health, State Board of Long-Term Care Administrators completed
  • Administered the facility and ensured smooth functioning of operations to ensure quality service. Studied and interpreted the various regulations and rights of the resident of the facility. Maintained the facility from any infections and complied with all safety guidelines laid by the government and the company
  • Greeted and received residents to be admitted.
  • Conducted personal interview to obtain required demographic and insurance information and enters same into computer; reviewed preadmission information for accuracy and completeness
  • Obtained required signatures on legal consents and insurance forms
  • Calculated daily census and verified accuracy of nursing-unit census listings
  • Answered daily inquiries of residents and public in person or via telephone regarding admitting procedures, facility regulations and services; when necessary, refers inquiries to appropriate person or department elsewhere in the facility;
  • Provided directions for finding areas within the facility.
  • Promoted positive public relations with patients, resident, family members and guests

Patient Account Representative

Arthritis & Rheumatism Associates, P.C.
02.2021 - 02.2023
  • Posts charges from EHR fee slips into billing software daily using the proper ICD-10, CPT codes and modifiers. Produces clean claim by editing claims appropriately prior to submitting to insurance. Balances total charges ledger to transaction logs. Applies patient copays and visit charges
  • Receives, reviews and posts batches of payments, electronically or manually, ensuring accuracy of payments and contractual allowances.
  • Review of Explanations of Benefits for accuracy of reimbursement per contract. Report any discrepancy in reimbursement to the manager.
  • Collects patient insurance information from patients and verifies eligibility and benefits by contacting insurance carriers and other third-party payers.
  • Bills patient accounts and assures accuracy by reviewing and verifying patient charges, coordinating benefit levels, type of coverage, and/or approval for coverage.
  • Counsel patients regarding account balances and answers patient questions
  • Contacts assigned list of patients by telephone and correspondence regarding past due accounts. Arrange payment plans, ensure all insurance payments are received and refer accounts to collections agency following collection’s protocol
  • Investigates and resolves insurance claim rejections within the appropriate time.
  • Collects insurance accounts by contacting insurance carriers and other third-party payers to verify receipt of billing and other information needed to process claims, secure approximate date of payment, negotiate with claims personnel for prompt payment and resolve discrepancies in billings within appropriate time frame.
  • Develops productive relationships with payer representatives to secure timely payment of claims.

Insurance Eligibility Specialist

Arthritis & Rheumatism Associates, P.C.
01.2020 - 01.2021
  • Verify eligibility and benefits for all patients prior to their appointment and document status in patients’ chart
  • Answer patient questions regarding insurance benefits and cost-share.
  • Assist patients with coordination of benefit related issues
  • Respond to patient inquiries for eligibility and benefit
  • Schedule and cancel appointments on NextGen software
  • Utilize RTS, NextGen and Phreesia to submit eligibility transactions

Administrative Intern

Pregnancy Aid Center
08.2019 - 12.2019
  • Responsible for all aspects of the clinic administrative operations from checking patients in at the front desk scheduling appointments for patients, validating insurance and payment authorization
  • Interviewing patients for case histories in advance of appointments
  • Streamlined office processes by organizing filing systems and implementing digital solutions.
  • Compiling medical records and charts
  • Purchased and maintained office supplies.
  • Transferring lab results to the appropriate clinic
  • Operating computer software, electronic medical record systems and clinic equipment

Education

Master of Science - Healthcare Administration

University of Maryland - Global Campus
Adelphi, Maryland
05.2023

Bachelor of Science - Family Science

University of Maryland - College Park
College Park, MD
12.2019

Skills

  • Adept in federal and state SNF regulations
  • Financial aptitude
  • Policy development and implementation
  • Staffing management ability
  • Patient-oriented
  • Relationship and team building
  • Staff training and development

Timeline

Administrator In Training

Collingswood Rehabilitation & Healthcare Center
06.2023 - Current

Patient Account Representative

Arthritis & Rheumatism Associates, P.C.
02.2021 - 02.2023

Insurance Eligibility Specialist

Arthritis & Rheumatism Associates, P.C.
01.2020 - 01.2021

Administrative Intern

Pregnancy Aid Center
08.2019 - 12.2019

Master of Science - Healthcare Administration

University of Maryland - Global Campus

Bachelor of Science - Family Science

University of Maryland - College Park

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Hakeem Dawodu