MUFUTAU SALAWU
Summary
Highly experienced and results-driven revenue cycle specialist with over 5 years of experience in the healthcare industry, with a proven track record of reducing outstanding accounts receivables, enhancing billing procedures, and ensuring compliance with healthcare regulations. Skilled in dispute resolution, analyzing patient accounts, identifying billing errors, and implementing corrective actions to minimize errors and denials. Expert in utilizing medical billing software and committed to up-to-date knowledge of coding standards, payer requirements, and healthcare reforms to maximize revenue, retention, and patient satisfaction.
Overview
8
8
years of professional experience
Work History
Revenue Cycle Specialist
Cencora
06.2023 - 10.2025
- Processed appeals related to denied or rejected claims in a timely manner.
- Collaborated with other departments to resolve customer inquiries regarding billing issues.
- Researched denied claims to determine the reason for denial by contacting the payor and reviewing the EOB and R & S.
- Ensured all regulatory requirements were met when submitting claims for payment.
- Monitored accounts receivables daily to determine appropriate follow-up action needed.
- Corrected Medicaid claims in the electronic billing system for missing or invalid insurance or patient information, according to procedures.
- Processed hospital revenue cycle and insurance collections in commercial payers (BCBS, AETNA, UHC) and government entities (Medicaid and managed Medicaid plans).
- Ensure accurate billing and timely submission of electronic and paper claims.
- Performed follow-up with Medicare, Medicaid, and commercial insurance payers.
- Processed refund requests by verifying the validity of the refund, ensuring they comply with company policies, and industry regulations.
- Identify suspicious refund requests, and take appropriate action to mitigate fraud.
- Investigated and coordinated insurance benefits for insurance claims across multiple service lines.
- Tracked and monitored unpaid claims.
Dispute Resolution Specialist
C2C Innovative Solutions
03.2021 - 02.2023
- Maintained accurate documentation of dispute resolution processes and outcomes.
- Utilized electronic health record systems for accurate information retrieval.
- Developed strategies for preventing future disputes from occurring.
- Performed periodic reviews of customer accounts to identify any discrepancies or past dues
- Assisted customers with dispute resolution by providing helpful advice on how to resolve their issues.
- Effectively communicated with all parties to facilitate the resolution of claims.
- Provided guidance on best practices for resolving disputes in a timely manner.
- Monitored customer accounts for potential disputes or fraud.
- Reviewed and evaluated evidence, documents, and other information related to disputes.
- Researched and analyzed customer complaints to determine the root cause of disputes.
- Compliance with all federal and state regulations in dispute resolution.
- Managed complex patient disputes and resolutions efficiently.
- Facilitated communication between patients and insurance companies seamlessly.
Medical Billing Assistant
VERADIGM
02.2019 - 01.2020
- Prepared accurate medical claims to insurance companies
- Monitored the status of submitted claims, following up on denials and appeals.
- Investigated and resolved billing discrepancies, including incorrect coding or other payment issues.
- Communicated with patients regarding billing ,payment plans and outstanding balances
- Recorded and processed payments received from insurance companies
- Adhered to HIPPA regulations and other healthcare compliance standards
- Collaborated with other healthcare professionals to ensure accurate and efficient billing processes.
- Maintained organized and accurate records of patient billing information including claim submissions,payments and adjustments
Call Center Representative
CareNow Urgentcare
06.2017 - 12.2018
- Handled inbound calls from patients, caregivers, and other healthcare professionals regarding appointments, medical inquiries and general information
- Handled escalated customer service concerns to preserve customer satisfaction and maintain long-term business relationships.
- Developed effective working relationships with team members across multiple departments.
- Resolved customer complaints in a timely manner to ensure customer satisfaction.
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
- Documented all interactions accurately in the CareNow Urgentcare's electronic medical record systems and ensure record validation
- Participated in ongoing training and development programs to enhance product knowledge,communication skills and customer service abilities
Education
Postgraduate Diploma - Civil Engineering
Federal University of Technology
Akure,Nigeria01-2005
HND - Civil Engineering
The Polytechnic,
Ibadan06-2000
Skills
- Claims review
- Medical billing
- Dispute resolution
- Conflict mediation
- Payment posting
- Insurance follow-up
- Analytical thinking
- Interpersonal skills
- Maintaining confidentiality
- Problem-solving
- Teamwork and collaboration
- Organizational skills
- Confidentiality maintenance
- Detail-oriented
- Invoice processing
- Ability to analyze EOBs and UB04s
- Microsoft Office Suite's efficiency
- Document and records management
- Multitasking Abilities
Timeline
Revenue Cycle Specialist
Cencora
06.2023 - 10.2025
Dispute Resolution Specialist
C2C Innovative Solutions
03.2021 - 02.2023
Medical Billing Assistant
VERADIGM
02.2019 - 01.2020
Call Center Representative
CareNow Urgentcare
06.2017 - 12.2018
Postgraduate Diploma - Civil Engineering
Federal University of Technology
HND - Civil Engineering
The Polytechnic,