Summary
Overview
Work History
Education
Skills
Areas of Expertise
Timeline
Generic

MUSU THERESA AGUNBIADE

West Columbia,SC

Summary

Seeking position as a Health Care Administrator and Accounting Specialist.

Healthcare professional with substantial experience in patient admissions and administrative operations. Known for streamlining patient intake processes and enhancing patient experience. Highly reliable, adaptable, and focused on collaboration and results, displaying excellent organizational and interpersonal skills.

Experienced with patient intake, registration, and administrative tasks. Utilizes strong organizational skills to maintain accurate patient records and streamline admissions processes. Knowledge of healthcare protocols and patient confidentiality, ensuring high-quality service.

Offering strong foundation in financial principles combined with eagerness to learn and develop within accounting field. Brings understanding of financial reporting and hands-on experience with software tools like Excel and QuickBooks. Ready to use and develop analytical and organizational skills in Accounting Specialist and Account Payable/Receivable role.

Overview

25
25
years of professional experience

Work History

Admitting Representative-Admitting and Registration Department-Contract

Roseland Community Hospital
04.2021 - 12.2021
  • Responsible for all patient registrations.
  • Responsible for the flow of patients and the processing of admissions discharges transfers and most procedures to be carried out in the event of a patient’s death.
  • Admitted and registers patients for tests, treatment, scheduled surgery, and emergency treatment.
  • Collected insurance, emergency information, and other data required to bring that patient into the hospital system.
  • Collaborated with other departments to facilitate efficient patient transfers and discharges.
  • Explained policy regarding personal items and visiting hours, input data into the system, prepare and give patient identification bands, and arrange for transportation to the assigned room.
  • Participated in departmental meetings to stay informed on updates related to hospital procedures or policies affecting the admitting process.
  • Contributed toward achieving revenue cycle goals by diligently following up on pending insurance authorizations and obtaining required documentation.
  • Developed positive relationships with physicians, nurses, and other hospital staff, fostering effective communication across departments.
  • Maintained up-to-date knowledge on insurance policies, ensuring accurate billing for patients and the healthcare facility.
  • Handled admission processes and discharge procedures to transfer patients from hospital to home care, extended facility and self-care plans.
  • Do research for prior hospitalization records and complete account folders.
  • Scanned all patient’s consent forms into the Meditech Health Care Information System.
  • Performed follow-up activities in an efficient and effective manner, using the communication method most appropriate for obtaining outstanding information in a timely manner.
  • Ensured compliance with HIPAA regulations, safeguarding the privacy of sensitive patient information.
  • Documents all notes and steps clearly and completely for review and hand-off to other specialists.
  • Demonstrated proficiency in utilizing all processes, policies, procedures, and system updates to ensure that all eligibility determinations, reviews, and changes are completed accurately with satisfactory documentation.
  • Makes accurate determinations of eligibility based on the rules and standards detailed by the Department and defined in written performance standards.
  • Reduced wait times for patients by efficiently managing bed assignments in coordination with nursing staff.
  • Contributed to a positive work environment by providing support to fellow admitting representatives as needed.
  • Prioritized workload effectively while handling multiple tasks simultaneously within a fast-paced environment.
  • Facilitated timely response to inquiries from various departments, promoting smooth hospital operations.
  • Streamlined patient admissions by accurately collecting and verifying insurance information.

Member Care Coordinator-Work from Home

Health Care Services Corporation
07.2016 - 09.2019
  • Contacted members and community partners in assigned areas and was responsible for performing ongoing functions to support the GPD Care Coordination department.
  • Educated members and their families by meeting them; explaining the role of the care coordinator; initiating the care plan; providing educational information in conjunction with direct care providers related to treatments, procedures, medications, and continuing care requirements.
  • Managed special project plans, including schedule and scope, for large complex projects with minimal oversight; supporting other departments and managing internal resources across the clinical program departments for delivery of products or services to internal entities.
  • Documented all assessments in a timely and accurate fashion in compliance with applicable BCBS regulations, policies, and procedures and provided referrals for identified needs of the client and crisis intervention when needed.
  • Contacted and identified members to inform, and educate them on health care programs.
  • Assisted as counselors, serving underprivileged members to overcome the barriers that prevented them from seeking vital healthcare.
  • Performed ongoing assessments HRA (Health Risk Assessment), HRS (Health Risk Screening), and revise plan of care based on new data and member’s health conditions.
  • Utilized work queues to follow up on outstanding claims
  • Followed all Medicare, Medicaid, and HIPAA regulations and requirements.
  • Trained in medication fact Sheet and Disease Management
  • Managed Caseload of150 to200 monthly, and completed15 to20 cases a day as productivities.
  • Used company software and databases to maintain records of services performed and patient conditions.
  • Developed strong relationships with community partners, facilitating referrals and collaboration on behalf of patients.
  • Managed patient caseloads effectively, ensuring timely follow-up and appropriate interventions.
  • Conducted regular evaluations of care plan effectiveness, making necessary adjustments based on feedback from patients and providers.
  • Advocated for patients'' rights within the healthcare system, working diligently to address concerns or barriers to care.

Outreach Coordinator at BCBS-Contract

Maxim Staffing Solutions/Allied Health
03.2015 - 06.2016
  • Conducted home visits with members at their homes to complete the HRS (Health Risk Screening).
  • Completed a non-clinical basic HRS on different demographics in the different suburban areas and the city of Chicago.
  • Attended Meetings every Monday to discuss any issues that happen in the field/home visit.
  • Completed about 30 HRS a week.
  • Assessments could take 5 minutes, or 2 hours depending on the Member’s health.
  • Collaborated with BCBs teams to give the Completed Health Risk Screening (HRS) forms to staffs to enter them into the system.
  • Developed partnerships with relevant stakeholders, strengthening the organization''s presence in the community.
  • Monitored progress towards outreach goals regularly, making adjustments as needed to ensure continued success of initiatives.
  • Improved access to resources for underprivileged communities by connecting them with essential services offered by partner agencies.
  • Facilitated strong relationships with community members by attending local events, serving as a liaison between the organization and its constituents.
  • Coordinated large-scale events that showcased the organization''s mission and services, attracting new supporters and raising awareness about key issues.

Family Case Manager-Healthy Start Case Manager

Aunt Martha’s Youth Service Center
10.2006 - 09.2014
  • Conducted intakes and assessments, coordinating home visit inspections for infants, children, and pregnant and postpartum women, for the Family Case Management/Healthy Start Programs.
  • Followed all Medicaid and HIPAA regulations and requirements.
  • Assisted clients with enrollment into the MPE/ALL KIDS MEDICAID/COUNTY CARE Insurance and Child Care Initiative Applications.
  • Updated insurance information on accounts as needed.
  • Managed clientele cases for the direction of resources, prenatal, postpartum, and well-child visits.
  • Reviewed cases that had been identified by program case managers as being high risk or having a high level of needs.
  • Managed a caseload of 120 cases of pregnant women, infants, and children for the Family Case Management/Healthy Start programs.
  • Looked up clients and inputted client electronic health records in Nextgen System.
  • Assisted with coordinating events for clients (i.e., baby showers and Healthy Start Consortium focus groups).
  • Provided prevention services such as conducting regular monthly home visits, and assisting clients with enrollment in WIC services for those who qualify.
  • Adequate preventive and medical and dental care.
  • Client requesting nutrition services when needed.
  • Convincing clients to seek prenatal health care and expediting the initiation of services.
  • Conducted quality improvement with clients by hosting consortiums addressing the needs, services, and improvements based on clients’ satisfactory surveys pertaining to the community, Healthy Start Program, and Aunt Martha’s Organization.
  • Referred clients to procuring appropriate supportive services, such as prenatal classes, smoking cessation classes, counseling services, mental health services, employment assistance, housing, and ensuring transportation and childcare needs are met.
  • Transported clients to Aunt Martha’s clinic for care and meeting with clients at their clinic visit.
  • Followed all agency and program policies and procedures as outlined in the Personnel Policies, Safety Management Policies, Fiscal Policies, and Aunt Martha’s Policy book.
  • Abided by all regulations, policies, procedures, and standards.
  • Developed trusting relationships with clients through empathetic listening, non-judgmental support, and consistent follow-up on their progress.
  • Provided crisis intervention and support during emergencies, prioritizing client safety and well-being above all else.
  • Contributed to continuous improvement efforts within the agency by participating in ongoing training opportunities and providing constructive feedback on existing processes.
  • Trained new Family Case Managers on agency protocols, best practices, and client engagement techniques to improve overall team performance.

Transaction Accountant

Album Graphics Inc.
05.2000 - 08.2003
  • Processed100 to200 timesheets a day with an emphasis on navigating through products’ software to check and verify costs accrued.
  • Reduced cost by performing sub-inventory transfer errors within oracle.
  • Investigated problems within the production floor movement and give finding to the supervisors to report in files.
  • Assisted in closing jobs that had been completed by utilizing the accounting system.
  • Handled day-to-day accounting processes to drive financial accuracy.
  • Reconciled accounts and reviewed expense data, net worth, and assets.

Accounting Assistant

TruServ Corporation
10.1999 - 12.1999
  • Maintained accurate records of accounts receivable, accounts payable, inventory, payroll, and other financial data.
  • Processed travel letters for TruServ clients into DFS (Direct Fixed Spending) accounting system.
  • Researched and verified invoice costs, matching paid invoices with checks to correct the problems. Followed up on outstanding account balances and generated financial reports.
  • Researched and verified invoice costs along with matching paid invoices with checks to correct the problems.
  • Processed vendors’ invoices verified the invoices for timely payment and resolved any discrepancies.
  • Solved customer issues and performs general office tasks, such as answering the phone, typing letters, and filing.
  • Processed100 to150 insufficient checks a day.
  • Maintaining accurate customer billing information and preparing vendors’ invoices in an efficient, timely manner.
  • Printed and mailed vendor checks and balance-related statements, resolve purchase order problems, and refer accounts to collections.
  • Processed payments and documents such as invoices, journal vouchers, employee reimbursements, and statements.
  • Managed high-volume invoice processing tasks while consistently meeting tight deadlines for vendor payments.

Accounting Clerk

American General Assurance Company
11.1997 - 03.1999
  • Processed 85 to 100 new applications of life insurance policies in the AS4000 system.
  • Assigned new vendors’ numbers, maintained vendor files, researched vendor inquiries, and resolved any discrepancies.
  • Inputed high volume of monthly invoices with consistent accuracy.
  • Maintained accounting records by making copies; filing documents.
  • Reconciled bank statements by comparing statements with the general ledger.
  • Protected the organization's value by keeping information confidential.
  • Maintained organized filing systems for accounting records, ensuring easy access to crucial financial information when needed.
  • Rechecked invoices daily and enter them into the accounting system.
  • Maintained accounting records utilizing in-house and client systems.
  • Assisted with the accounts payable processing as needed.

General Office Assistant

Department of Children and Family Services (DCFS)
08.1996 - 10.1997
  • Prepared 70 to 100 contracts for DCFS ward to issue a new license to clients who wanted to provide daycare.
  • Corrected errors on AS400 systems for clients with a state license.
  • Forwards information by receiving and distributing communications; collecting and mailing correspondence; copying information.
  • Facilitated daily mail distribution among employees while also managing outgoing packages using appropriate shipping methods.
  • Worked on office files to simplify the filing process for the department manager.
  • Managed incoming calls and emails, directing them to appropriate personnel for prompt responses.
  • Enhanced organization reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.
  • Enhanced office efficiency by organizing and maintaining a comprehensive filing system.

Education

MBA - Health Care Administration

American Public University System
Charles Town, WV
10.2020

Graduate Certificate - Long-Term Care Administration

Governors State University
University Park, IL
12.2008

Bachelor of Science - Accounting

Roosevelt University
Chicago, Illinois
01.1999

Associate of Applied Science - Accounting

Harold Washington College
Chicago, Illinois
12.1992

Certificate - Medical Billing And Coding

US Career Institute
Fort Collins, CO
09-2024

Skills

  • Meditech Health Care Information System Altruista Database system, Aerial Data systems, Cornerstone Data Systems; Nextgen (Electronic Health Record System); Lotus; Proficient in Microsoft office; Oracle; Internet, Quicken and type65-75 wpm
  • HIPAA compliance
  • Patient confidentiality
  • Patient registration
  • Scheduling appointments
  • Admissions processing
  • Customer service
  • Patient intake
  • Account payable and Receivable
  • Accounting Specialist

Areas of Expertise

  • Admitting Representative
  • Used Meditech Health Care Information System for all admitting and registration procedure. Register patients and track patients progress on the ED Tracker system.
  • Responsible for all patient registrations. Responsible for the flow of patients and the processing of admissions discharges transfers and most procedures to be carried out in the event of a patient’s death.
  • Admitted and registed patients for tests, treatment, scheduled surgery, and emergency treatment.
  • Case Manager
  • Assumed the role of Family Case Manager and Healthy Start Case Manager in2006 in order to enroll over75% to85% of clients into the MPE/ALL KIDS MEDICAID/COUNTY CARE Insurance and Child Care Initiative Applications over an8 years period.
  • Resolved individual assessment of needs, planning of services, referral, monitoring, and advocacy to assist client in gaining access to appropriate services and closing client’s cases when services are no longer required.
  • Coordinated the collection and interpretation of data collection within the community.
  • Member Care Coordinator
  • Obtained a completed HRS and HRA to assess the member’s health risk status and refer to the appropriate team for care coordination services.
  • Outreached (Feet on The Street) FOTS members that are unable to be reach by Care Coordinator and Social Worker who was in the MMAI Non-waiver program. The activity was sent to the MMAI Refusal queue and set an activity for90 days to outreach the member. The MMAI WAIVER program: Notified the MMAI leadership team via email upon completion of assessment, created an activity to the Care Coordinator teams or appropriate work queue.
  • Cleared the backlog of unable to reach members who did not have an HRS (Health Risk Screening) and HRA (Health Risk Assessment) on file and continue to provide services to those members.80% of those members were in Cook County and Other locations include the following counties: DuPage, McHenry, St Joseph, Will, Iroquois, Kane, Kankakee, and Porter.
  • Accounting Assistant
  • Maintained and entered the daily transactions of the Oracle database system within the department.
  • Processed over150 financial transactions related to clients and vendor invoices accounts.
  • Performed diverse administrative duties such as correcting errors on AS400 systems for clients, creating presentations and maintaining confidential files/records.
  • Addressed customer concerns, researched, and resolved problems to ensure service satisfaction; Handed discrepancies situations, resolving them promptly.
  • Ensured that all expected deposits, transfers, or other activity are recorded and posted to the account in a timely manner. Take appropriate actions to record necessary adjustments.
  • Processed and follow up to ensure that errors are corrected. Maintain copies of supporting documentation for activities processed for the account.

Timeline

Admitting Representative-Admitting and Registration Department-Contract

Roseland Community Hospital
04.2021 - 12.2021

Member Care Coordinator-Work from Home

Health Care Services Corporation
07.2016 - 09.2019

Outreach Coordinator at BCBS-Contract

Maxim Staffing Solutions/Allied Health
03.2015 - 06.2016

Family Case Manager-Healthy Start Case Manager

Aunt Martha’s Youth Service Center
10.2006 - 09.2014

Transaction Accountant

Album Graphics Inc.
05.2000 - 08.2003

Accounting Assistant

TruServ Corporation
10.1999 - 12.1999

Accounting Clerk

American General Assurance Company
11.1997 - 03.1999

General Office Assistant

Department of Children and Family Services (DCFS)
08.1996 - 10.1997

MBA - Health Care Administration

American Public University System

Graduate Certificate - Long-Term Care Administration

Governors State University

Bachelor of Science - Accounting

Roosevelt University

Associate of Applied Science - Accounting

Harold Washington College

Certificate - Medical Billing And Coding

US Career Institute
MUSU THERESA AGUNBIADE