Okogbenin Ebuwa
Houston,TX
Summary
Dedicated Medical Billing Specialist with strong experience in claims processing and patient billing. Skilled in communication with insurance providers to resolve disputes and enhance customer service. Aiming to leverage expertise to improve billing accuracy and operational efficiency.
Overview
2
2
years of professional experience
1
1
Certification
Work History
Medical Billing Specialist
Adult Day Care
Houston, TX
09.2024 - 12.2024
- Updated patient information in electronic health record systems for accuracy and compliance.
- Adapted to new billing regulations and system updates through ongoing training sessions.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Located errors and promptly refiled rejected claims.
- Communicated effectively and extensively with other departments to resolve claims issues.
- 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.
Medical Billing Specialist
Belliare Emergency
Houston, TX
05.2024 - 09.2024
- Processed medical claims using billing software to ensure accurate submissions.
- Reviewed patient accounts for discrepancies and resolved issues promptly.
- Assisted with insurance verification to facilitate timely reimbursement.
- Maintained detailed records of billing transactions and communications.
- Collaborated with healthcare providers to clarify billing inquiries and resolve disputes.
- Supported management by preparing reports on billing trends and accounts receivable status.
Medical Biller and Coder
When I Grow up
Houston, TX
03.2023 - 09.2023
- Processed medical insurance claims accurately and efficiently to ensure timely reimbursement.
- Utilized coding software to assign appropriate codes, maintaining compliance with industry standards.
- Reviewed patient records for accuracy, identifying discrepancies for correction prior to coding.
- Supported revenue cycle management by monitoring accounts receivable and following up on outstanding claims.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Collaborated with other billing professionals during team meetings to exchange best practices and strategies for overcoming common challenges in the industry.
- Enhanced compliance with industry regulations by staying up-to-date on changes to medical billing and coding guidelines.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Verified signatures and checked medical charts for accuracy and completion.
- Assisted in preparation of medical reports for external parties.
Education
High School Diploma -
High School Diploma -
Brooksgire
Houston, TX08-2024
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- CPT knowledge
- Denial management
- ICD-10 proficiency
- Medicare and medicaid process
- Medical coding expertise
- Bill payment
- Accounts payable
- Collections management
- Disability claims process
- Insurance billing
- Data entry
- Medical billing
- Files and records management
- Medical terminology
- Insurance claims
- Claims review
- Customer service
- Billing and collection procedures
- Insurance claims processing
- CMS-1500 billing forms
- Electronic claims
- Medical claims submission
- Electronic health record software
Certification
- Certified Medical and Billing Specialist 2022-2024
- Florida Caeere College Training - 2022-2025
Languages
English
Full Professional
Timeline
Medical Billing Specialist
Adult Day Care
09.2024 - 12.2024
Medical Billing Specialist
Belliare Emergency
05.2024 - 09.2024
Medical Biller and Coder
When I Grow up
03.2023 - 09.2023
High School Diploma -
High School Diploma -
Brooksgire