Summary
Overview
Work History
Education
Skills
Timeline
Generic

OLABISI OLANREWAJU

Rosenberg

Summary

Detail-oriented HEDIS Outreacher/Abstractor and Insurance Specialist with experience in reviewing medical records, validating diagnosis codes, and performing high-volume outreach calls to providers. Skilled in HEDIS measures, HIPAA compliance, and provider education to improve documentation accuracy and close care gaps. Proficient in Microsoft Excel for tracking and data validation. Strong background in customer service, insurance verification, and administrative office support.

Overview

9
9
years of professional experience

Work History

HEDIS Outreacher/Abstractor

Spectraforce
01.2023 - Current
  • Review, analyze, and abstract medical records to collect HEDIS-required data elements with 99% accuracy.
  • Validate and ensure completeness of documentation according to NCQA and HEDIS guidelines.
  • Enter abstracted data accurately into HEDIS software systems, ensuring consistency and integrity of data.
  • Identify gaps in care, missing information, and inconsistencies in medical records for quality improvement.
  • Communicate with providers, clinics, and medical record staff to request and obtain missing records.
  • Maintain strict confidentiality of protected health information (PHI) and comply with HIPAA regulations.
  • Collaborate with quality improvement teams to ensure timely and accurate reporting.
  • Meet productivity and accuracy standards as required by project guidelines, including achieving a high Inter-Rater Reliability (IRR) score.
  • Follow project timelines, meet deadlines, and escalate issues to leadership as needed.
  • Participate in training, audits, and quality reviews to maintain abstraction accuracy and compliance.

Benefits Verification Specialist

AmerisourceBergen
11.2022 - 03.2023
  • Completed data entry from enrollment forms into CRM.
  • Conducted benefit investigation to determine plan coverage, payer restrictions, and cost-share information.
  • Collected PA requirements, followed up with insurance for prior authorization status, and communicated results to providers.
  • Verified patient-specific benefits and documented coverage, cost share, and access/provider options.
  • Reported reimbursement delays and trends to management.
  • Enhanced claim processing efficiency by ensuring accurate benefits verification.

Remote Customer Service Representative

Aihe Global Inc
03.2020 - 10.2022
  • Maintained customer satisfaction with forward-thinking strategies to address needs and resolve concerns.
  • Cultivated customer loyalty, promoted repeat business, and improved sales.
  • Resolved concerns with products and services to improve retention.
  • Responded to customer comments and inquiries via live chat and phone.
  • Documented calls and complaints to ensure data accuracy.

Front Desk Receptionist

Allstars Security & Protective Services
06.2016 - 01.2020
  • Managed check-in process while greeting guests and maintaining records.
  • Organized files and improved recordkeeping efficiency.
  • Handled multi-line phone system and directed calls to appropriate departments.
  • Designed employee schedules and balanced accounts with daily reporting.

Education

High School Diploma -

Skills

  • Medical record review
  • ICD-10, CPT, HCPCS coding
  • EMR/EHR systems
  • Data validation & accuracy
  • HIPAA compliance
  • Care gap identification
  • Microsoft Office
  • Team collaboration
  • Time management
  • Communication skills
  • Detail-oriented
  • Document analysis

Timeline

HEDIS Outreacher/Abstractor

Spectraforce
01.2023 - Current

Benefits Verification Specialist

AmerisourceBergen
11.2022 - 03.2023

Remote Customer Service Representative

Aihe Global Inc
03.2020 - 10.2022

Front Desk Receptionist

Allstars Security & Protective Services
06.2016 - 01.2020

High School Diploma -

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OLABISI OLANREWAJU