Oladotun Daramola
Richmond,USA
Summary
Medical claims and insurance verification specialist with over 5 years of experience in high-volume claims processing and patient communication. Skilled in account resolution, insurance verification, and reimbursement procedures across Medicare, Medicaid, and commercial payers. Adept in multiple medical billing systems and committed to delivering excellent customer service and compliance with HIPAA regulations.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Account Receivable Specialist
IQVIA
11.2019 - Current
- Managed all aspects of accounts receivable including benefits verification, pre-authorizations, and payment postings.
- Performed follow-ups with Medicare, Medicaid, Managed Care, and commercial payers for unpaid claims.
- Investigated and corrected coordination of benefits issues to ensure prompt reimbursement.
- Communicated with insurance providers to verify patient eligibility and benefits.
- Identified and resolved medical coding errors and discrepancies in patient balances.
- Resubmitted corrected claims when necessary and ensured timely claim submissions.
Medical Billing Assistant
Houston Metro Urology
10.2018 - 11.2019
- Researched and resolved outstanding insurance and patient balances.
- Handled patient billing inquiries and followed up on past due self-pay balances.
- Prepared, reviewed, and mailed patient statements.
- Investigated claim denials and communicated with payers for resolution.
- Ensured adherence to payer guidelines and timely filing requirements.
- Reviewed explanation of benefits (EOBs) and applied contractual adjustments accurately.
Education
Bachelor of Science (BSc) - Civil Engineering
The Federal Polytechnic
Ado Ekiti, NGAssociate of Applied Science (AAS) - Petroleum Field Service Technician
Lone Star College-UP
Houston, TXSkills
- Medical Claims Processing, Insurance Verification, Document Management, Coverage Assessments, Appeals Management
- Medicare Reimbursement, Medicaid Reimbursement
- Claims Denials Analysis, Trend Analysis, Claims Review, Claims Processing, Financial Records and Reporting
- Settlement Agreements, Time Management, Problem Solving, Patient Relations, Client Relations
- HIPAA Compliance
- Microsoft Office Suite, Epic, Cerner
- Customer service support
- Change Healthcare
- DrChrono, AthenaHealth, Kareo
- Analytical skills
- Financial analysis
- Cash flow management
Certification
Project Management Professional, Project Management Institute, 2024
Timeline
Account Receivable Specialist
IQVIA
11.2019 - Current
Medical Billing Assistant
Houston Metro Urology
10.2018 - 11.2019
Associate of Applied Science (AAS) - Petroleum Field Service Technician
Lone Star College-UP
Bachelor of Science (BSc) - Civil Engineering
The Federal Polytechnic
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