OLASUNKANMI SAHEED
Houston
Summary
Dedicated and focused Billing Specialist who excels at prioritizing, completing multiple tasks simultaneously, and following through to achieve project goals. Seeking a role of increased responsibility. Highlights: Microsoft Office proficiency, Meticulous attention to detail, Results-oriented, Self-starter, Patient charting, Claims appeal procedures, Strong problem-solving techniques, Dedicated team player, Medical terminology, Billing, and coding.
Overview
6
6
years of professional experience
Work History
Revenue Cycle Specialist
Boston Medical
06.2023 - Current
- Analyzed financial reports to identify trends and areas for improvement in revenue cycle operations
- Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery
- Post all insurance payments, contractual and non-contractual adjustments for assigned carriers by CPT code and transfer outstanding balances to secondary insurance or patient responsibility per EOB protocol
- Coordinated patient payment plans, balancing compassion with firmness to ensure timely payments while preserving positive patient relationships
- Identified and resolved payment issues between patients and providers
- Maximized reimbursements by staying current on payer requirements and maintaining strong relationships with insurance providers
- Provided regular updates on billing status to upper management through detailed reports
- Managed a portfolio of high-risk accounts, effectively reducing bad debt write-offs through proactive communication and negotiation tactics
- Generated receivables reports and offered improvement recommendations
- Improved cash flow with diligent follow-up on pending claims and appeals processes
- Call payers to investigate incorrect denials and get claims reprocessed correctly
- Managed all aspects of the billing cycle, significantly reducing the turnaround time for claims from 45 to 25 days
- Monitor prior authorization, accuracy of information, and identify inefficiencies
- Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
Accounts Receivable Specialist
Mass General Hospital
02.2019 - 05.2023
- Enhanced cash flow by ensuring timely invoicing, payment application, and account reconciliation
- Communicated with insurance providers to resolve any denied claims and resubmit
- Negotiated payment arrangements with customers to establish timely receipt of payments
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds
- Followed up overdue payments and payment plans from clients to establish good cash flow
- Improved customer satisfaction by providing prompt, courteous service when addressing billing concerns or inquiries
- Developed and implemented strategies to improve collection processes and reduce overdue payments
- Reduced outstanding accounts receivable balances by diligently following up on overdue payments
- Maintained accurate financial records with meticulous attention to detail in data entry and account management
- Increased efficiency of the collections process by implementing new strategies and procedures for tracking delinquent accounts
- Identified and resolved payment issues between patients and providers
- Ensure accurate billing and timely submission of electronic and paper claims
- Resolve accounts as quickly and accurately as possible, obtaining maximum reimbursement, and perform investigative activities in fast-paced environments
- Investigate and coordinate insurance benefits for insurance claims across multiple service lines
- Perform follow-up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports
- Reduced outstanding accounts receivable balances by diligently following up on overdue payments.
- Supported month-end closing activities by reconciling accounts, preparing reports, and analyzing trends in account performance.
Education
Bachelor of Science -
Southern New Hampshire University
Hooksett, NH04-2022
Lagos State Polytechnics
Lagos, Nigeria12-2004
Skills
- Medical Billing
- Coding Software
- Revenue Cycle Management
- Insurance collaboration
- Procedural Codes
- Collecting payments
- HIPAA Compliance
- Payment posting
- Records coordination
- Claims review
- Insurance Verification
- Medical Billing Expertise
Timeline
Revenue Cycle Specialist
Boston Medical
06.2023 - Current
Accounts Receivable Specialist
Mass General Hospital
02.2019 - 05.2023
Bachelor of Science -
Southern New Hampshire University
Lagos State Polytechnics
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