OLAYINKA AKINTOLA
Medix
Rosenberg,Texas
1
Certification
6
years of professional experience
Results-driven Accounts Receivable & Revenue Cycle Specialist with proven success in reducing aging balances, recovering denied reimbursements, and driving process improvements across the full revenue cycle. Skilled in insurance follow-up, denial management, payment posting, reconciliation, and variance analysis with deep expertise in payer guidelines (Medicare, Medicaid, BCBS, UHC, Aetna). Adept at analyzing EOBs/ERAs, applying CPT/ICD-10/HCPCS coding, and collaborating with billing, coding, and clinical documentation teams to ensure clean claim submission and timely reimbursement. Recognized for delivering double-digit reductions in AR days, achieving a 98%+ payment posting accuracy rate, and recovering six-figure revenues through successful appeals. Strong communicator with a focus on compliance, patient satisfaction, and cross-functional teamwork to optimize financial performance and revenue integrity.
Work History
AR Follow up specialist
1 Year 7 Months- Conduct proactive follow-up on denied, delayed, and unpaid claims with payers via portals, phone, and written correspondence, ensuring timely reimbursement and compliance with payer contracts.
- Investigate claim rejections, prepare and submit corrected claims or appeals with supporting documentation, successfully recovering thousands in previously denied revenue.•
- Post, reconcile, and balance insurance and patient payments against remittance advices (EOBs/ERAs), maintaining a 98% accuracy rate and ensuring clean patient balances.• Monitor AR aging reports and initiate collection strategies on outstanding balances, reducing overall days in AR and improving cash flow.
- Review payer remittances for accuracy, identify underpayments or variances, and escalate discrepancies for corrective action, improving collection accuracy by 15%.• Apply CPT, HCPCS, and ICD-10 coding knowledge to support clean claims submission and reduce first-pass denials.
- Maintain strict adherence to HIPAA and payer documentation guidelines, ensuring compliance and safeguarding patient confidentiality.
- • Collaborate cross-functionally with Billing, Coding, and Clinical Documentation teams to resolve coding errors, clarify medical necessity, and support resubmission of claims.• Generate revenue cycle performance reports and payment variance analyses, identifying systemic denial trends and recommending process improvements.•Deliver excellent customer service to patients, providers, and payers by answering inquiries, resolving disputes, and arranging patient payment plans when needed.•Support process improvement initiatives to enhance efficiency in claim workflows, denial management, and payment posting, reducing billing cycle times.
AR Follow-up Specialist
4 Years 4 Months- Reduced claim denials by optimizing the claims resolution process, recovering significant revenue from unpaid and rejected claims
- Analyzed denied claims to identify trends, implementing process improvements that streamlined prior authorizations and billing operations.
- Ensured compliance with HIPAA regulations and medical billing standards while resolving complex customer inquiries with high satisfaction ratings
- Verified insurance eligibility and maintained meticulous documentation of customer interactions and system records
- Created training materials for new employees on how best to handle follow-up procedures.
- Assisted customers with various questions about products and services offered.
- Managed the process of tracking orders and updating customers on delivery status.
- Resolved any conflicts between customers and company representatives in a professional manner.
- Maintained up-to-date records of all customer interactions in database system.
- Provided technical support when necessary to resolve customer queries.
- Participated in team meetings to discuss strategies for improving customer experience.
- Answered incoming calls from customers related to product or service issues.
- Developed and maintained effective relationships with customers via telephone, email, or other means of communication.
- Prepared and sent follow-up emails to customers regarding their inquiries.
- Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Education
Bachelor of Science - Project Management
Skills
Revenue Cycle Management (RCM)
Accounts Receivable (AR) Follow-Up
Insurance Denial & Appeals Management
Payment Posting & Reconciliation
AR Aging Review & Balance Resolution
EOB / ERA Analysis & Variance Reporting
Medical Billing & Coding (CPT
HCPCS
ICD-10
UB-04
HCFA-1500)
Medicare
Medicaid
BCBS
UHC
Aetna
Cigna Payer Relations
Compliance & Regulatory Knowledge (HIPAA
CMS Guidelines)
Claim Submission & Resubmission (Clean Claim Optimization)
Cash Posting
Refunds
Write-offs
and Adjustments
Cross-Functional Collaboration (Billing
Coding
Clinical Documentation)
Patient Account Resolution & Payment Plan Setup
Payer Portal Navigation (Waystar
Availity
Epic
HST
RCM Brain
SMChart)
Financial Reporting & Denial Trend Analysis
Strong Communication & Customer Service
Certification
- Project Management Professional (PMP)
- Professional Scrum master (PSM)
Timeline
AR Follow up specialist
Medix
01.2025 - CurrentRead More
AR Follow-up Specialist
Shriners Hospital
10.2020 - 02.2025Read More
OLABISI ONABANJO UNIVERSITY
Bachelor of Science from Project Management
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