Summary
Overview
Work History
Education
Skills
Timeline
Generic

Oluwadamilola Ibrahim

Houston,TX

Summary

Investigates and resolve insurance company disputes and communicate with the patient regarding account balances and claim statuses. Detail-oriented Medical Billing Specialist with 1years of experience managing medical insurance claims. Committed to maintaining professional relationships to increase profitability results. Dedicated Customer support professional with knowledge of service delivery and multitasking abilities.

Overview

4
4
years of professional experience

Work History

Insurance Claims Specialist

Molina Healthcare
05.2024 - 06.2024
  • Managed the appeals process, analyzing rejected claims, underpayments, and denials, and submitting appeals and reconsiderations, processing 150+ claims per week with 100% accuracy
  • Provided client-facing service, using expert proficiencies and knowledge to answer questions, follow up on new, aged, and unresolved claims and maximize reimbursement
  • Submitted appeals and reconsiderations on claim rejections, underpayments, and denials
  • Engaged the coding follow-up team for any medical necessity or coding-related appeals
  • Set follow-up activities based on the status of the claim
  • Communicated identified payer trends such as denials for specific procedures, diagnosis codes, or other identified issues.

Customer Support Specialist

Providence Health Care
02.2022 - 02.2024
  • Developed strong relationships with clients, resulting in repeat business and positive feedback.
  • Responsible for calling 100-150 members per day
  • Multitask through various insurance portal to verify member eligibility.
  • Respond to emails and corrections timely.
  • The ability to meet daily goals.
  • Delivered exceptional customer service experiences by maintaining a positive attitude, active listening skills, and empathetic responses to customer concerns.
  • Provided primary customer support to internal and external customers.
  • Evaluated customer issues and caller trends to determine areas in need of improvement and implement proactive corrections.


Claim Support Specialist

Evercare Hospital Lekki
01.2021 - 01.2022
  • Verified various insurance plans and eligibility
  • Followed up with claims processing
  • Collected and updated demographics and insurance information
  • Answered inbound calls to assist members with claims inquiries
  • Had daily communication with insurance companies and other commercial insurers to address coordination of benefits and claims resolution


Patient Account Representative

Reddington Hospital
10.2020 - 12.2021
  • Collected and posted payments from patients for processing
  • Maintained patient records which include detailed patient treatments and diagnoses as well as updating payment and medical insurance information
  • Communicated with medical insurance providers to verify patient eligibility
  • Identified medical coding mistakes, as well as patient underpayments or overpayments, and rectified them accordingly.

Education

High School Diploma -

Queenmaris High School
Lagos, Nigeria

Skills

  • Proficient in Microsoft applications (Ms Office, Excel, PowerPoint, Word, and Outlook)
  • Patient/Client Relations
  • Problem-solving
  • HIPAA Compliance
  • Excellent Interpersonal skills
  • Account Receivable
  • Adobe Acrobat
  • Revenue cycle management
  • EPIC

Timeline

Insurance Claims Specialist

Molina Healthcare
05.2024 - 06.2024

Customer Support Specialist

Providence Health Care
02.2022 - 02.2024

Claim Support Specialist

Evercare Hospital Lekki
01.2021 - 01.2022

Patient Account Representative

Reddington Hospital
10.2020 - 12.2021

High School Diploma -

Queenmaris High School

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Oluwadamilola Ibrahim