Passion Oliver Orungbamade
Houston,TX
Summary
Highly skilled in insurance billing coordination, bringing valuable experience in handling various types of insurance claims and advanced knowledge of coding systems. Strengths include thorough understanding of insurance procedures, strong analytical skills, and ability to interact effectively with all levels of the organization. Significant contributions made in previous roles include optimizing billing processes and contributing to improved efficiency within insurance departments.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Billing Solution Coordinator
LifeStance Health
Houston, TX
02.2023 - Current
- Handle Revenue Cycle department interactions via phone (Inbound and Outbound), email, voicemail, faxes, and patient Portal
- Communicate with offices and patients to ensure current information
- Processing payment requests from patients
- Accurately updating insurance plan information for patients as requested
- Support leadership with daily, weekly monthly reporting needs as required
- Provides exemplary customer service to patients, providers, and employees for Lifestance Health
- Answers patient questions, inquiries, and concerns regarding their accounts
- Works with patients and providers to resolve account challenges and communicate appropriate next steps for troubleshooting
- Identifies potential revenue cycle challenges and escalates to departmental and/or leadership reviews necessary
- Answers patient questions on information regarding clinicians and our locations/sites
- Updates Primary Care Physician change requests from patients
- Reviews billing transactions for accuracy and to help resolve payment posting challenges on accounts.
Lead Financial Counselor
Altus Biologics
Pearland, TX
04.2017 - Current
- Handle all delegated tasks, including training staff, payroll, scheduling, and performance evaluations.
- Improved operations by working with direct PFC Manager and other Department leads to develop action plans and improve processes
- Continue education and staff development of individualized PFC roles to be able to support staff, staying knowledgeable in each area to provide team coverage and assist in all aspects of department
- Obtaining prior authorizations of IV and Oral Oncolyctics and supportive medications, submitting appeals when necessary to secure coverage of all patient treatments
- Navigating Healthcare.gov, MiBridges, MiWam, and SSDI portals as appointed representative to ensure financial security and insurance coverage for our patients and family
- Assisting with work disability and FMLA to provide patients support through their cancer care without fear of employment instability
- Assist Veterans with obtaining VA healthcare coverage through coordination of care with VA Oncology team
- Providing empathy and support to patients and families to ease the burden of financial toxicity
- Secure Grants, copay cards, and free drug
- Collaborate with Multidisciplinary staff including ONL's, Pharmacy, Physicians, and Infusion nurses, along with building a network of outside contacts of drug reimbursement and field representatives to have the best support team available to provide excellent and seamless care to our patients
- Insurance Verification and enrollment assistance
Insurance Verification Specialist
Upperline Health
Houston, TX
04.2020 - 04.2022
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Participated in training sessions on new software programs used for verification purposes.
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
- Updated patient and insurance data and input changes into company computer system.
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Resolved insurance-related issues and discrepancies to prevent claim denials.
- Educated patients on their insurance benefits and coverage limitations.
- Contacted patients to arrange payment arrangements for deductible and out-of-pocket liability.
- Updated patient accounts with insurance verification information to ensure accurate billing.
- Communicated with insurance carrier, patient and third party or employer to verify patient insurance benefits.
- Verified patient insurance coverage, benefits, and eligibility for services across multiple insurance platforms.
- Ensured compliance with federal and state regulations regarding insurance verification.
- Responded to patient inquiries regarding insurance coverage and billing issues.
- Collaborated with healthcare providers to communicate insurance coverage and authorization details.
- Monitored and tracked the status of pending insurance verifications and authorizations.
- Assisted in training new staff on insurance verification procedures and best practices.
Medical Biller
Next Level Urgent Care
Houston, TX
09.2017 - 09.2020
- Reviewed medical records to meet insurance company requirements
- Expertly assigned charges and payments for medical procedures
- Maintained knowledge of new or revised codes and industry regulations to complete accurate coding services, including local coverage determinations
- Reviewed account information to confirm patient and insurance information is accurate and complete
- Reviewed all claims for accurateness and appropriateness, Filed and submitted insurance claims, Billing, waivers, and claims for private and commercial clients
- Added modifiers, coded narrative diagnoses, and verified diagnoses
- Completed and submitted appeals, contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes
- Documented and filed patient data and medical records.
Billing Supervisor
Acclara
Houston, TX
09.2015 - 09.2017
- Provided training sessions on new software programs used for generating bills, tracking payments, and reconciling accounts receivables.
- Conducted weekly meetings with staff to discuss performance metrics, goals, objectives, and other issues related to billing processes.
- Ensured timely processing of customer payments by setting up payment plans and negotiating settlements as needed.
- Supervised a team of 8 billing clerks to ensure accuracy and efficiency in daily tasks.
- Maintained records of all transactions including billings, payments received, and any adjustments made to customer accounts.
- Prepared monthly reports detailing outstanding debtors' balances along with recommendations for improving collections efforts.
- Collaborated with other departments such as sales and marketing on special projects related to pricing structure updates or promotional campaigns.
- Resolved customer inquiries regarding invoice discrepancies or past due balances in a timely manner.
- Developed and implemented billing procedures to ensure accurate invoicing and payment collection.
- Created monthly financial statements for management review and analysis.
- Monitored accounts receivable aging reports to identify overdue payments, researched discrepancies, and took corrective action.
- Kept operations running smoothly and solved diverse problems by coordinating with customers, management and internal departments.
Education
Certificate in Medical Administrative Assistant -
Everest Institute
11.2015
B.A in Music Education -
Mercyhurst University
05.2012
High school diploma -
Hillcrest High School
05.2003
Skills
- ICD-10
- CPT Coding
- Medical Billing
- Insurance Verification
- Financial Services
- ICD-9
- Medical Records
- Triage
- Epic
- Medical Scheduling
- Medical Office Experience
- EMR Systems
- Hospital Experience
- Clerical Experience
- HIPAA
- Vital Signs
- Medical Terminology
- ICD Coding
- Phone Etiquette
- Critical Care Experience
- Medical Coding
- Accounts receivable
- Revenue cycle management
- Typing
- Customer service
- Cash handling
- Front desk
- Windows
- Leadership
- SharePoint
- Supervising experience
- Cash register
- Administrative Leadership
- Data Entry
- Staff Supervision
- Point of Contact
Certification
Certified Medication Aide
Timeline
Billing Solution Coordinator
LifeStance Health
02.2023 - Current
Insurance Verification Specialist
Upperline Health
04.2020 - 04.2022
Medical Biller
Next Level Urgent Care
09.2017 - 09.2020
Lead Financial Counselor
Altus Biologics
04.2017 - Current
Billing Supervisor
Acclara
09.2015 - 09.2017
Certificate in Medical Administrative Assistant -
Everest Institute
B.A in Music Education -
Mercyhurst University
High school diploma -
Hillcrest High School
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