Patricia Abolaji
Worcester,MA
Summary
Results-driven individual focused on achieving optimal outcomes for every task. Committed to customer satisfaction, both internally and externally, approaches each project with respect and consideration. Dedicated to continuous growth and learning, always seeking opportunities to acquire new skills and expand knowledge base.
Overview
2025
2025
years of professional experience
1
1
Certification
Work History
Nurse's Aide (8B Oncology)
SUNY Upstate Medical University
Regional Health Center Director
Planned Parenthood League of Boston
08.2022 - Current
- Oversee facility operations for three planned parenthood sites in Marlborough, Springfield, and Worcester
- Responsible for three direct reports and approximately 50 -60 employees
- Responsible for weekly, monthly, and yearly patient visits/access goals for organizational revenue
- When put under my leadership, I increased patient revenue in the Marlborough site by 30%
- Increased employee productivity/communication by creating cross-corroboration via all sites under my leadership
- Responsible for weekly, monthly, and yearly budgets for all three sites
- Responsible for Patient Navigation Services
Healthcare Specialist
Persivia
10.2021 - 07.2022
- Extract CMS measures data from client electronic medical records for MIPS reporting
- Upload data to the Persivia database for processing
- Validate CMS data for accuracy and compliance
- Analyze data for MIPS reporting
Patient Account Manager
FHCW
10.2020 - 10.2021
- Oversee daily operations of Patient Accounts
- Liaison with outsourced billing company for all billing issues, configurations request, file maintenance set up etc
- Daily Deposits
- Run NG system reports weekly
- Work month-end checklist reports
- Review and approve patient refund requests from Patient Account Staff & Synergy for accounts payable to process
- Ensure all CCM billing is completed correctly
- Ensure all hospital OB billing is completed correctly
- Ensure all radiology requisitions are entered correctly
- Assist providers with billing questions
- Stay informed about updated payer rules and regulations for billing and inform staff
- Run missing encounters report for providers
- Ensure process pending charges are completed by month-end
Division Director of Practice Management
Metro Inclusive Health
09.2019 - 07.2020
- Strategically & significantly decreased starting A/R of $330,000 to $284,000 within three months
- Developed strategies to drastically improve days in A/R from 57 days to a turnaround of 50 days within three months
- Successfully managed 18 full-time employees, including 5 managers in various departments
- Enhanced and streamlined patient insurance verification process
- Monitored and updated multiple third-party payer contracts and reimbursements
EHR Implementation Specialist
eClinicalWorks
05.2017 - 08.2019
- Assisted in forming project steering committees and selecting Super Users
- IT infrastructure design consultant for hardware on client locations
- Site visits to all locations for workflow assessment
- Performed GAP analysis to design end-user documentation related to workflows, training, and system manuals
- Defined and oversaw system-build tasks
- Coordinated and helped with SSS DEP for data migration
- Assisted with data migration testing, validation, implementation, and customized interface
- Assisted with the integration and setup of demographic, lab, radiology, pharmacy, and customized interfaces
- Designed custom training agendas for end-user training and went live with readiness check
- Managed to go-live execution, and on-site trainers and provided supplementary training sessions
- Post Go-live workflow support, troubleshooting issues
- Workflow optimization based on feedback from end users after Go-live
- PM and EHR system optimization after Go-live
- Meaningful Use consultant for help with attestation
- PQRS assessment and implementation
- Assist the client with ICD10 conversion
- Gauged the client's efficiency and performance on the application using the KPI tool
- Prepared the client's local support team for system administration & future training responsibilities
Central Billing Office Trainer (Onsite Trainer)
eClinicalWorks
03.2016 - 05.2017
- Responsible for training clients on PM/EMR within eCW software
- Front office training, training clients on how to enter and register new patients in eCW software, including scheduling, insurance and insurance eligibility
- Billing training, training the client on creating and submitting claims to the clearinghouse, including how to post payments, fix claim rejections/re-submit rejected claims
- Advanced billing training consists of mapping midlevel providers for billing and setting up client software according to billing needs
- Trained clients on EMR 1, 2, & 3 in software when applicable
Billing Implementation Specialist
eClinicalWorks
10.2014 - 03.2016
- Responsible for all pre-and post-Go-Live training with assigned clients of 35 or more, consisting of System/Billing setup, Claims training, Clearinghouse training, Payment’s training, ERA training, Patient Statement Training, Reports training, & Collections training
- Troubleshoot any problems client encounter with PM/EMR within eCW software, created cases for any problems beyond capability to fix
- Configured client's system for eligibility and meaningful use
- Helped client to establish security attributes pertaining to role or system based
- Transitioned clients' systems from 4010 to 5010
- Configured clearinghouse setup and ERA
- Traveled to clients' offices for additional training per requests
- Instructed client on how to create schedule templates, workflows, and claims
Benefits, Contracts Training Manager
Edward M. Kennedy Community Health Center
01.2014 - 10.2014
- Standardization and consistency on patient registration, check-in, insurance verifications, related workflows, including incorporating requirements for billing
- Create policies and procedures to standardize practices at the front desk of patient visits from check-in through check-out across all sites
- Create and ensure a robust communication system between sites so that information flows back and forth on a regular basis
- Regularly scheduled trainings for all front desk staff (this would include new staff and current staff)
- Stay abreast of any federal and state requirements, as well as accredit entities, and update and communicate any changes to policies and procedures accordingly and in a timely manner
- (This includes UDS requirements and changes to health insurance plans
- Review and monitor all third-party contracts and understand the details related to front-end operations including being a liaison between front desk and billing department, working closely with other managers, and summarizing essential financial, clinical and operating items to communicate to crucial staff/management
- Review all contract amendments
- Work with billing and finance on fee schedules and reimbursement rates included in contracts and contract amendments
- Main contact for all third-party payer contracts
- Track all third-party payer contracts on a master schedule
- Keeper of all third-party contracts and amendments – ensure they are current and up to date
Reimbursement Specialist
Oxford Diagnostics Laboratories
01.2013 - 12.2013
- Using coded data to produce and submit claims to insurance companies
- Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid
- Reviewing and appealing unpaid and denied claims
- Verifying patients' insurance coverage
- Answering patients' billing questions
- Handling collections on unpaid accounts; documents all reports and prepares the statements to send to a collection agency when all attempts by the medical facility to receive payments fail
- Managing the facility's Accounts Receivable reports
- Develop the monthly sales reports and detail any billing issues to inform management
- Distribute medical reports to the appropriate personnel
Account Manager Revenue Cycle
eClinicalWorks
03.2012 - 01.2013
- Primary contact between the RCM team & clients
- Proactively analyzed clients' financial health monthly to identify reimbursement trends and patterns of denials & developed an intimate understanding of the factors that are contributing to clients' economic performance
- Made workflow recommendations to both customer & internal eCW team to improve back-office operation
- Developed a strong business relationship with the client
- Understanding and thoroughly assigned clients' business & eCW fiduciary responsibility to the client
- Consulted with eCW team on client-specific requests/issues EDI, BA, HBI, PM, PI & Sales
- Regular contact with the clients to improve clients' financial performance & responsibilities associated with the change in compliance boundaries
- Analyzed clients' factors and developed payment analysis to ensure the clients were receiving the maximum allowed by their payer contracts
- Researched denials & obtained resolutions with payers' practice & coding guidelines also needs to generate matrices to evaluate them on a weekly/monthly basis
- Weekly meetings with team to discuss process exceptions & provider recommendations to the team & from the team to the customer as needed
- Created telephone encounters as need for billing tech issues
- Created new compliance boundaries as needed based on changes the practice operations, added provider, specialties or locations
- Possible triggers to new KPIs that would have to be created (or existing ones updated), tracked & reviewed with the customers as per compliance guidelines discussed
- Month-end financial closeout of the account & provide billing information associated with clients for RCM revenue
- Evaluated the Administrative charges outside of the master agreement for the specific/special needs of the customers
Billing Implementation Specialist
eClinicalWorks
10.2010 - 03.2012
- Responsible for all pre-and post-Go-Live trainings with assigned clients of 35 or more, consisting of: System/Billing setup, Claims training, Clearinghouse training, Payment’s training, ERA training, Patient Statement Training, Reports training & Collections training
- I troubleshooted any problems the client had with PM/EMR within the eCW software and created cases for any problems beyond my capability to fix
- I configured clients' systems for eligibility and meaningful use
- Helped client to establish security attributes about role or system based
- Transitioned clients' system from 4010 to 5010
- Configured clearinghouse setup and ERA
- Traveled to clients' offices for additional training per requests
- Instruct client on how to create schedule templates
- Instruct clients on how to create workflows and claim edits
Outpatient Benefits Specialist / Front Office Manager
Liberty Resources, Inc.
08.2008 - 09.2010
- Insurance verification & authorization for services rendered
- Established self-pay agreements with clients with loss of insurance
- Assisted intake coordinator with obtaining new patient information
- Scheduled new patient appointments
- Established new in network contracts with insurance companies
- Advised patients of insurance co-pays and deductions
- Obtained & recorded co-pay amounts from patients
- Responsible for staff of five employees, monitored time and attendance, payroll approval and maintained front office workflow
Billing Specialist
Medbest Medical Management, Inc.
10.2007 - 08.2008
- Posted insurance payments to patient accounts
- Reviewed aged accounts for payments and medical records requests from insurance companies
- Prepared appeal letters for insurance denials
- Answered phones
- Accepted credit payments for services rendered
Supervisor Patient Access
Community General Hospital
08.2007 - 10.2007
- Responsible for a staff of thirty
- Monitored time and attendance, approved timecards in the Kronos timekeeper, approved time-off, and maintained staffing for workflow
Front Office Supervisor (Women's Healthcare Services)
SUNY Upstate Medical University
01.1998 - 01.2007
- Delegated tasks and responsibilities to staff, facilitated and coordinated staff meetings
- Generated performance evaluations, time/attendance and maintenance of patient statistics
- Data entry, scheduled maintenance for 20 Residents and 5 Specialty clinics (i.e
- Building computer templates and establishing Healthcare Provider codes
- Prepared all Encounter forms for the billing office
- Acquired all Surgical and Special Procedure Pre-authorizations
Nursing Station Clerk (Women's Healthcare Services)
SUNY Upstate Medical University
01.1995 - 01.1997
- Front office coordinator
- Established & maintained patient records
- Processed physician & nursing staff orders
- Handled multi-line telephones; directed incoming calls to respective parties
- Scheduled patient appointments and maintained calendars for physicians and nurse practitioners
- Registered and discharged patients and performed data entry and word processing duties
Nursing Station Clerk (5A General Surgery)
SUNY Upstate Medical University
01.1990 - 01.1995
- Prepared patient records
- Processed surgeon & nursing staff orders
- Directed incoming calls & messages
- Input patient registration & other relevant information into hospital computer system
Nursing Station Clerk (8B Oncology)
SUNY Upstate Medical University
01.1988 - 01.1990
- Transcribed physicians’ orders copied medication sheets, and requisitioned labs, and diagnostics for patients
- Ordered IV supplies and equipment
- Interfaced with patients and professional staff providing information, support and assistance as needed
Education
Doctorate - Health Administration
Virginia University of Lynchburg
01.2025
Master's Program - Public Health
Grand Canyon University
01.2022
Bachelor's Degree - Business Administration - Concentration in Health Care Management
American Intercontinental University
01.2010
Associate Degree - Medical Administrative Assistant
Bryant & Stratton College
Syracuse, NY01.2008
Certification - Nurse's Aide
Central Tech Vocational
Syracuse, New York01.1983
Skills
- EMR Software
- Customer Service Management
- Customer Satisfaction Enhancement
- Team building
- Training
- Complaint Handling
- Resolution
- Front-End Supervision
- Billing Coding
- ICD-10 Training
- EMR systems
- MS Office 2010
- Excel
- Windows Professional 2010
- Medic Scheduling System
- CAIS
- Microsoft Word
- PowerPoint
- Microsoft Excel
- EClinicalWorks Certification
- Nextgen
- EPIC
- ATHENA
- Practice Fusion
- Cisco/Ring Central multi-line telephone operation
- Leadership skills
- Issue resolution
- Reliable team player
- Documentation development
- Billing systems and software
- Strong organization
- Training and mentoring
- Patient care
- Written and oral communication
- Workflow optimization
- Processes and procedures
- Train-the-trainer
- ICD-10 coding
- Customer relationships
- Scheduling and calendar management
- Claim submission
- Front desk operations
- Patient registration
- Telephone and email etiquette
- Goal oriented
- Insurance verification
- Public speaking
- Software implementation
- Microsoft office
- Administrative skills
- Month-end closing procedures
- Staff supervision
- HIPAA compliance
- Onboarding assistance
- Medical billing expertise
Technical Summary
30, EMR systems, MS Office 2010, Excel, Windows Professional 2010, Medic Scheduling System, CAIS (Hospital Information System), Microsoft Word, PowerPoint, Microsoft Excel, eClinicalWorks Certification, Nextgen, EPIC, ATHENA, Practice Fusion, Cisco/Ring Central multi-line telephone operation, EMR Software, Customer Service Management, Customer Satisfaction Enhancement, Team Building & Training, Complaint Handling & Resolution, Front-End Supervision, Billing Coding, ICD-10 Training
Certification
DMAIC Certified
Timeline
Regional Health Center Director
Planned Parenthood League of Boston
08.2022 - Current
Healthcare Specialist
Persivia
10.2021 - 07.2022
Patient Account Manager
FHCW
10.2020 - 10.2021
Division Director of Practice Management
Metro Inclusive Health
09.2019 - 07.2020
EHR Implementation Specialist
eClinicalWorks
05.2017 - 08.2019
Central Billing Office Trainer (Onsite Trainer)
eClinicalWorks
03.2016 - 05.2017
Billing Implementation Specialist
eClinicalWorks
10.2014 - 03.2016
Benefits, Contracts Training Manager
Edward M. Kennedy Community Health Center
01.2014 - 10.2014
Reimbursement Specialist
Oxford Diagnostics Laboratories
01.2013 - 12.2013
Account Manager Revenue Cycle
eClinicalWorks
03.2012 - 01.2013
Billing Implementation Specialist
eClinicalWorks
10.2010 - 03.2012
Outpatient Benefits Specialist / Front Office Manager
Liberty Resources, Inc.
08.2008 - 09.2010
Billing Specialist
Medbest Medical Management, Inc.
10.2007 - 08.2008
Supervisor Patient Access
Community General Hospital
08.2007 - 10.2007
Front Office Supervisor (Women's Healthcare Services)
SUNY Upstate Medical University
01.1998 - 01.2007
Nursing Station Clerk (Women's Healthcare Services)
SUNY Upstate Medical University
01.1995 - 01.1997
Nursing Station Clerk (5A General Surgery)
SUNY Upstate Medical University
01.1990 - 01.1995
Nursing Station Clerk (8B Oncology)
SUNY Upstate Medical University
01.1988 - 01.1990
Master's Program - Public Health
Grand Canyon University
Bachelor's Degree - Business Administration - Concentration in Health Care Management
American Intercontinental University
Associate Degree - Medical Administrative Assistant
Bryant & Stratton College
Certification - Nurse's Aide
Central Tech Vocational
Nurse's Aide (8B Oncology)
SUNY Upstate Medical University
Doctorate - Health Administration
Virginia University of Lynchburg
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