Phillip Awoyinfa
Optum
New York,NY
1
Language
8
years of professional experience
Revenue Cycle Specialist with 4+ years of experience in claims processing, billing, and reimbursement support. Skilled in denials management, insurance verification, and payment reconciliation. Collaborates across teams to improve accuracy, reduce delays, and strengthen financial performance.
Work History
Revenue Cycle Specialist
1 Year 1 Month- Monitored denials, identified root causes, and corrected documentation to improve reimbursement accuracy.
- Reconciled remittances with account balances and posted payments according to revenue cycle procedures.
- Verified insurance eligibility and benefits to support accurate coverage determinations and clean claim creation.
- Provided regular updates on billing status to upper management through detailed reports.
- Collaborated with cross-functional teams to improve overall financial performance of the organization.
- Developed and maintained up-to-date knowledge of coding standards, contributing to fewer coding errors and denials.
- Optimized revenue cycle, implementing effective strategies for claims management and reimbursement.
- Improved patient satisfaction by providing clear, concise explanations of billing procedures and insurance coverage.
- Reduced turnaround time for claim submissions, ensuring compliance with healthcare regulations through diligent documentation.
- Developed financial projections and forecasts to guide investment decisions.
- Conducted detailed analyses of revenue cycle metrics, identifying trends and developing action plans to address areas of concern.
- Reached out to insurance companies to verify coverage.
- Boosted financial performance, establishing strong relationships with insurance providers and negotiating favorable terms.
Revenue Cycle Specialist/Senior Payroll Specialist
2 Years 10 Months- Analyzed accounts receivable aging to prioritize collections and resolve outstanding balances.
- Coordinated denial resolution with coding, billing, and payer teams to improve claim acceptance.
- Led claims follow-up workflows to reduce denials and accelerate reimbursement accuracy.
- Reviewed billing discrepancies, correcting charge errors and payer-related issues before submission.
- Streamlined revenue cycle documentation to strengthen compliance and support audit readiness.
- Monitored payment postings, reconciling remittances against invoices and contractual adjustments.
- Supported process improvements across billing operations to enhance workflow consistency and turnaround time.
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
- Identified and resolved payment issues between patients and providers.
- Coordinated patient payment plans, balancing compassion with firmness to ensure timely payments while preserving positive patient relationships.
- Streamlined the revenue cycle process for improved efficiency and faster payment collection.
- Maximized reimbursements by staying current on payer requirements and maintaining strong relationships with insurance providers.
- Assisted patients in understanding complex billing statements, leading to increased trust between patients and healthcare providers.
- Developed and implemented policies and procedures to maintain compliance with industry regulations and standards.
- Conducted detailed analyses of revenue cycle metrics, identifying trends and developing action plans to address areas of concern.
- Streamlined patient registration and insurance verification processes, resulting in a smoother patient intake experience.
- Tracked prices, yields and other trends to correctly interpret impacts on investment programs.
- Developed trading strategies to maximize returns on investments.
Revenue Cycle Specialist
3 Years 3 Months- Verified insurance eligibility and benefits to support accurate coverage determinations and clean claim creation.
- Monitored denials, identified root causes, and corrected documentation to improve reimbursement accuracy.
- Reconciled remittances with account balances and posted payments according to revenue cycle procedures.
- Processed claims submissions and resolved billing discrepancies across payer portals and internal patient accounts.
- Collaborated with clinical and billing teams to resolve charge capture issues and account holds.
- Reviewed prior authorization requirements and supported timely approvals for patient services.
- Maintained compliance with payer guidelines, coding standards, and confidentiality requirements during claims processing.
- Tracked outstanding balances and follow-up actions to reduce delays in revenue cycle workflows.
- Served as a liaison between clinical departments, finance, and administration, ensuring smooth communication for proper revenue cycle management.
- Ensured accurate billing with thorough audits of patient accounts and insurance claims.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
- Reached out to insurance companies to verify coverage.
- Contacted responsible parties for past due debts.
- Achieved optimal reimbursement rates by verifying insurance coverage, eligibility, benefits, and authorization prior to service delivery.
- Maintained clear documentation of all activities related to unpaid claims or denied services.
- Balanced and reconciled accounts.
- Managed a portfolio of high-risk accounts, effectively reducing bad debt write-offs through proactive communication and negotiation tactics.
- Improved cash flow with diligent follow-up on pending claims and appeals processes.
- Analyzed financial reports to identify trends and areas for improvement in revenue cycle operations.
- Reduced outstanding account balances by implementing effective collection strategies.
- Boosted financial performance, establishing strong relationships with insurance providers and negotiating favorable terms.
- Engaged in continuous process improvement, identifying inefficiencies in revenue cycle and proposing practical solutions.
- Enhanced transparency of financial policies to patients, reducing confusion and increasing upfront collections.
- Prepared detailed reports on billing activities and revenue outcomes, providing valuable insights for strategic decision-making.
- Fostered culture of accountability within the revenue cycle team, setting clear performance metrics and recognizing achievements.
- Led initiatives to stay abreast of changes in healthcare regulations, minimizing compliance risks and avoiding potential penalties.
Education
Bachelor of Arts - Law
Bachelor of Science - Information Technology
Skills
Claims processing proficiency
Claims processing
Claims review
Denial management
HIPAA compliance
Revenue cycle management
Data analysis
Languages
English
Native or Bilingual
Timeline
Revenue Cycle Specialist
Optum
08.2025 - 09.2026Read More
Revenue Cycle Specialist/Senior Payroll Specialist
Ernst & Young
05.2022 - 03.2025Read More
Revenue Cycle Specialist
Maven Clinic
01.2019 - 04.2022Read More
Arizona State University
Bachelor of Science from Information Technology
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Babcock University
Bachelor of Arts from Law
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