TAIYE BADA
Richmond,TX
Summary
Medical claims and insurance verification specialist with over 5 years of experience. Proven ability to deal with high-volume claims and calls. Experienced customer service representative with great experience in excellent communicating skills and customer care. Aiming to use my acquired experience and skills to effectively fill the role in your company.
Overview
6
6
years of professional experience
Work History
Claims Representative
ACP Billing Services LLC
Dallas, TX
11.2019 - Current
- Maintained accurate credit, collection files, update contact information and notes for each customer
- Identified and communicate with insurance companies and other commercial insurers to address coordination of benefits and claims resolution
- Researched accounts and contact patients when necessary to obtain correct information such as coordination of benefit to resolve issue for a prompt payment
- Communicates with medical insurance providers to verify patient eligibility
- Identified medical coding mistakes, as well as patient underpayments or overpayments and rectifying them accordingly
- Performed follow up with Medicare, Medicaid, Medicaid Managed Care, and Commercial insurance companies on unpaid insurance accounts identified through aging reports
- Managed all areas of office responsibilities including Insurance benefits/verification, pre-certifications and payment posting
- Resubmitted corrected claims as necessary
Medical Billing Assistant
Houston Metro Urology
Houston, TX
10.2018 - 11.2019
- Researched, identified and resolved outstanding customer/insurance balances to ensure claims payment are done as necessary
- Handled patient account inquires by researching, resolving, or referring to the manager
- Prepared reviewed and send patient statement
- Performed additional duties as assigned and consistent with the non-exempt functions as defined assigned
- Called patients to resolve past due self-pay balances and meet deadlines and goals on a consistent basis
- Reviewed and followed contractual adjustment per guidelines
- Effectively review and research claim denials and contact payers to verify detailed denial reasons when necessary
- Navigated and researched payer medical reimbursement policies and exclusions
- Ensured to adhere to the timely filling of claims and made sure claims were submitted on time
- Knowledgeable of medical EOBs, patient deductibles and copays, and insurance or third-party correspondence
Education
BSC - Computer Science
Olabisi Onabanjo University
Skills
- Accident review
- Documentation research
- Settlement agreements
- Team collaboration
- Documentation review
- Time management
- Claims trend analysis
- Insurance regulations
- Coverage assessments
- Proficient in Microsoft applications (MS Office, Excel, PowerPoint, Word, and Outlook)
- Patient/client relations, problem-solving,
- HIPAA compliance, and excellent interpersonal and customer service skills Appeals,
- Claims Processing,
- Claims Resolution, Denials, Medicare, Medicaid Reimbursement,
- Medical Terminology,
- Well experinced with different Medical billing sofwares Epic, Cerner, Change Healthcare, Dr Chrono, AthenaHealth, Kareo
Professional summary
Medical claims and insurance verification specialist with over 5 years of experience. Proven ability to deal with high-volume claims and calls. Experienced customer service representative with great experience in excellent communicating skills and customer care. Aiming to use my acquired experience and skills to effectively fill the role in your company.
Timeline
Claims Representative
ACP Billing Services LLC
11.2019 - Current
Medical Billing Assistant
Houston Metro Urology
10.2018 - 11.2019
BSC - Computer Science
Olabisi Onabanjo University
Similar Profiles
Jeya AnandhiJeya Anandhi
Senior Analyst at ACP Billing ServicesSenior Analyst at ACP Billing Services
Radhika VermaRadhika Verma
Legal & Compliance Officer at Aafiya Medical Billing Services LLCLegal & Compliance Officer at Aafiya Medical Billing Services LLC
Latrice WrightLatrice Wright
Revenue Cycle Business Consultant at Consulting Firm (DKT Medical Billing Services LLC)Revenue Cycle Business Consultant at Consulting Firm (DKT Medical Billing Services LLC)