Tobi Michael

Conducted inside sales activities to promote diabetes therapy products and services
• Facilitated the processing of patient files and maintained up-to-date records of their
treatment
• Managed patient registrations and ensured compliance with regulatory
requirements
• Developed and implemented promotional campaigns to increase awareness of
offers and promotions related to diabetes therapy
• Established and nurtured positive professional relationships with the healthcare
provider, sales, field partners, insurance companies, suppliers, and medical groups
to ensure smooth communication
• Discussed the clinical benefits of insulin pump therapy, provided information on
insurance coverage and costs payment options to help patients manage the cost of
insulin pump therapy
• Collaborated closely with the outside sales team to establish clear and measurable
goals and objectives for the diabetes therapy business
• Developed and implemented individualized treatment programs for selected
patients based on the results of their evaluations and by established best practices
in diabetes therapy

• Implemented new training programs for staff, leading to higher employee retention rates and better overall performance.
• Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.

• Utilize billing and invoicing software for accurate and timely processing
• Collaborate with facilities for patient Part A/B status determination and billing claims
• Manage accounts receivables, including proactive follow-up with clients and insurance companies
• Research and review claims issues
• Provide training, act as a point of contact for process-related issues, and facilitate meetings
• Handle payment processing, advise customers on unpaid accounts, and contribute to process improvement initiatives
• Working with provider, payors and contracting teams
• Prepare and maintain reports for credentialing activities
• Repricing claims and meeting turnaround times
• Researching and reviewing claims for issues
• Reduced claim denials by diligently reviewing patient information and verifying insurance coverage.
• Implemented process improvements that led to reduced turnaround time for claims processing and increased cash flow for the organization.

• Submit accurate paper and electronic commercial insurance claims
• Maintain comprehensive knowledge of coding and billing systems
• Reconcile electronic billing error reports and ensure high accuracy levels
• Process cash, deposit ERA and Lockbox details, and post payments
• Consistently meet SLA and accuracy targets
• Proficient in Nexgen, Viatrack, OPS, Payor Portals, and various software
• Evaluated and recommended improvements to current payment systems, leading to increased efficiency and reduced processing times.
• Performed various administrative tasks related to payments, including generating reports, updating records, and maintaining accurate documentation.