Tolulope Martins

Managed and coordinated complex day-to-day requests from end users, ensuring accurate assessment information.

Educated personnel on the functionality of Macro Manager, enabling efficient production and dissemination of Macros.

Imparted knowledge to clinicians on effectively navigating the Smart Phrase Butler, dot phrases, and personalization features for accessing relevant Smart Phrases and Smart Links.

Guided clinicians in managing In-Basket folder organization and settings customization by demonstrating how to change it through the Display Order Tab selection

Supported providers by giving order permissions, attaching their own In-basket, and demonstrating how to attach another as needed

▪ Certified DOD Primary Trainer – Both Provider and other clinicians (Surgery, Pathnet, Ambulatory, Provider Personalization Lab, Favorite fair, Learning Lab, Mock Go Live, Soft Go Live, Actual Go Live)

▪ Trained Providers/ Surgeons in different Military Base and hospital using scenario based method on transitioning seamless into Cerner EMR in classroom settings and virtually.

▪ Worked with Physicians in the physicians lounge to make sure their day to day activities goes smoothly during Go Live and can continue working independently after Go-Live.

▪ I also worked as a personalization consultant for Lab, mock Go-Live, learning lab in prep for Go-Live implementation and support as lead consultant in Lab, Surgery and ambulatory clinics, Making sure the provider (both inpatient and ambulatory physicians) have their quick orders set up and note templates built to their own preferences.

▪ Supporting during Go- Live and post Go- Live for sustenance support and for new hire trainings

• Inbound and outbound calls from members
• Assist customer to schedule appointments
• Assist member to search and change providers
• Knowledge of Member/Provider Appeals and Grievances, processes, resolutions, compliance
• Ability to work in a fast-paced environment
• Time management and documentation skills
• Basic mathematics calculations
• Exceptional reconciliation and analytic skills
• Ability to interpret EOBs/EOPs
• Documents all encounters in clear and concise online logs
• Transfers callers to other Call Center units as needed
• Assist provider in processing claims
• Assist pharmacy verify prior authorization
• Check claims status for provider
• Medicaid/Medicare Insurance Customer Service with managed care plans or directly with CMS.

• Service now to record ticket issues
• 96% accuracy on medical record review and abstraction
• Abstracted data from multiple records
• Worked with end users on issues and directed calls to appropriate channels
• Multitasked and troubleshoot problems
• Assisted in reviewing files and abstracting key data information (medical record of patients).

• Prepared project budgets and timelines
• Worked with business development team to attract new clients
• Organized client data according to specific data requests
• Maintained data entry guidelines and procedures
• Outstanding ability to maintain and manage data
• Solid ability to adeptly juggle multiple tasks
• Strong understanding of regulatory procedures and guidelines
• Proficient in the use of Company Name applications
• Strong communications skills
• Performed data storage operations and archived data as requested
• Established cloud storage options for larger amounts of client data.

• Provided end user one-on-one training as needed
• Assisted in setting up quick guides for easy access to tools and coverage for patients
• Assisted with how to fill one ticket issues and direct epic issues Provided support to providers and other end users during go-live support
• Worked closely with consultants during go-live to help escalate tickets, answer workflow questions on how the end users were trained
• Responded to support requests from end users and patiently walked individuals through basic troubleshooting tasks.

• Medical Billing and Coder
• Entering new patient information
• Verification of patient insurance information and eligibility
• Calculating and collecting payments for medical procedures and services
• Updating patients data
• Developing patients payment plan
• Properly coding services and medical procedures, diagnosis, and treatments
• Correcting rejected claims
• Tracking payment
• Inpatient and outpatient scheduling and verification
• Review and verifies documentation supporting diagnosis, procedures and treatments results.

• Also I am a dispute and fraud specialist at AHCM
• Providing services and solutions to Associations, including customer service, administrative assistance, and strategic management solutions
• Providing an open and effective line of communication between the patient and the healthcare provider, so the patient can get the most up to date information to make the best decision about their health care needs
• Providing value-based insurance designs to promote and provide consumers with quality and cost-efficient health care services and choices
• Ability to use CMS 1500
• Providing back-office services that aid your company in functioning more efficiently and effectively
• Services include premium collection, enrollment management, and fulfillment services.

• Maintaining knowledge of ICD-10, CPT and HCPCS codes
• Communication with members and providers regarding their request
• Inbound calls and outbound calls
• Maintaining detailed communication with physicians
• Approval of prior authorization, Billing and DME services requested from providers
• Understand HIPAA
• Documentation of physicians orders
• Knowledge of working with different insurance companies like Medicare and Medicaid, ambetter, cigna.

• Properly coding services and medical procedures, diagnosis, and treatments
• Corrected rejected claims
• Maintained HIPPA regulation for clients privacy and completed task in timely manner, ensured compliance with NCQA, federal, state, and other regulatory agency standards
• Reviewed and verified documentation supporting diagnosis, procedures, and treatments results
• Worked on EMR team, completed medical record via remote access to provider EMR/HER systems
• Analyze, Abstract and compile medical information from patient records as a service to physicians, researchers and office associated with patient care
• Entered new patient information
• Extracted relevant information from medical record
• Updated patients' data
• Handled a high volume of telephonic interaction with office providers
• Collected and analyzed data.

• Coordinated with Pharmacovigilance on serious adverse event reconciliation
• Provided feedback on draft protocols, Statistical Analysis Plans, CSRs and other documents as required
• Maintain data transfer specifications as agreed i.e External data specification
• Participated in assessment and decision making around new technologies
• I review test transfers received from vendors to ensure that all data variables are consistent and aligns with the data transfer specification or data transfer agreement
• Knowledge of Good Clinical Practices and Code of Federal Regulations/ICH Guidelines
• Utilized Medidata Rave 4.5, Inform 6.1, iMednet, JReview, Microsoft Office (Word, Excel, Access, PowerPoint) and in-house query and tracking systems.

• Provided elbow to elbow support to clinicians as an intermediary
• Efficiently supported clinicians to navigate through their clinical workflow on hyperspace
• Assisted in scheduling, canceling and registration of patients as well as checking in and out
• Supported end users with placing orders and refills, medications, referrals and letters and how to effectively use the In-basket
• Provided elbow to elbow support to physicians on documenting, wrap up, level of service and charge capture
• Assisted physicians with personalization
• Assisted technologists in finding their images and lab encounters and also documenting on the flowsheet.

• Properly coding services and medical procedures, diagnosis, and treatments
• Corrected rejected claims
• Maintained HIPPA regulation for clients privacy and completed task in timely manner, ensured compliance with NCQA, federal, state, and other regulatory agency standards
• Reviewed and verified documentation supporting diagnosis, procedures, and treatments results
• Worked on EMR team, completed medical record via remote access to provider EMR/HER systems
• Analyze, Abstract and compile medical information from patient records as a service to physicians, researchers and office associated with patient care
• Entered new patient information
• Extracted relevant information from medical record
• Updated patients' data
• Handled a high volume of telephonic interaction with office providers
• Collected and analyzed data.