Tunde James Adetu
MEDICAL BILLING
Houston,TX
Summary
Dynamic AR Consultant with a proven track record at Optimum Health IT, excelling in medical billing and claims management. Expert in resolving denials and enhancing revenue recovery efficiency. Strong analytical skills and attention to detail drive successful outcomes in fast-paced environments, consistently improving billing performance and compliance.
Overview
8
8
years of professional experience
2
2
Certifications
Work History
AR Consultant
Optimum Health IT
07.2024 - 10.2025
- Analyzed and resolved rejected or denied inpatient, outpatient, and surgical claims while ensuring compliance with billing standards and privacy regulations.
- Conducted comprehensive account reconciliations to identify and correct discrepancies such as missing payments and adjustments.
- Posted insurance payments and adjustments accurately, reallocating balances to secondary insurers or patient accounts per EOB directives.
- Investigated billing inaccuracies and corrected claim denials, enhancing overall revenue recovery efficiency.
AR/AP Follow-Up Specialist
Memorial Hermann Health
Houston, TX
01.2022 - 01.2024
- Utilized Epic software to manage insurance claims and ensure timely resolution of denied, rejected, or unpaid submissions.
- Reconciled patient accounts, processed remittances, refunds, and financial adjustments.
- Posted insurance payments accurately by CPT code, managing transfers to secondary insurers or patient liabilities.
- Updated claim and payment data within EMR/EHR systems to maintain data accuracy and compliance.
- Identified denial trends and collaborated with payers to correct and resubmit claims, improving billing performance.
Life & health Insurance producer
Foundered Solutions
01.2020 - 01.2022
- Processed and submitted clean claims, re-bills, and denial responses while maintaining adherence to billing regulations.
- Resolved payment discrepancies, denials, and non-payment issues through research and adjustments.
- Obtained authorizations and reviewed medical records to support accurate claim submissions.
- Posted payments, reconciled accounts, and analyzed EOBs to identify trends for process improvement.
- Consistently exceeded departmental productivity and accuracy targets.
- Filed appeals for denied claims, monitored coding updates, and supported audit and compliance activities.
Customer Service/ Technical Support
Experis services Inc
Remote, TX
01.2018 - 01.2020
- Handled customer inquiries via phone and written communication, ensuring clarity on services and policies.
- Worked with healthcare providers and agencies to resolve client concerns promptly.
- Documented all interactions accurately in CRM systems, maintaining professional communication and service quality.
- Entered and updated customer profiles, service issues, and resolution notes to ensure record accuracy.
Education
Bachelor of Science - Science
Lagos State University
01-2006
Skills
- Medical billing and claims management
- Insurance appeals and denial resolution
- Claims resolution
- Epic and Cerner proficiency
- Kareo billing and Med Pointe expertise
- Jira Service Desk and Zendesk support
- ServiceNow and Salesforce utilization
- Microsoft Office Suite skills
- Data analytics and mining
- Statistical reporting and EOB interpretation
- Payment reconciliation strategies
- Windows Server roles and Active Directory management
- Networking protocols (DHCP, DNS, TCP/IP)
- OS configuration (Windows, Linux, MacOS, iOS, Android)
- End-user support and ticket creation
- Communication skills
- Problem-solving abilities
- Attention to detail
- Organizational skills
- Team collaboration techniques
- Adaptability in dynamic environments
- Project management methodologies (Agile)
Technical And Professional Skills
Medical Billing (Inpatient/Outpatient/Physical), Claims Filing & Resolution, Insurance Appeals, Denial Management, HIPAA Compliance, Epic, Cerner, Chrono, Kareo Billing, Med Pointe, Jira Service Desk, Zendesk, ServiceNow, Salesforce, Microsoft Office Suite (Excel, Word, Outlook, PowerPoint), Data Analytics, Data Mining, Statistical Reporting, EOB Interpretation, Payment Reconciliation, Windows Server Roles (Active Directory, DHCP, DNS), OS Configuration (Windows, Linux, macOS, iOS, Android), Networking (TCP/IP, OSI), Ticket Creation & End-User Support, Communication, Problem-Solving, Attention to Detail, Organization, Team Collaboration, Adaptability, Project Management (Agile)
Education And Licenses
- B.S. Science, Lagos State University
- ServiceNow Certified Administrator
- Licensed Life and Health Insurance Producer
Languages
English
Professional
Certification
CERTIFIED SERVICENOW ADMINISTRATOR
Timeline
AR Consultant
Optimum Health IT
07.2024 - 10.2025
AR/AP Follow-Up Specialist
Memorial Hermann Health
01.2022 - 01.2024
Life & health Insurance producer
Foundered Solutions
01.2020 - 01.2022
Customer Service/ Technical Support
Experis services Inc
01.2018 - 01.2020
Bachelor of Science - Science
Lagos State University