Ayotunde Apata

Research and resolve claim denials, underpayments, and billing discrepancies with third-party payers; conduct root-cause analysis to inform appeals and reduce recurring denials. Process third-party rejections and complete timely rebilling of corrected and late charges to recover revenue and ensure timely filing compliance.

Investigated denials, underpayments, and contractual discrepancies; processed rejections and ensured timely filing compliance through payer portals. Reviewed EOBs for payment accuracy and appropriate adjustments, escalating discrepancies to billing or clinical teams when needed.

Assisted customers with orders, returns, refunds, and claims for lost/stolen goods; coordinated replacements and escalations to resolve issues promptly. Verified customer information, opened and managed accounts, processed subscriptions, and handled complaints while maintaining accurate, audit-ready records.

Prepared and submitted appeals based on denial reason codes to secure reimbursement and overturn denials. Managed claims across all aging buckets, including payment posting, appeals, and collections to preserve cash flow.

Reviewed appeals and determined approval/denial outcomes; researched payer policies to support accurate appeal submissions. Processed prior authorization requests via fax and electronic submissions; verified coverage, eligibility, deductibles, copays, and out-of-pocket costs.

Analyzed and resolved claim denials to secure appropriate payment and minimize billing delays. Verified and updated insurance and demographic information; resolved claim edits, rejections, and variances to improve claim acceptance.

Bachelor of Science in Computer Science from Osun State University.

Completed professional training in Project Management.

Earned the Accredited Receivables Specialist certification.