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Chigozie Eze

@chigozieeze

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Results-driven Medical Billing Specialist with 5+ years of experience.

Nigeria

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What I'm looking for

I am seeking a remote role that allows me to leverage my expertise in medical billing and claims management while contributing to a collaborative team environment.

I am a results-driven Medical Billing Specialist with over 5 years of experience in health insurance claims processing for both international and local Health Maintenance Organizations (HMOs). My expertise lies in optimizing billing workflows, reducing claim denials, and enhancing reimbursement accuracy in hospital and clinic settings. I possess a strong knowledge of ICD-10 coding and EHR/EMR systems, and I have a proven track record of negotiating with insurance providers and ensuring compliance with health insurance regulations.

In my current role as an Administrative Manager and HMO Manager at Nova Medi-Clinic, I have successfully managed insurance claims processing, negotiated tariffs that improved revenue by 30%, and implemented a digital claim tracking system that significantly reduced claim denials. My previous experience includes leading front-desk operations and developing standard operating procedures that improved efficiency and compliance. I am passionate about leveraging my skills in medical billing and claims management to contribute to a dynamic healthcare team.

Experience

Work history, roles, and key accomplishments

Current

Administrative Manager / HMO Manager

Current

Nova Medi-Clinic

Feb 2024 - Present (1 year 5 months)

Managed insurance claims processing for local and international HMOs, ensuring accurate submissions and timely reimbursements. Negotiated tariffs with health maintenance organizations (HMOs) in USD and local currencies, improving revenue by 30%.

Insurance Claims Processing HMO Financial Reporting

Front Desk Operations Lead

Nova Medi-Clinic

Feb 2023 - Feb 2024 (1 year)

Supervised front-desk billing operations, ensuring accurate patient data entry and insurance verification. Processed monthly financial reports, reconciling discrepancies in insurance claims.

Billing Operations Data Entry Insurance Verification Debt Recovery

Front Desk Operations / Client Services

Nova Medi-Clinic

Aug 2022 - Feb 2023 (6 months)

Handled patient billing, insurance verification, and claims submissions. Managed appointment scheduling and medical records in compliance with NHIA.

Patient Billing Records Insurance Verification Claims Scheduling Medical Records Management

Relationship Officer / HMO Claims Officer

Berith Specialist Hospital

Feb 2019 - Jul 2022 (3 years 5 months)

Developed SOPs for front-office billing processes, improving efficiency. Detected and prevented fraudulent enrollees, saving the Hospital over N2,000,000 annually.

SOP Development Fraud Detection NHIA Compliance Payroll Management Insurance Billing

Education

Degrees, certifications, and relevant coursework

Institute of Customer Relationship Management, Nigeria

PGD, Customer Relationship Management

Completed a Postgraduate Diploma in Customer Relationship Management from the Institute of Customer Relationship Management, Nigeria. This program focused on advanced strategies for managing customer interactions and building lasting relationships.

Federal University of Technology Minna

B-Tech, Urban and Regional Planning

Earned a Bachelor of Technology degree in Urban and Regional Planning from the Federal University of Technology Minna. The curriculum covered principles of urban development, spatial planning, and environmental management.

Alison

Certificate, Medical Secretary

Obtained a Medical Secretary Certificate from Alison in 2023. This certification equipped me with essential skills for administrative tasks in a medical office setting.

Great Learning Academy

Certificate, Healthcare Management

Completed a program in Healthcare Management from Great Learning Academy. This course provided insights into the operational and administrative aspects of healthcare organizations.

Jobberman

Certification, Soft-Skills

Received a Soft-Skills Certification from Jobberman in 2017. This program enhanced my interpersonal and professional skills, crucial for workplace success.