Chisom Daniel
@chisomdaniel
Behavioral Health Billing Specialist | 10 Yrs Healthcare Ops | RCM, Claims & Denial Management | HIPAA & PHIPA Compliant | Remote
NigeriaWhat I'm looking for
I have spent the last 10 years working inside healthcare operations, and the through-line across every role has been the same: fixing the backend systems that keep clinical teams from doing their best work.
I started in Nigerian hospital billing and insurance negotiations, where I learned early that revenue loss in healthcare is rarely about bad intentions. It is almost always about process gaps, follow-up failures, and systems that do not talk to each other. That problem became my specialty.
Over the years I moved through HIV program monitoring and evaluation under FHI360, practice administration, and eventually into behavioral health billing, which is where I have focused most recently. I currently support a large multi-provider psychotherapy practice in Canada with 50+ active therapists, managing direct billing across Manulife, Canada Life, Sun Life, and Green Shield via Telus eClaims. My work covers end-to-end claims submission, denial resolution, prior authorization follow-up, insurance verification, and EHR coordination across Jane App, Theranest, and SimplePractice.
One of my most significant results came from an engagement where I grew insurance approval revenue by over 220% by tightening denial management workflows, accelerating claims cycles, and closing the system gaps the billing team had been working around for years.
I operate within PHIPA and HIPAA compliance frameworks and bring additional capability in practice automation using Airtable, and Monday.com to reduce repetitive admin load on clinical teams.
Outside of work I am learning Portuguese, which ties into a longer personal goal of building a life and career that works across borders. I am drawn to remote roles where I get to solve real operational problems for teams doing meaningful work in mental health and healthcare.
Remote. Available globally. Ready to contribute from day one.
Experience
Work history, roles, and key accomplishments
Processing direct billing claims for Canadian insurers including Manulife, Canada Life, and others.
Following up on outstanding accounts receivable and supporting end of month reporting.
Working within a multi-therapist psychotherapy practice using Jane App, Telus eClaims, and Google Workspace.
Medical Customer Service Representative and Medical Billing Officer
Sep 2022 - Jun 2026 (3 years 9 months)
1. Onboard and manage over 70 health insurance partners, ensuring smooth communication and service coordination.
2. Reduce revenue loss by over 40% through structured reconciliation, documentation, and process tracking.
3. Recovered over ₦5M in underpaid claims and ₦8M in long-standing debts through proactive negotiation and follow-up.
4. Added ₦10M in new revenue within two months by renegotia
• Handled email and chat-based client support using HubSpot and Asana.
• Supported software onboarding, trained clients on new features, and gathered feedback for product refinement.
• Created process guides and FAQs to reduce repetitive inquiries and improve user self-service.
• Collaborated with cross-functional teams to track client goals and performance metrics.
Executive and Operations Assistanr
Dec 2023 - Apr 2025 (1 year 4 months)
1. Supported the company’s SaaS-based design collaboration tools for smooth project execution.
2. Handled client onboarding, set up accounts, and trained users on using internal systems.
3. Built dashboards using Asana, Trello, and Google Sheets to track project performance.
4. Automated reports and task reminders, improving project completion rates by 25%.
5. Coordinated between technical and
Customer Service Officer/Medical Biller
Dec 2020 - Aug 2022 (1 year 8 months)
Worked as Customer Service Officer/Medical Biller at Shield Specialist Hospital.
I am involved in the daily and monthly medical billing of HMOs and other client organizations.
I am involved in bill submission.
I am involved in bills/claims reconciliation.
I collect medical PA Codes.
I am involved in patient referral.
I am a customer care officer whose job is to ensure that the patient-our customer, gets satisfactory services from us.
I am the Head Administrative and HMO Officer in Kendox Medical Services.
I have worked in this role for almost 4 years and gathered experiences in Client management, confidentiality, Monitoring and Evaluation, Claims handling and correct billing.
I have been to trainings that helped enhance my knowledge in this field and I also look forward to better opportunities to learn,explore,grow and bring
Education
Degrees, certifications, and relevant coursework
Eastern Polytechnic
National Diploma, Computer Engineering
HIPAA Training.US
HIPAA Compliance Training
Issued Sep 2025 · Expired Sep 2026
College Doctors
Virtual Medical Assistance
Issued Sep 2025
EF SET
EF SET English Certificate 74/100 (C2 Proficient)
Issued Nov 2024
Digital Witch Support Community
IT Support Training
Issued Oct 2024
Coursera
Data, Data, Everywhere
Issued Jul 2023
Coursera
Certificate course, Data Analytics
2023 - 2023
Eastern Polytechinc, Rumuokwurusi, Port Harcourt
National Diploma, Computer Engineering
2018 - 2021
Victory High School
2008 - 2012
Customer Service: Problem Solving and Troubleshooting
Issued May 2022
Customer Service: Call Control Strategies
Issued Apr 2022
Customer Relations
Issued Oct 2021
FutureLearn
Digital Skills: Mobile
Issued Feb 2020
FutureLearn
Digital Marketing
Issued Dec 2019
Healthcare Business Support Systems Ltd
Claims Management
Tech stack
Software and tools used professionally
Availability
Location
NigeriaAuthorized to work in
Website
chisomdaniel.lovable.appPortfolio
chisomdaniel.lovable.appSocial media
Job categories
Skills
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