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@moyouser1

Medical billing and revenue cycle specialist optimizing claims, denials, and cash flow.

United States
Message

What I'm looking for

I’m looking to leverage my analytical, customer-oriented approach to maximize reimbursement accuracy and cash flow—using denial prevention, payer compliance, and KPI-driven process improvements in a progressive healthcare organization.

I’m an accomplished Medical Billing & Revenue Cycle Specialist with 6+ years of experience optimizing end-to-end revenue cycle operations across hospital, multi-specialty clinic, and med-spa settings. I focus on high-volume claims processing, payer contract compliance, and turning denial root causes into measurable improvements.

In my current role at Temple University Hospital, I process 1,200+ institutional and professional claims monthly through Epic and Availity, maintaining an average 98% clean-claim rate. I investigate denial root causes, draft complex appeals, recovered $1.1M in under-paid claims in 2024, and increased cash collections by 19%—while leading payer-policy audits that cut medical-necessity denials by 25%.

I’m known for data-driven workflows and collaboration, including mentoring three junior billers to reduce onboarding time from six to three weeks and improving team accuracy to 99.2%. I also bring patient-centered financial counseling that improved upfront collections by 35% (4.8/5 CSAT), and I’ve worked to reduce A/R days by 15% through continuous process improvement and KPI reporting.

Experience

Work history, roles, and key accomplishments

TH
Current

Claim Processing Specialist

Temple University Hospital

Sep 2020 - Present (5 years 10 months)

Processed and submitted 1,200+ institutional and professional claims monthly via Epic and Availity, achieving a 98% clean-claim rate. Investigated denial root causes, drafted complex appeals, recovered $1.1M in under-paid claims in 2024, and reduced medical-necessity denials by 25% through quarterly payer-policy audits.

RM

Revenue Cycle & Customer Rep

Renew Weight MedSpa

Jul 2019 - Aug 2020 (1 year 1 month)

Implemented Nextech billing module and rebuilt fee schedules and template mapping, eliminating duplicate charge errors and raising billing accuracy to 99.5%. Managed daily payment posting and reconciliation for $85K+ in monthly revenue, reduced aged A/R over 90 days from 28% to 12% in six months, and improved upfront collections by 35% while maintaining a 4.8/5 CSAT.

EV

Claims Processor

EvergreenHealth

Jan 2018 - Jun 2019 (1 year 5 months)

Processed 150–200 CMS-1500 and UB-04 claims per day across 20+ specialties, validating coding and modifiers to ensure NCCI edit compliance. Used Cerner and Meditech to track claim status and update charge masters, contributing to a 10-day reduction in A/R (44 to 34) and lowering duplicate and eligibility denials by 17% via leadership denial trend reports.

Education

Degrees, certifications, and relevant coursework

University of Lagos logoUL

University of Lagos

Bachelor of Science, Psychology

Earned a Bachelor of Science degree in Psychology at the University of Lagos.

Tech stack

Software and tools used professionally

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