olusola olusemo

Owned the full denial lifecycle by reviewing EOBs and ERAs, preparing first/second/reconsideration appeals with supporting documentation, and following each case through resolution. Corrected denied/rejected claims (coding, modifiers, demographics, authorization details), pursued underpayment recoveries, and maintained audit-ready EMR documentation while tracking timely filing deadlines.

Managed commercial, Medicare, and Medicaid insurance and patient collections across aging buckets by checking adjudication status through phone/IVR/portals and reviewing EOBs/ERAs. Investigated and resolved blockers such as eligibility discrepancies, COB conflicts, and billing errors, coordinated corrected claim submissions with billing, and handled patient balance discussions in HIPAA-compliant w

Followed up on unpaid, denied, and underpaid claims by reviewing EOBs/ERAs to determine whether to correct, appeal, fix eligibility, or escalate. Resubmitted corrected claims through clearinghouses to resolve rejection errors, identified underpayments by comparing reimbursement to contracted rates, and documented every action and outcome in the EMR in line with HIPAA and internal requirements.

Earned a Bachelor's degree from ESPAM University of Benin.