Omoye Edobor
@omoyeedobor
Detail-oriented claims representative with expertise in insurance processing.
What I'm looking for
I am a detail-oriented and analytical claims representative with over 5 years of experience in reviewing and processing medical, dental, and supplemental insurance claims. My skills include interpreting policy benefits, validating medical coding, and identifying errors to ensure compliance with established guidelines. I have a proven track record of working independently and meeting productivity benchmarks while collaborating across virtual platforms to maintain efficient workflows.
Throughout my career, I have consistently exceeded quality expectations in fast-paced environments. My experience includes roles at Dial America, where I review high-volume claims, and as a Medicare Enrollment Specialist, where I assist clients in understanding their Medicare options. I pride myself on my ability to navigate multiple systems simultaneously and maintain audit-ready records, ensuring accuracy and compliance in all my work.
Experience
Work history, roles, and key accomplishments
Claims Representative
Dial America
Sep 2023 - Present (1 year 10 months)
Reviewed and processed high-volume medical and dental claims weekly, ensuring accuracy, completeness, and policy compliance. Researched policy benefits and provider documentation to assess eligibility and confirm required authorizations.
Medicare Enrollment Specialist
Hadells LLC
Jul 2021 - Present (4 years)
Assisted prospective members in understanding their Medicare options, helping them select a plan based on their healthcare needs, budget, and preferences. Managed a high volume of inbound and outbound calls to assist customers with health insurance enrollments and inquiries.
Insurance Follow-Up Representative
REmx for Change Healthcare
Feb 2019 - Present (6 years 5 months)
Ensured timely and accurate reimbursement by conducting thorough follow-up with commercial and government insurance carriers on unpaid and underpaid claims. Identified and corrected claim discrepancies to maximize payment.
Education
Degrees, certifications, and relevant coursework
Benson Idahosa University
Bachelor of Arts, Arts
Completed a Bachelor of Arts degree, gaining foundational knowledge and skills. The curriculum provided a broad education, preparing for various professional paths.
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
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