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Ophelia Owusuaa

@opheliaowusuaa

Medical Billing Specialist at North Atlanta ENT & Allergy resolving denied claims and preparing appeals and corrected claims.

United States

Message

At North Atlanta ENT & Allergy, I manage billing and insurance follow-up for ENT and allergy services using ModMed. I review denied claims, investigate payer explanations, and prepare appeals and corrected claims.

Previously, at JQ Medical, I processed DME claims for Medicare, Medicaid, and commercial insurance using Brightree. I researched rejections and denials, submitted corrections and appeals, and provided supporting documentation for diabetes supply claims.

At Alpine Home Medical, I processed insurance claims and followed up on outstanding accounts, including claims for Medicare, Medicaid, and TRICARE. I hold an active NHA Certified Billing and Coding Specialist (CBCS) certification and have experience with accounts receivable, payer communication, and billing codes.

Experience

Work history, roles, and key accomplishments

Current

Remote Billing Specialist

Current

North Atlanta ENT & Allergy

May 2026 - Present (5 months)

Managed billing and insurance follow-up for ENT and allergy office services using ModMed. Reviewed denied claims, prepared appeals and corrected claims, and followed up on outstanding accounts receivable.

ModMed Medical Billing Denials Appeals Accounts Receivable Insurance Follow Up CPT ICD 10 HCPCS

Remote Medical Biller/Coder

JQ Medical

Mar 2023 - May 2026 (3 years 2 months)

Processed DME claims for Medicare, Medicaid, and commercial insurance using Brightree. Reviewed claim rejections and denials, submitted corrections and appeals, and coordinated with providers to resolve billing issues.

Brightree DME Billing Medicare Medicaid Commercial Insurance Claims Processing Denials Appeals ICD 10 CPT HCPCS

Medical Biller/Coder, AR Specialist

Alpine Home Medical

Sep 2018 - Oct 2022 (4 years 1 month)

Processed insurance claims for Medicare, Medicaid, and TRICARE and followed up on outstanding accounts. Maintained productivity logs and prepared Advance Beneficiary Notices (ABNs) and patient privacy documentation.

Medical Billing Accounts Receivable Medicare Medicaid TRICARE ABN Insurance Claims Follow up

Certified Nursing Assistant

Desert Cove Skilled Nursing Center

Apr 2012 - Sep 2018 (6 years 5 months)

Assisted residents with daily living activities, monitored vital signs, and documented care. Supported nursing staff while maintaining accurate records and patient confidentiality.

Patient Care Vital Signs Monitoring Documentation Confidentiality