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@tosinbello
Experienced medical billing specialist skilled in revenue cycle management, claims resolution, and EHR systems.
United StatesI am a medical billing specialist with extensive experience managing revenue cycle functions for hospitals and physician practices.
I excel at filing accurate claims, resolving rejections and denials, and navigating the appeals process to obtain maximum reimbursement. I am proficient with EMR and practice management systems including Epic, Cerner, DrChrono, Meditech, Athenahealth and Kareo.
I maintain strict HIPAA compliance and prioritize patient confidentiality while coordinating with payers to correct billing errors, locate secondary insurance, and post payments both electronically and manually.
I bring strong problem-solving, time-management and communication skills, and I aim to apply continuous process improvements to reduce denials and streamline revenue collection.
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Work history, roles, and key accomplishments
Associate of Health Care
Oct 2023 - Present (2 years 1 month)
Monitored claim status, researched and resolved rejections and denials, and billed secondary insurances to obtain correct reprocessing and maximum reimbursement. Performed electronic and manual payment posting and tracked claims and appeals until resolved.
Home Health Care
Feb 2022 - Sep 2023 (1 year 7 months)
Managed follow-up on unpaid/underpaid/denied claims across Medicare, Medicaid, and commercial payers to obtain maximum reimbursement and maintained daily production logs. Posted insurance and patient payments, transferred balances appropriately, and supported AR teams to resolve posting errors.
West Houston Healthcare
Apr 2020 - Feb 2022 (1 year 10 months)
Handled prior authorizations, obtained clinical documentation for payer review, and managed denied claims through correction and appeals to secure payment. Maintained patient-provider communication, applied ICD-10/CPT/HCPCS coding knowledge, and documented authorization references in EMR.
Degrees, certifications, and relevant coursework
Completed studies at ICHS Ilishan Remo in Ogun State, Nigeria in 2002.
Software and tools used professionally
United StatesYou can contact Tosin and 90k+ other talented remote workers on Himalayas.
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