Healthcare Professional

Ayokanmi Omolewa

********.***@*****.*** • linkedin.com/in/ayokanmi-omolewa/ • Laurel, MD • 240-***-****

Qualifications Profile

6+ years of expertise in claims processing, data collection and analysis, and administration

in clinical and non-clinical settings.

Clinical Office Administration: Strong command of Medicaid and Medicare requirements, policies, and procedures. Advanced problem-solving strengths in overseeing projects, streamlining procedures, and prioritizing tasks.

Billing & Technical Strengths: Analytical abilities in producing reporting documentation and coordinating insurance verification, auditing, budgeting, billing, and CPT/ICD coding. Proficient in MS Office Suite and Salesforce. Experienced with collecting and analyzing statistical data.

Organizational Abilities: Demonstrated abilities in overseeing database management and EHR. Demonstrated expertise in Medicare/Medicaid authorizations.

Policy/Public Health Expertise: Knowledgeable in policy writing, technical writing, business strategy, performance measurement, HIPAA regulations, grant proposals and contracts.

Career Experience

Medstar Research Institute – Hyattsville, MD

Clinical Research Billing Specialist, July 2018 to July 2019 (1-yr contract)

Monitored and audited required regulatory documentation for clinical trials. Reviewed and processed research provider claims ensuring medical necessity and accuracy in assigning appropriate billing codes as required by CMS, OIG, and other guidelines. Compiled daily report summaries of all research activity across the institution.

Coordinated with the Coding, Health Information Management, and Billing Teams to investigate complex billing issues and resolve any refunding, rebilling or appeals discrepancies.

Collaborated with Clinical Research Revenue Cycle members, Budget Analysts, and research sites to optimize the fiscal integrity of specific studies through standardizing reporting procedures for each department.

Assessed and monitor research coordinator involvements and updates within the system.

Improved structure of shared collaborative work sheets between facilities for weekly and monthly reports by delegating specific roles for each report.

Aspire Counseling – Gaithersburg, MD

Health Insurance Specialist / Credentialing Coordinator, January 2018 to July 2018 (6-mos contract)

Handled insurance benefits for clients, including Medicare/Medicaid authorizations. Assisted billing manager with submitting claims in EHR. Initiated credentialing allowing providers to be in-network with numerous agencies. Oversaw provider information updates on the CAQH database.

Revamped instructional materials to be more user-friendly.

Shortened the amount of time it takes to re-credential providers by consolidating reporting instructions into a single instructional document.

Reviewed consented patient documents, and determined eligibility.

Maryland University of Integrative Health – Laurel, MD

Client Service Representative, November 2016 to January 2018

Processed payments and Medicare/ Medicaid claims. Audited and verified insurance codes (ICD-10) to ensure to reduce denied claims and ensure prompt payment. Updated electronic health records and files.

Controlled databases and drafted department-wide communications.

Improved patient satisfaction by 15% by resolving a client payment process concern.

Madison House of Autism Foundation – Rockville, MD

Intern, August 2017 to December 2017

Compiled information regarding CMS and HCBS regulations on housing opportunities for adult clients with Autism and intellectual/ developmental disabilities. Relayed Medicaid and Medicare information to clients. Collaborated with in-network agencies to collaborate on foundation projects.

Improved usability of the “Coalition for Community Choice” website by 30% through redesigning layout and updating information.

Improved organization by utilizing weekly spreadsheets to track accomplished tasks. Offered recommendations in improving program content delivery to better reach the targeted audience.

Assisted Deputy Director with technical writing, including grant proposals and contracts.

Home Instead Senior Care – Arnold, MD

Staff Coordinator, December 2015 to November 2016

Supported an agency of homecare providers through overseeing scheduling and conducting orientation training for new employees. Facilitated meetings with staff and caregivers. Followed up with clients to ensure satisfaction with care standards.

Increased patient satisfaction by implementing staff communications via text message in addition to email/phone.

Additional experience as a Rehab Aid for Laurel Regional Hospital from February 2014 to December 2015.

Education

Master of Science in Systems Management, May 2018

University of Baltimore, Baltimore, MD

Bachelor of Science in Public Health, May 2013

University of Maryland, College Park, MD

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