Insurance Nursing Home

Konyinsola O Matti

E-mail:

***** ******* **** *** **** ***********@*****.***

Houston,Texas 77096.

PROFESSIONAL OBJECTIVES

Phone: 281-***-****

A Position where I can utilize my experience, business knowledge, and people skills in Healthcare

Industry.

QUALIFICATION HIGHLIGHTS

• Results-focused, quality-driven with extensive expertise in handling accounting systems, finance,

accounts and operations management demonstrating consistent achievement of objectives, strong

multi-tasking and service skills, and dedication to organizational goals.

• Analytical and logical thinker recognized for ability to handle various accounting and financial

functions.

• Ability to verify and examine billing statements and documents.

• Dependable with acknowledged reputation for integrity, sound business acumen and versatility in

adapting to new roles, tasks, applications, and environments.

• A team player with effective interpersonal and communication skills, adapt at driving customer

loyalty initiatives and productivity gains through effective and efficient customer relationship

management.

• Advanced knowledge in computer Microsoft Word 2010, Microsoft Excel 2010, Outlook and

PowerPoint 2010.

• Ability to verified and set up accounts regarding Medicaid and Medicaid-pending insurance and

call all private pay.

• Ability to send out HIPAA compliance forms, documents dare dent; receive completed forms, and

document receipt and files.

• Ability to display behavior which exemplifies employee code of conduct guidelines.

WORK EXPERIENCE

Billing Specialist (April 2007 – Feb. 2013)

Omnicare of Houston (Houston Texas)

• Managing and submitting accurate monthly billing statement to nursing home facilities

• Submitting online claims to insurance companies through correct adjudication process

• Submitting paper claims and online claims to Texas Medicaid, Commercial insurance and

Medicare Part D Insurance.

• Updating patient’s account information using the daily census information received from nursing

homes.

• Prompt response to telephone & electronic account inquires and complaints from patients,

patients representative and insurance companies.

• Receiving and processing credit card information for co-pays of commercial insurance and

private pay patients.

• Verifying accuracy of billing information received by coordinating with nursing home facility,

doctors, and hospital before medications are sent if possible or within twenty-four (24) hours if

not possible.

• Other duties as assigned; Job duties may vary by location.

HERITAGE HEALTH SYSTEMS INSURANCE COMPANY (HHSI) HOUSTON, TEXAS

Enrollment Processor ( Contract position Jan. 2007- March 2007)

• Processing daily Medicare enrollment applications.

• Reviewing Medicare enrollment application for accuracy and completeness.

• Entering Medicare enrollment application into database.

• Contacting applicant to obtain missing demographic information.

Omnicare of Illinois, Des Plaines, IL

Intake/ Patient Account Specialist (June 2006 – November 2006)

• Verifying patient’s insurance information through contacting insurance companies.

• Processing electronic prescription claims on a daily basis.

• Research and resolve billing issues through contacting insurance company involved.

• Online adjudication of prescription claims through resolving rejection errors.

• Entering and registering patient’s demographic data into the computer system.

IT Training Attended

Document Imaging (Houston, Texas) 2010

• Microsoft office applications including word, excel, power point

Education

University of Ibadan, Oyo State, Nigeria 2004

• Bachelor degree in Economics

High School Diploma

• Lagos state Model College, Badore, Nigeria 1997

REFERENCES

References are available on request

Contact this candidate