Revenue Cycle Specialist
Resume:
DAVID AYORINDE
Denton, TX · 469-***-**** · ***************@*****.***
PROFESSIONAL SUMMARY
Detail-oriented and proactive Revenue Cycle Specialist with 3 years of hands-on experience in end-to-end medical billing, insurance follow-up, and claims resolution. Skilled in working with commercial and government payers to ensure accurate and timely reimbursement. Proven expertise in EMR/EHR systems, including Cerner, Athena, and Kareo, with deep knowledge of ICD-10, CPT, and HCPCS coding standards. Committed to maintaining compliance with HIPAA and payer-specific regulations while delivering exceptional patient and provider support.
CORE COMPETENCIES
Revenue Cycle Management
Claim Submission & Reconciliation
Denials Management & Appeals
ICD-10, CPT, HCPCS Coding
Insurance Verification & Benefits Coordination
EMR/EHR Systems: Athena, Cerner, Kareo
Accounts Receivable Follow-up
Payment Posting & Adjustment
Excel Reporting & Data Entry
HIPAA Compliance & Patient Privacy
PROFESSIONAL EXPERIENCE
Revenue Cycle Specialist
Bayou City Medical Group – Houston, TX
February 2022 – Present
Manage the end-to-end billing cycle for a multi-specialty group, including family medicine, internal medicine, and urgent care services.
Submit an average of 80+ daily claims through Athena, ensuring a 98% clean claims rate.
Verify patient insurance benefits and eligibility before service using payer portals and real-time eligibility tools.
Review coding accuracy using ICD-10, CPT, and HCPCS standards before claim submission.
Proactively identify trends in denied claims, file timely appeals, and secure reimbursement for an average of 90% of reprocessed claims.
Follow up weekly with insurance companies for delayed or underpaid claims, reducing A/R over 90 days by 30%.
Post payments from ERA/EOBs and accurately apply contractual adjustments and patient balances.
Coordinate with front desk and clinical staff to resolve documentation and charge entry discrepancies.
Ensure billing processes comply with HIPAA and state/federal insurance regulations.
Prepare weekly reports on claim status, denial rates, and reimbursement performance for leadership.
Revenue Cycle Specialist (Billing Assistant)
Harmony Clinic – Katy, TX
January 2021 – January 2022
Supported billing and collections for family care and pediatrics practice serving a high-volume patient population.
Entered daily patient charges, checked coding accuracy, and validated insurance before claim creation.
Reconciled patient accounts, applied copayments and deductibles, and contacted patients regarding outstanding balances.
Assisted in responding to insurance requests for medical records and documentation needed to process claims.
Conducted insurance follow-up on denied and pending claims; submitted corrected claims or appeals as required.
Helped reduce billing errors by maintaining a checklist-driven approach for claim validation and submission.
Delivered high-quality customer service when discussing balances, payment options, and billing concerns with patients.
EDUCATION
High School Diploma
Vineli High School
TECHNICAL SKILLS
EMR/EHR Systems: AthenaHealth, Cerner, Kareo
Medical Billing Software: AdvancedMD, DrChrono, Medisoft
Excel: VLOOKUP, PivotTables, Power Query, Dashboards
Additional Tools: Word, Outlook, Microsoft Teams
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