Revenue Cycle Analyst with 7 Years Experience

Blessing Atoyebi

******************@*****.*** 832-***-**** Splendora, TX

SUMMARY

Revenue Cycle Analyst with 7 years of experience in healthcare billing and claims management, specializing in revenue cycle optimization and compliance with HIPAA regulations. Proven expertise in utilizing Epic software for account reconciliations and managing insurance payment processes to maximize reimbursements. Skilled in claims filing, resolution, and data management, seeking to leverage analytical skills in a Revenue Cycle Analyst role. WORK EXPERIENCE

mayo clinic

AR Follow-Up Specialist Jan 2023 - Present

• Conduct follow-up with insurance payers on rejected, denied, and unpaid claims to ensure accurate and timely resolution.

• Utilize Epic software to analyze and manage the revenue cycle, focusing on account reconciliations, remittances, and necessary adjustments.

• Post insurance payments and adjustments by CPT code, managing the transfer of outstanding balances to secondary insurance or patient responsibility according to EOB protocols.

• Investigate and correct billing errors, review denied claims to identify trends and inefficiencies, and ensure compliance with HIPAA and medical billing regulations. Ecu Health Houston

AR Follow-Up Representative Jan 2021 - Dec 2022

• Ensured accurate billing and timely submission of claims, optimizing reimbursement processes and reducing delays.

• Investigated and coordinated insurance benefits across multiple service lines, effectively resolving accounts and maximizing reimbursements.

• Performed comprehensive follow-up on unpaid insurance accounts, addressing rejections and denials to improve claim resolution rates.

• Managed patient interactions, including payment discussions and developing payment plans, while maintaining confidentiality in compliance with HIPAA guidelines. Netsmart Houston

Payment Poster Jul 2019 - Dec 2020

• Executed electronic and manual payment posting, handling both insurance and personal payments, and transferred balances to self-pay or secondary insurances.

• Collaborated with accounts receivable teams to resolve payment posting discrepancies, ensuring accurate financial records.

• Communicated with insurance companies to retrieve and verify explanation of benefits (EOBs), maintaining a comprehensive daily production log.

Molina Healthcare Houston

Customer Service Representative Mar 2018 - Jun 2019

• Resolved customer inquiries via phone and written correspondence by researching and clarifying specifics related to healthcare services.

• Collaborated with internal departments, external plans, providers, and government agencies to gather information and effectively resolve customer issues.

• Maintained accurate documentation of member interactions and verified insurance plans to ensure member satisfaction.

EDUCATION

SSHS

High School Diploma

Nigeria

Jul 2011

Ambrose Alli University

Bachelor of Science in Accounting

Nigeria

Oct 2017

SKILLS

Medical Billing (Inpatient, Outpatient, Physical) • Claims Filing and Resolution • Insurance Appeal Processes • HIPAA Regulations and Compliance • Electronic Health Records (HER) Systems • Microsoft Office Suite (Word, Excel, PowerPoint, Outlook) • Customer Service and Patient/Client Relations • Problem-Solving and Complaint Resolution • Data Entry and Management • Efficient Patient Statement Processing • EMR Software Proficiency • Practice Management Software Applications (Epic, Cerner, Dr. Chrono, Kareo Billing, Medpointe, Jira Service Desk, Zendesk) • Strong Interpersonal Skills • Revenue Cycle Management • Communication Skills • Problem Solving • Attention to Detail • Data Anal

ysis • Financial Reporting • Excel Proficiency • Critical Thinking • Time Management

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