Micheal Owoeye

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Accounts Receivable Specialist

Fresenius Health

Jun 2025 - Current (1 year 3 months)

• Review and resolve denied or underpaid claims by analyzing payer policies, coding accuracy, and medical documentation to ensure proper reimbursement. • Prepare clear, evidence-based appeal letters citing CPT and ICD codes, payer contracts, and medical necessity guidelines to support claim reconsideration. • Submit appeals through payer portals, fax, or mail and follow up on status to confirm receipt and resolution within payer timely filing limits. • Communicate with insurance representatives, providers, and internal billing teams to clarify denial reasons, obtain required documentation, and resolve discrepancies. • Accurately document all actions, notes, and outcomes in Epic and OnBase while maintaining compliance with HIPAA, Medicare, a

Accounts Receivable Specialist

Alignment Health

Dec 2023 - May 2025 (1 year 6 months)

• Review, research, and resolve complex claim denials and underpayments to ensure accurate and timely reimbursement from commercial, Medicare, and Medicaid payers. • Analyze Explanation of Benefits (EOBs), payer correspondence, and claim data to determine root causes of denials such as missing documentation, coding discrepancies, or coordination of benefits issues. • Prepare and submit detailed appeal letters citing payer guidelines, CPT and ICD coding references, and medical necessity criteria to support claim reconsideration. • Communicate directly with payer representatives to confirm claim status, escalate appeals, and resolve processing or contractual issues. • Collaborate with providers, coding, billing, and cash posting teams to gath

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Accounts Receivable Specialist

Optum Inc.

May 2019 - Dec 2023 (4 years 8 months)

• Mastered contact center processes and procedures, expertly addressing customer inquiries and resolving issues efficiently. • Partnered with cross-functional teams to swiftly resolve consumer inquiries and provide application support. Suggested functionality enhancements, boosting customer satisfaction by 10% and increasing product adoption. • Accelerated reimbursement by optimizing insurance and personal payment posting processes. • Manage new order intake with precision, reviewing and verifying all clinical, billing, and care-related documentation for accuracy and completeness. • Negotiated payment plans and followed up on outstanding accounts, improving cash flow and patient experience. • Increased claim acceptance by proactively monito

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Accounts Receivable Specialist

Financial Summit Disclosure

Jun 2018 - Apr 2019 (11 months)

• Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike. • Researched credit balances and initiated refunds as required to maintain accurate financial records. • Contacted customers with delinquent accounts to solicit payment. • Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions. • Enhanced customer satisfaction by promptly addressing concerns and providing accurate information. • Answered constant flow of customer calls with minimal wait times, showcasing adaptability and excellent time management skills. • Met customer call guidelines for service levels, handle time and productivity, effectivity communicating

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