Calenkwa Kwofie

Revenue cycle and medical billing professional with 7+ years of experience supporting claims processing, A/R follow-up, denial resolution, patient account resolution, and insurance verification across Medicare, Medicaid, TRICARE, VA, Workers' Compensation, and MVA claims. Skilled in Epic, eClinicalWorks (eCW), Oracle, athenaOne, NextGen, and EMR/EHR systems, with a focus on accurate reimbursement, compliant workflows, and timely follow-up.

Revenue Cycle Management (RCM) Specialist - Veradigm (formerly Allscripts)

(2019-02 - 2025-11)

• Processed claims across Medicare, Medicaid, TRICARE, VA, Workers' Compensation, MVA, and commercial payers, correcting submission issues to support timely reimbursement.
• Researched payer requirements, claim status, denials, and payment discrepancies to improve follow-up prioritization and resolution.
• Performed A/R follow-up, patient account research, and batch processing/posting activities using APM and related revenue-cycle systems.
• Used Veradigm (Allscripts), NextGen, and Oracle to document activity, track account movement, and maintain HIPAA-compliant workflows.

Operations Funding Representative - Willis Towers Watson - Dallas, TX

(2018-07 - 2019-02)

• Managed employee benefit inquiries and claim adjustments with accurate resolution and documentation.
• Researched account and benefit information to resolve issues efficiently and reduce follow-up delays.
• Maintained organized records to support timely case closure.

Interdisciplinary Studies - North Carolina A&T State University