Kayode Adeyemi

Detail-oriented Revenue Cycle Specialist with 5+ years of progressive experience in medical billing, accounts receivable (A/R) management, claims follow-up, denials management, and insurance coordination. Proven track record reducing A/R aging, optimizing revenue capture, resolving claim denials, and accelerating reimbursements for commercial and government payers including Medicare and Medicaid. Proficient in EHR systems (Epic, Cerner), payer portals, clearinghouses, and HIPAA-compliant processes with a strong focus on improving healthcare financial operations and meeting collection targets.

Revenue Cycle Specialist / Member Services at Medlinks Staffing LLC (2023-07 – Present)

• Managed end-to-end accounts receivable (A/R) processes, ensuring timely follow-up and collection of outstanding claims from commercial and government payers (Medicare and Medicaid).
• Conducted in-depth account reviews to identify denials, underpayments, and discrepancies; initiated medical, administrative, and technical appeals and adjustments.
• Proactively monitored claim status through payer portals and clearinghouses, resolving billing issues to reduce A/R aging and accelerating reimbursements.
• Coordinated eligibility verification and authorization tracking using Epic, CareRadius, and Facets to support accurate billing and timely claims resolution.
• Maintained HIPAA compliance while managing high-volume communications and consistently meeting or exceeding monthly collection targets to optimize revenue.

Billing Coordinator at SENTARA (2021-01 – 2023-06)

• Managed A/R follow-up, claim submissions (electronic and paper), and denials management across multiple lines of service.
• Performed comprehensive account reviews to resolve underpayments, payment discrepancies, and outstanding balances.
• Collaborated with billing teams and providers to ensure accurate charge capture and compliant coding (ICD-10, CPT, HCPCS).
• Conducted insurance verifications, authorizations, appeals, and direct payer follow-up for Medicare, Medicaid, and commercial plans.
• Optimized collections and reduced A/R backlog through strategic follow-up, patient payment processing, and effective escalation procedures.

Payment Poster at Premier Health Solutions, LLC (2019-01 – 2020-12)

• Processed electronic and manual payment posting, reconciled EOBs, and resolved payment variances.
• Worked closely with A/R team to clear aging claims and facilitate payment reprocessing.
• Handled secondary billing, self-pay conversions, and reimbursement reconciliation.
• Maintained daily productivity logs and contributed revenue reporting using Power BI.
• Communicated with payers to resolve missing or incomplete EOB documentation.

Masters in Transport Planning and Management (MTPM) – University of Lagos (2004)