Rasul Adelakun

Experienced Revenue Cycle and Medical Billing Specialist with over 5 years of experience supporting healthcare organizations with claims processing, denial resolution, insurance followup, and reimbursement recovery. Strong understanding of commercial and government payer guidelines, revenue cycle operations, and healthcare compliance standards. Proven ability to reduce denials, resolve outstanding accounts, and improve reimbursement turnaround through accurate claim management and payer communication.

Account Receivable Specialist - Surgical Management Professionals - Remote

(2024-07)

• Worked directly with insurance carriers to resolve unpaid, denied, or underpaid claims in a timely manner.
• Reviewed medical records and claim documentation to support appeals and reimbursement requests.
• Investigated recurring denial trends and assisted in identifying process improvements to reduce claim rejections.
• Communicated with patients regarding insurance discrepancies and missing demographic or policy information.
• Utilized payer portals and billing systems to track account status and secure claim resolution.
• Reviewed Explanation of Benefits (EOBs) to validate reimbursements, adjustments, and denial reasons.
• Assisted with escalated accounts and appeals to maximize collections and reimbursement outcomes.

Denial Specialist - Cognizant - Remote

(2022-04 - 2024-06)

• Followed up on denied and aging claims with commercial and government insurance payers.
• Verified patient coverage, benefits, and coordination of benefits information prior to claim resolution.
• Processed hospital and physician claims while ensuring compliance with payer requirements.
• Identified billing discrepancies and corrected claim errors to support accurate reimbursement.
• Updated account activity within billing and EHR systems to maintain accurate documentation.
• Assisted with aged AR accounts and rebilling efforts when claims required correction or resubmission.

Medical Billing Specialist - Conifer Health Solutions - Frisco, TX

(2020-03 - 2022-01)

• Managed claims through the full revenue cycle process, from submission through payment resolution.
• Investigated denied or partially paid claims and prepared appeals with supporting documentation.
• Assisted patients with outstanding balances, including copays, deductibles, and coinsurance.
• Coordinated payment arrangements and maintained professional communication with patients and payers.
• Verified claim status and ensured timely filing compliance with payer deadlines.

Bachelor's Degree - Computer Science - Lagos State University (2010 - 2015)