Simiat Olaniyan

Highly skilled Revenue Cycle Specialist with about 5 years of experience in healthcare revenue cycle management and customer service. Expertise in accounts receivable resolution, insurance follow-up, claims processing, denial management, and payment posting. Proven ability to maximize reimbursements, manage aging reports and outstanding claims, and ensure compliance with HIPAA regulations. Strong analytical, communication, and problem-solving skills with a focus on efficiency and accuracy.

Revenue Cycle Specialist - Rivergate Healthcare

(2021-05)

• Managed full revenue cycle operations, from claim submission to final reimbursement recovery
• Performed Accounts Receivable (AR) resolution by reviewing aging reports and outstanding claims
• Prioritized and resolved high-dollar claims to maximize revenue recovery
• Conducted consistent insurance follow-up on denied, unpaid, and underpaid claims
• Reviewed and interpreted Explanation of Benefits (EOBs) to identify discrepancies, underpayments, overpayments, claim denials, and initiate dispute resolution
• Processed and tracked prior authorizations and retroactive authorizations to ensure services were approved timely and all eligible claims were reimbursed accurately
• Executed accurate payment posting and account reconciliation with minimal error rate
• Applied contractual adjustments in line with payer agreements and policies
• Managed Coordination of Benefits (COB) including secondary and tertiary insurance billing
• Performed claims rebilling after modifier corrections, missing modifiers, or bundling issues
• Utilized ICD-10 coding, CMS-1500 forms, and appropriate revenue codes for compliance and accuracy

Customer Care Specialist - Aiden Engineering

(2018-06 - 2020-12)

• Delivered excellent customer service by handling inquiries, billing concerns, and account issues
• Resolved customer complaints efficiently while maintaining professionalism and empathy
• Accurately documented customer interactions in CRM systems
• Collaborated with internal teams to resolve complex service and billing issues
• Built and maintained strong customer relationships, improving satisfaction and retention

Higher National Diploma (HND) - Accounting - Yaba College of Technology, Lagos State, Nigeria

National Diploma (ND) - Accounting - Yaba College of Technology, Lagos State, Nigeria