Temitope Abisoye

Claims processing professional with 5+ years of experience in healthcare operations, medical claims support, and patient access. Proficient in medical claims review and processing, contract and plan interpretation, documentation management, regulatory compliance, and customer service. Successfully supported claim resolution, reimbursement accuracy, and documentation compliance across Emory Healthcare, Children's Healthcare of Atlanta, and Aquity Solutions.

Customer Service Patient Liability Representative - Piedmont Healthcare - Atlanta, Georgia

(2025-08)

• Identified patient medical records in accordance with Piedmont's established processes and policies, ensuring compliance with regulatory guidelines.
• Maintained accurate indexing of all documentation, supporting operational efficiency and adherence to healthcare standards.

Patient Access & Insurance Verification Specialist - Emory Healthcare - Atlanta, Georgia

(2024-06 - 2026-01)

• Conducted thorough insurance verification and eligibility reviews to ensure accurate patient service delivery.
• Interpreted contractual provisions and insurance policies to determine coverage requirements and streamline claim processing procedures.
• Monitored claim statuses, adhering to departmental quality standards and productivity metrics to enhance operational efficiency.
• Coordinated with clinical staff and external stakeholders to resolve complex claim and authorization issues, fostering effective team collaboration.
• Delivered exceptional customer service while managing sensitive patient and insurance information, demonstrating strong written and verbal communication skills.

Patient Access & Claims Support Specialist - Children's Healthcare of Atlanta - Atlanta, Georgia

(2023-03 - 2025-05)

• Verified patient insurance coverage and ensured documentation adhered to contractual provisions and payer requirements.
• Coordinated with clinical teams to gather accurate medical documentation essential for claims processing and reimbursement.
• Communicated with patients and insurance providers to resolve discrepancies, facilitating timely claim approvals.
• Maintained accurate electronic health records while supporting billing and compliance procedures in accordance with HIPAA regulations.
• Identified and resolved issues affecting claims accuracy and reimbursement timelines, enhancing overall claims support efficiency.

Medical Scribe & Clinical Documentation Specialist - Aquity Solutions

(2020-10 - 2023-03)

• Documented physician-patient encounters with precision in electronic health record systems, ensuring compliance with regulatory guidelines.
• Supported physicians by maintaining accurate clinical documentation, facilitating effective billing and reimbursement processes.
• Acquired in-depth knowledge of medical terminology, diagnoses, and healthcare documentation standards to enhance documentation quality.
• Assisted in verifying documentation accuracy for insurance and claims-related processes, contributing to streamlined operations.

Graduate Assistant, Diversity & Inclusion - University of Miami

(2019-07 - 2020-05)

• Coordinated documentation and communications for university diversity initiatives, enhancing written and verbal communication skills.
• Managed confidential information while supporting student engagement activities, demonstrating professionalism in a fast-paced environment.

Research & Administrative Assistant - University of Miami

(2016 - 2019)

• Assisted with research data collection and administrative operations for health-related studies, demonstrating knowledge of the health care industry.
• Maintained organized records and ensured confidentiality of sensitive information while supporting project coordination and documentation management.

Master of Education - Nutrition and Human Performance - University of Miami (2020-05)

Bachelor of Science - Exercise Physiology - University of Miami (2019-05)