Folasade Awe, Mba, Cbcs Email & Phone Number

Washington, Dc

Manage and process requests from health care providers and other callers for utilization review services. Perform scripted clinical review and refer reviews requiring further action to clinical review staff or supervisor. Oversee orientation and training for newly hired intake specialists.Process cancer patients claims with the ombudsman.Administer web-based reviews & load cases into the medical management system.Developed actionable strategies and plans that enhanced organizational effectiveness and customer satisfaction.Identified gaps between current state and future requirements and created innovative solutions and programs that resolved quality, cost, productivity, and efficiency issues. Leveraged operational and financial management experience combined with MBA in Health Services Administration to align initiatives with strategic goals, identified salient patient touch points, defined/monitored performance metrics, and capitalized on opportunities to improve overall customer satisfaction and patient experience.*Increased customer satisfaction from 65% to 90% by developing strong client and provider relationships, as well as leveraging client feedback to improve and enhance services.*Increased productivity from 82% to 95% by ensuring that level of care reviews, continued stay nursing home reviews and inpatient emergency admission reviews are conducted and authorized within 24 hours

Rockville, Md

Completed all duties associated with eligibility verification, coverage and authorizations as required for outpatient procedures. Researched and Verified insurance coverage by phone and online to ensure proper coordination reimbursement of benefits and estimates of patient’s financial responsibilities of commercial, governmental and third party insurances.*Conducted Comprehensive Benefit Investigation to determine in detail specific coverage for a specialty drug.*Collected and Reviewed all Patient Insurance Information to the degree authorized by the SOP of the program.*Identified and Facilitated Referrals to alternative coverage options and financial assistance programs for patients that are under-insured or require copay assistance.

Washington, Dc

Transcribed medical orders for unit patients. Performed unit secretarial functions including, chart preparation, appointments, M.A.R. maintenance. Prepared admissions, discharges, and organized transportation for patients going and coming from Special Procedures. Verified and documented all patients’ third party payer coverage/non-coverage .*Promoted better customer experience by providing administrative support to patient care units, ordering labs as requested by physicians reviewing and verifying medical records, entering dietary and medical orders into application system, responding to phone calls, and paging nurses via electronic system in a timely approach.*Ensured outstanding customer service by answering, screening calls, and taking appropriate action to guarantee that requests from callers are met in a timely and tactful manner.

Diploma, Medical Billing & Coding

Activities and Societies: AAPCMedical Billing & Coding

Diploma, Medical Terminology & Anatomy

Mba In Health Services Administration, Mba, 3.9

Bachelor'S Degree, Microbiology