April Metting
Corpus Christi,USA
Summary
Dynamic administrative support professional with exceptional organizational skills, attention to detail, and proactive problem-solving abilities. Seeking a role to enhance office efficiency and contribute to team success. Highly organized and detail-oriented with exceptional multitasking skills. Experienced in effectively managing office operations. Proficient in handling administrative tasks, maintaining records, and ensuring efficient workflow in fast-paced environments.
Overview
9
9
years of professional experience
2
2
Certification
Work History
Administrative Support Specialist
Naval Health Clinic Corpus Christi
07.2024 - 03.2025
- Play a key role in closing TRICARE referrals by recording, retrieving, correcting, merging, querying, and printing data and reports.
- Complete referrals at the Medical Treatment Facility (MTF) by requesting progress notes, identifying issues, guiding staff to correct errors, and advising on referral-tracking procedures.
- Proactively monitor and efficiently reroute electronic faxes.
- Ensure compliance with Tricare Management Activity (TMA), Tricare Regional Contractor, and MTF referral management policies while handling specialty care and Right of First Refusal (ROFR) referrals/consults.
- Ensure all network-deferred referrals are properly closed.
- Maintain a customer-focused approach, adhering to standard operating procedures for processing referrals from the TRICARE Regional Contractor to the MTF.
- Assist in returning completed consult reports to civilian providers for patients seen at the MTF under ROFR.
- Contribute to decision-making and strategic planning by preparing monthly reports with workload statistics, including network referrals generated by the MTF, ROFRs received and accepted by the MTF, and the percentage of correctly verified or closed referrals.
Coordinator, Clinical Letter Writer
Evolent Health
03.2022 - 01.2023
- Review and allocate incoming tasks to the Letter Writer team
- Gather, organize, and monitor information from various sources to streamline processing
- Collaborate with the team to oversee the adverse determination process and ensure timely notifications
- Draft adverse determination notifications that comply with accreditation, state, and federal requirements
- Use plain language and strong writing skills to clearly communicate non-medical adverse decisions to members and providers
- Utilize internal and external computer applications and programs
- Meet established productivity and quality benchmarks
- Perform other duties as assigned
Site Lead and PSR
Vera Whole Health Driscoll Way
12.2020 - 03.2022
- Provides timely leadership, assisting with call outs and reviewing patient schedules as needed.
- Participates in interviewing allied staff and tracks successful completion of orientation and checklists for new hires.
- Supports daily huddles and team meetings.
- Assists in implementing policies and procedures, ensuring understanding and compliance.
- Resolves patient complaints professionally.
- Manages service requests, facility issues, and IT concerns.
- Completes compliance checklists and operational reports, investigating anomalies.
- Communicates personnel concerns to management.
- Attends monthly Site Lead meetings.
- Meets with management as scheduled.
- Enhances patient experience with diplomacy and tact.
- Provides exceptional customer service and resolves patient concerns, referring as necessary.
- Schedules appointments and updates EMR.
- Conducts daily outreach for appointment reminders.
- Performs administrative tasks, including referral management and office supply management.
- Answers calls, maintaining high customer service standards and handling urgent protocols.
- Verifies patient eligibility, collects copays, and practices confidentiality in line with HIPAA and clinical policies.
- Performs other assigned duties.
Coding/Billing Specialist
Dugan Eye Institute
06.2018 - 03.2020
- Assessing Charts
- Verify and correct billing data
- Recommend accounts for collection or write-off
- Check accuracy of fee tickets and CR forms
- Prepare and record itemized statements and invoices
- Enter charges and payments
- Submit claims electronically or by mail using 1300 forms
- Enter ICD-10 codes, CPT codes, and Modifiers
- Verify insurance using systems like Navinet, EPRG, TMHP, Availity
- Confirm insurance details for new patients and changes
- Manage referrals/authorizations and schedule appointments
- Coordinate with PCP offices for authorizations
- Complete referral packets
- Schedule and manage appointments, updating patient information
- Send monthly statements and make payment reminders
- Handle medical records securely, adhering to HIPAA
- Transmit documents via fax/email as needed
- Answer multi-line phone calls
- File charts
- Balance end-of-day accounts
Patient Advocate
MedData Inc
04.2016 - 06.2018
- Screen patients at bedside, over the phone, and assist walk-ins
- Evaluate patients for potential eligibility through third-party payers (Medicaid, Crime Victim Program, County Indigent, SSI, Affordable Care Act)
- Assist qualified patients in completing applications and securing supporting documents
- Scan, upload, fax, or email applications
- Review EMR to follow up on patient status in-house
- Attend case management meetings and communicate with social workers
- Communicate with federal, state, and county offices
- Use all available resources for timely account resolution
- Manage workgroup, including active inventory for follow-up
- Document account status and activity in hospital and company systems (Meditech/Apogee/MPower)
- Verify Medicaid via TMHP website
- Travel to other facilities
Education
Vocational School Certificate - Cosmetology
The Strand Institute of Beauty and Esthetics
TXHigh School Equivalency Diploma - GED
Del Mar College
Corpus Christi, TXVocational School Certificate - Certification in Medical Office Specialist
Career Centers of Texas
Corpus Christi, TXSkills
- Verbal communication
- File organization
- Data entry proficiency
- Document management
- Spreadsheet creation
- Microsoft office expertise
- Customer service
- Problem-solving
- Critical thinking
- Computer skills
Certification
- Medical Office Specialist (MOS)
- Cosmetologist
- GED
Timeline
Administrative Support Specialist
Naval Health Clinic Corpus Christi
07.2024 - 03.2025
Coordinator, Clinical Letter Writer
Evolent Health
03.2022 - 01.2023
Site Lead and PSR
Vera Whole Health Driscoll Way
12.2020 - 03.2022
Coding/Billing Specialist
Dugan Eye Institute
06.2018 - 03.2020
Patient Advocate
MedData Inc
04.2016 - 06.2018
Vocational School Certificate - Cosmetology
The Strand Institute of Beauty and Esthetics
High School Equivalency Diploma - GED
Del Mar College
Vocational School Certificate - Certification in Medical Office Specialist
Career Centers of Texas
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