April R. Chiero
Carolina Shores,NC
Summary
Experienced with managing billing and accounts receivable functions. Utilizes strong organizational and analytical skills to ensure accurate invoicing and payment tracking. Knowledge of customer account reconciliation and financial record maintenance. A detail-oriented individual with strong communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Overview
2025
2025
years of professional experience
Work History
Accounts Receivable Specialist/Oncology Secretary
Cape Cod Hospital
03.2012 - 12.2024
- Analyzed and resolved outstanding receivables using remittance reports/EOBs and payment advisories.
- Verified and posted insurance payments that upload into the various systems via electronic fund transfers (EFTs).
- Facilitated accurate and timely follow-up, reconciliation, and resolution of outstanding account balances.
- Verified accuracy of third party payments.
- Posted contractual allowances where necessary.
- Reassigned eligible balances to self-pay and/or third party billing by referring accounts for billing where appropriate.
- Processed third party payor denials and related correspondence in a timely and accurate manner.
- Analyzed charge procedure codes, modifiers, and other codes to appropriately distribute payments.
- Identified payment denial reasons to provide reports and workflow denials.
- Reviewed billing, payment, and denial information utilizing a number of automated databases and insurance websites
- Pursued insurance information through eligibility verification and check claims status utilizing online access.
- Performed follow up activities on unpaid accounts and on individual claim correction, adjustments, and cancellations through online access to specific payor websites.
- Monitored and resolved issues on work queues specific to Accounts Receivables.
- Maintained knowledge of payer authorizations, referrals, and eligibility requirements.
- Obtained and verified referrals/authorizations to ensure payment for services provided by CCHC.
- Scheduled oncology patients for their entire treatment plan based on physician orders and patient schedules.
- Input physician orders upon admission to unit/floor and throughout the inpatient care.
- Collaborated with other departments (i.e., radiology, cardiology, speech, pulmonary, etc.) to coordinate patient care while inpatient, and possible discharge to a skilled nursing facility and/or any other type of follow up care.
Insurance Account Manager/Agent
Murray & MacDonald Insurance Services, Inc.
- Knowledge in property and casualty lines.
- Followed underwriting guidelines as set forth by insurance carriers, including surplus lines.
- Advised correct coverage for customers and act as a resource for all insurance issues.
- Built/maintained relationships with customers, underwriters, and other company representatives.
- Obtained and maintained customer accounts as the liaison between the customer and insurance carrier.
- Ensured the accuracy of new business, renewal, and endorsement transactions.
- Ability to cross sell and round out customer accounts
- Networked by attending Chamber of Commerce Functions, community events, and BNI groups.
Admissions Director
Center for Optimum Care
- Scheduled and conducted tours of the facility with prospective patients and/or their families.
- Managed all aspects of marketing; initiating, planning, and implementing special event activities, directing public affairs and publicity, designing ad copy, and networking.
- Ensured compliance to policies as they relate to patient admissions, whether for short-term rehabilitation or for long-term care.
- Increased admissions rates by implementing targeted marketing strategies and outreach efforts.
- Served as a key liaison with discharge planners and continuing care nurses/liaisons to establish patient referrals and placement.
Marketing Research Consultant/Project Director
Cahners Publishing Company/The Survey Center
- Performed detailed segmentation analyses to identify high-value customer groups for focused targeting efforts within campaigns.
- Conducted market research to identify new opportunities and target markets.
- Analysis of statistical data results to compose written and graphic presentations.
- Streamlined data collection processes for more accurate and efficient analysis of market trends.
- Primary research contact for editors, publishers, and sales representatives.
- Planned, scheduled, and monitored the writing, design, and production of the entire research process.
- Developed survey instruments and questionnaires for primary research initiatives, ensuring accurate capture of essential information from respondents.
- Managed a research budget and worked within the confines of the budget.
- Enhanced marketing strategies by conducting comprehensive market research and analysis.
- Recruitment and selection of part-time personnel and outside vendors.
Central Scheduler
Falmouth Hospital
06.2001 - 01.2014
- Strong customer service and patient relations.
- Knowledge of insurance coverage/authorization as they relate to hospital policy, third party payer, and regulatory requirements.
- Maintained open communication and cooperative working relationship with various hospital staff, physician offices, patients, and payers.
- Ensured adherence to hospital and departmental policies as they relate to patient registration.
- Documentation of all paperwork with a strong emphasis on detail and accuracy.
- Wrote the Central Scheduling training manual prior to my full time departure.
Education
MBA - Business Management
Northeastern University
Boston, MABachelor of Science - Management Science with a Concentration in Marketing
Bridgewater State College
Bridgewater, MASkills
- Time and resource management
- Project management
- Quality management
- Cash flow management
- Data Analysis
- Effective communication
- Customer service
- Motivated/resourceful across multiple industries
- Workflow coordination
- Teamwork and collaboration
- Computer skills: Microsoft Office, Outlook, Epic, Siemens Soarian, Meditech
Timeline
Accounts Receivable Specialist/Oncology Secretary
Cape Cod Hospital
03.2012 - 12.2024
Central Scheduler
Falmouth Hospital
06.2001 - 01.2014
Insurance Account Manager/Agent
Murray & MacDonald Insurance Services, Inc.
Admissions Director
Center for Optimum Care
Marketing Research Consultant/Project Director
Cahners Publishing Company/The Survey Center
MBA - Business Management
Northeastern University
Bachelor of Science - Management Science with a Concentration in Marketing
Bridgewater State College
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