April Christensen
Workers' Compensation Auditor
Buffalo Center,IA
Summary
Experienced Auditor focused on improving business compliance, workflow and processes through detailed audits and optimization recommendations. Successful track record of fully evaluating information, structures and procedures and initiating corrective actions. Excellent customer service skills
Overview
19
19
years of professional experience
12
12
years of post-secondary education
Work History
Workers' Compensation Auditor
Pharmacists Mutual Insurance Company
Algona, IA
09.2019 - Current
- End of year review of records and payroll to ensure members have paid the correct premiums. Responsible for checking current business metrics and comparing them to estimated payroll or previous years audit .
- Planned and executed follow-up audits at appropriate intervals.
- Interpreted state and federal laws, accepted auditing principles and procedures and program standards to audited materials and data to detect non-compliance and facilitate recommendations.
- Interviewed auditees to gather data needed to conduct audits.
- Followed established auditing processes to meet internal and regulatory requirements.
- Planned audits and audit activities to allocate necessary resources and determine consistency of plans with audit objectives.
Medical Biller
Kossuth Regional Health Center
Algona, IA
01.2019 - 09.2019
- Prepared billing statements for patients and verified correct diagnostic coding.
- Liaised between patients, insurance companies, and billing office.
- Posted payments and collections on regular basis.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Collected payments and applied to patient accounts.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Verified insurance of patients to determine eligibility.
- Monitored outstanding invoices and performed collections duties.
- Handled account payments and provided information regarding outstanding balances.
Medical Biller
Trinity Health - Mercy One Patient Financial Svsma
Mason City, IA
02.2017 - 01.2019
- Prepared billing statements for patients and verified correct diagnostic coding.
- Delivered timely and accurate charge submissions.
- Liaised between patients, insurance companies, and billing office.
- Posted payments and collections on regular basis.
Office Manager
Clarksville Skilled Nursing And Rehabilitation
Clarksville, Iowa
05.2014 - 02.2017
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Updated reports, managed accounts, and generated reports for company database.
- Coordinated special projects and managed schedules.
- Managed office operations while scheduling appointments for department managers.
- Evaluated employee records and productivity and submitted evaluation reports.
- Delivered performance reviews, recommending additional training or advancements.
- Coached new hires on company processes while managing employees to achieve maximum production.
- Insurance Verification and Prior Authorization
- Payroll and bank reconciliation
- Filing Long Term Care Insurance
- Medical Billing
Client Service Representative
Allen Center For Pain Medicine
Waterloo, IA
01.2011 - 05.2014
- Maintained accurate record-keeping with proactive attention to client information updates.
- Prior Authorization and Insurance verification
- Educated clients on account services and resolved client inquiries regarding statement information and account balances.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Communicated with clients regarding account services, statements, and balances.
- Maintained and managed customer files and databases.
Billing Specialist
Waverly Health & Rehabilitation Center
Waverly, IA
12.2004 - 01.2011
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Education
High School Diploma -
Allison Bristow Community School
Allison, IA 08.1989 - 05.2001
Skills
Bookkeeping
Account Reconciliation
Account reconciliation processes
Medicare and Medicaid process
Medical record security
Medical claims submission
Payment posting
Medical coding knowledge
Billing statement review
Customer service support
Collections duties
Payroll Processing
Workers' Compensation Auditing
Timeline
Workers' Compensation Auditor
Pharmacists Mutual Insurance Company
09.2019 - Current
Medical Biller
Kossuth Regional Health Center
01.2019 - 09.2019
Medical Biller
Trinity Health - Mercy One Patient Financial Svsma
02.2017 - 01.2019
Office Manager
Clarksville Skilled Nursing And Rehabilitation
05.2014 - 02.2017
Client Service Representative
Allen Center For Pain Medicine
01.2011 - 05.2014
Billing Specialist
Waverly Health & Rehabilitation Center
12.2004 - 01.2011
High School Diploma -
Allison Bristow Community School
08.1989 - 05.2001