April Cruz
Baytown,TX
Summary
Seeking a position that will allow me to utilize and apply my accounts receivable, billing and collections expertise, to support growth and success.
Overview
28
28
years of professional experience
Work History
Accounts Receivable Specialist / Medical Biller
Kindbody
New York, NY
07.2021 - Current
- Corrected claim rejections to facilitate timely payments
- Called insurance companies to resolve delayed or denied claims
- Prepared and filed appeals to recover denied claims
- Managed tracking of unpaid claims for resolution
- Review billing errors
- Review denials
- Send corrected claims
- Adjust balances for uncollectibles
Billing/Collections Specialist
Center of Reproductive Medicine
Webster, TX
07.2002 - 07.2021
- Monitored accounts receivable reports to ensure timely collections
- Generate and upload claims
- Reviewed claim response reports, corrected and resubmitted claims.
- Follow-up with insurance companies and/or patients to ensure payment
- Generate appeals as necessary
- Generate insurance and/or patient refunds as necessary
- Provided assistance to patients regarding insurance and billing inquiries in regards to insurance and or billing inquiries.
- Assessed delinquent accounts to strategize collection efforts to determine the course of action.
- Sent uncollectible accounts to collection agency to recover outstanding debts to collection agency and act as a liaison.
Patient Care Coordinator
Joel M. Berman, M.D.
Webster, TX
03.1998 - 07.2002
- Registered patients upon arrival at clinic
- Verified patient insurance details for accuracy
- Managed scheduling of patient appointments and confirmations
- Acquired referrals and pre-certifications for patient procedures
- Set up exam rooms prior to surgical procedures
- Supported physician during surgical procedures
Education
High School Diploma -
Sam Rayburn High School
Basic courses for Nursing Program -
San Jacinto College
Coding Course -
PMI
Skills
- Claims submission
- Claim management
- Claims tracking
- Denial resolution
- Claims denial analysis
- Billing adjustments
- Billing adjustment
- Insurance communication
Timeline
Accounts Receivable Specialist / Medical Biller
Kindbody
07.2021 - Current
Billing/Collections Specialist
Center of Reproductive Medicine
07.2002 - 07.2021
Patient Care Coordinator
Joel M. Berman, M.D.
03.1998 - 07.2002
High School Diploma -
Sam Rayburn High School
Basic courses for Nursing Program -
San Jacinto College
Coding Course -
PMI