April L. Daniels
Philadelphia,PA
Summary
Dedicated medical receptionist and biller with over 20 years of experience in dynamic healthcare environments. Adept at managing confidential paperwork while delivering exceptional patient care. Proven track record of reliability and building strong relationships with patients, families, and colleagues, fostering a supportive and efficient atmosphere. Committed to providing empathetic, patient-centered care that prioritizes individual needs. Highly trustworthy professional with extensive experience across various medical settings, ensuring seamless operations and high standards of service.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Revenue Cycle Department
ABINGTON/JEFFERSON HEALTH
01.2022 - Current
- Reviews/resolves rejected claims or problems with third party billing including rejection/edit work Ques.
- Remains current on payer plan changes and updates as well as websites used to verify patient eligibility
- Reviews/resolves rejected claims or problems with third party billing including rejection/edit work Ques
- Research and input correct Diagnosis, CPT codes for billing & ICD-10 codes
- Managed time efficiently in order to complete all tasks within deadlines.
- Paid attention to detail while completing assignments.
- Developed and maintained courteous and effective working relationships.
Receptionist/Office Biller
ABINGTON/JEFFERSON HEALTH
05.2000 - 01.2022
- Schedule/Register Appointments via EPIC
- Coordinate and schedule specialty appointments (concussions)
- Register and Bill Insurance accurately
- Verify eligibility and benefits
- Generate HMO referrals as requested
- Answer incoming calls promptly and courteously.
- Maintain and protect the patient’s confidentiality in accordance with the Health Insurance Portability and Accountability Act (HIPAA) regulations.
- Scan necessary documentation into Patient Record
- Authorize and precert IUDs and knee injections through insurance companies.
- Post charges and payments in EPIC to ensure that appropriate payments are received.
- Reconciles the end-of-day sheet and total monies collected to ensure that data collection and statistical information are accurate.
- Prepare and assist with daily deposits
- Coordinate and input ER doctors into the daily schedule using EPIC.
- Answered multi-line phone system, directing calls to appropriate personnel promptly.
- Assisted in onboarding new staff members, providing training on office protocols and procedures.
- Provided exceptional customer service, addressing patient inquiries and concerns effectively.
- Collaborated with medical staff to ensure seamless coordination of patient care services.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Patient Service Representative
CHILDRENS HOSPITAL OF PHILADELPHIA
01.2020 - 12.2020
- Responsible for promptly and positively greeting patients and families, while assuring an efficient check-in process and telephone encounters; all according to pre-established practice guidelines.
- Verifying accurately entering essential patient information into the hospital registration and scheduling system
- Reconciliation of daily services to include collection and processing of payments received, schedule follow-up appointments
- Answering telephones, daily maintenance voicemail retrieval and accurate message transcription and follow through, distribution of mail, and clerical duties as assigned.
- Daily maintenance of patient records and provider schedules while following HIPPA guidelines
Education
High School Diploma - Medical Billing/Terminology
MANOR JUNIOR COLLEGE OF PHILADELPHIA
PHILADELPHIA, PA01.2013
DIPLOMA - undefined
NORTHEAST HIGH SCHOOL
PHILADELPHIA, PA06.1994
Skills
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Active listening
Certification
- CPR Certification for health care providers
- Issued by American Heart Association 11/2017- renewed 11/2021
Timeline
Revenue Cycle Department
ABINGTON/JEFFERSON HEALTH
01.2022 - Current
Patient Service Representative
CHILDRENS HOSPITAL OF PHILADELPHIA
01.2020 - 12.2020
Receptionist/Office Biller
ABINGTON/JEFFERSON HEALTH
05.2000 - 01.2022
DIPLOMA - undefined
NORTHEAST HIGH SCHOOL
High School Diploma - Medical Billing/Terminology
MANOR JUNIOR COLLEGE OF PHILADELPHIA