April Griffin
Jacksonville,FL
Summary
Detail-oriented Compliance Specialist with expertise in customer relations and problem resolution. Skilled in regulatory compliance and investigative research, ensuring adherence to laws while resolving complex inquiries.
Overview
9
9
years of professional experience
Work History
Compliance Specialist
City of Jacksonville
Jacksonville, FL
05.2025 - Current
- Perform research using public records, computer databases, and telephone interviews to determine eligibility for property tax exemptions per Florida Statutes and assess applicable back taxes within delegated authority.
- Process legal documentation including Intent to Deny, Military Intent to Deny, Denials, and Liens.
- Conduct field investigations through taxpayer interviews, property inspections, and evidence collection.
- Prepare comprehensive investigative reports and photographic documentation.
- Resolved taxpayer inquiries while ensuring adherence to applicable laws and regulations, enhancing taxpayer understanding and compliance.
Insurance Follow-Up Specialist
Omega Healthcare
Boca Raton, FL
10.2023 - 05.2025
- Coordinated with healthcare providers and payers to ensure timely reimbursement for services rendered.
- Utilized billing software to track outstanding claims and monitor status updates effectively.
- Analyzed insurance claims to identify discrepancies and initiate follow-up actions for resolution.
- Researched and interpreted insurance policies to clarify coverage details for patients and providers.
- Managed follow-up on outstanding insurance claims to enhance revenue cycle efficiency.
Outsourced Operations Representative
T2 Flex Force LLC
Torrance, CA
09.2021 - 10.2023
- Verified insurance eligibility and collected demographic and insurance information using EPIC EMR System
- Managed approximately 150 incoming calls in a high-volume setting per day from patient while maintaining HIPAA compliance.
- Educated patients on registration requirements and financial responsibilities to ensure compliance and understanding.
- Collected payments while maintaining accurate documentation to support financial processes.
Botox Coordinator
Southeast Neurological Specialists
Tallahassee, FL
08.2020 - 09.2021
- Coordinated Botox prior authorizations and managed specialty pharmacy deliveries to ensure timely patient access to treatment.
- Verified insurance eligibility and secured prior authorizations to facilitate uninterrupted patient care.
- Coordinated communication between providers, pharmacies, and patients.
- Scheduled patient appointments using Athena and EMDs.
- Updated patient demographics and insurance information.
- Facilitated communication between providers, pharmacies, and patients to streamline care coordination and address inquiries.
Patient Account Coordinator II
Tallahassee Memorial HealthCare
Tallahassee, FL
03.2020 - 08.2020
- Coordinated insurance verification processes, improving accuracy in billing and reimbursement.
- Collaborated with clinical staff to resolve billing discrepancies, ensuring seamless patient experiences.
- Streamlined patient registration workflows, reducing wait times and enhancing efficiency.
- Managed patient account inquiries to ensure timely resolution and enhance customer satisfaction.
Patient Account Specialist
Tallahassee Memorial HealthCare
Tallahassee, FL
05.2019 - 03.2020
- Explained financial responsibilities to patients and obtained all necessary documentation for processing.
- Coordinated communication between surgical teams and patient families to ensure clear understanding of procedures and expectations.
- Maintained accurate electronic medical records and scheduling documentation to support efficient patient care.
Regulatory Specialist II
Florida Department of Agriculture and Consumer Services
Tallahassee, FL
05.2018 - 12.2018
- Reviewed concealed weapon license applications to ensure compliance with state and federal regulations, supporting licensing integrity for issuance per 790.06 Florida Statute.
- Conducted eligibility research and case reviews to assess compliance and inform licensing decisions.
- Prepared legal correspondence regarding licensing decisions to clarify regulatory requirements and communicate outcomes.
- Performed written correspondence that enforces a decision to deny licensure or to suspend the process of an application for licensure per federal and state laws, legal opinions, rules, and policies
- Maintained records using Oracle and Reflections.
Compliance Officer
Florida Department of Agriculture and Consumer Services
Tallahassee, FL
11.2017 - 05.2018
- Received, examined, and analyzed applications, fees, fingerprint cards, training documents and other
related information to determine compliance with Florida Statute 790.06, federal laws and regulations
to issue concealed weapon licenses to applicants
● Reviewed scanned documents to ensure legibility
● Reviewed reports and fingerprint analyses for processing purposes
● Determined if an incomplete application requires a rejection or denial letter
● Composed correspondence in response to questions, problems, or status inquiries from applicants
● Performed appropriate data entry transactions to maintain record and statics into Oracle, License
Manager and Reflections
● Provided applicant's personal guidance regarding the application process.
Education
GED -
Adult Community Education
Tallahassee03-2016
Skills
- Regulatory Compliance
- Policy Interpretation
- Data management
- Report writing
- Medical billing
- Compliance Auditing
- Data entry proficiency
- Problem Resolution
- Healthcare compliance
- Analytical skills
- Account Management
Timeline
Compliance Specialist
City of Jacksonville
05.2025 - Current
Insurance Follow-Up Specialist
Omega Healthcare
10.2023 - 05.2025
Outsourced Operations Representative
T2 Flex Force LLC
09.2021 - 10.2023
Botox Coordinator
Southeast Neurological Specialists
08.2020 - 09.2021
Patient Account Coordinator II
Tallahassee Memorial HealthCare
03.2020 - 08.2020
Patient Account Specialist
Tallahassee Memorial HealthCare
05.2019 - 03.2020
Regulatory Specialist II
Florida Department of Agriculture and Consumer Services
05.2018 - 12.2018
Compliance Officer
Florida Department of Agriculture and Consumer Services
11.2017 - 05.2018
GED -
Adult Community Education
Additional Professional Experience
Data Processing Control Specialist
Florida Department of Agriculture and Consumer Services | 2016–2017
OPS Senior Clerk
Florida Department of Agriculture and Consumer Services | 2016
Interviewing Clerk
Leon County Health Department | 2016
Health Support Aide
Leon County Health Department | 2008–2016
Direct Support Staff
Sunrise Community | 2011–2016