April Leiva
Melissa,TX
Summary
Highly versatile industry professional looking to secure a responsible career opportunity to fully utilize training and skills, while making a significant contribution to the success of the company. Dedicated to delivering positive customer experiences to promote loyalty and repeat business. Orchestrates optimal resource utilization to handle expected operational needs. Meticulous leader with sound judgment, good planning abilities and interpersonal communication strengths.
Overview
12
12
years of professional experience
Work History
Seasonal Floor Manager
Aetna Medicare
10.2024 - 01.2025
- Organized and communicated information, procedures, and resources to the team.
- Tracked enrollments and other key performance indicators.
- Provided team and individual coaching to improve the team performance.
- Maintained a team performance at a 24% conversion rate during AEP.
- Oversaw employee performance, corrected problems, and increased efficiency to maintain productivity targets.
- Coached employees and trained on methods for handling various aspects of sales, complicated issues, and difficult customers.
General Manager
Ekko Lounge
10.2022 - 08.2023
- Developed and implemented strategies to increase sales and profitability.
- Managed budget implementations, employee reviews, training, schedules, and contract negotiations.
- Ensured all health and safety standards are met.
- Maximized efficiency by coaching and mentoring personnel on management principles, industry practices, company procedures, and technology systems.
- Developed and maintained relationships with customers and suppliers through account development.
- Formulated policies and procedures to streamline operations.
- Provided strategic oversight of marketing and promotional campaigns to keep campaigns aligned with overall goals and objectives.
- Interacted well with customers to build connections and nurture relationships.
- Overseeing day-to-day operations
- Bookkeeping and managing payroll
- Effectively managed staff of 60+ people
Medical Billing Trainer, Scheduler, Receptionist
Eye Pieces Dallas
02.2021 - 01.2022
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Confirmed appointments, communicated with clients, and updated client records.
- Managed multiple tasks and met time-sensitive deadlines.
- Maintained confidentiality of information regarding clients and company.
- Assisted with onboarding new clients and securing paperwork completion.
- Restocked supplies and submitted purchase orders to maintain stock levels.
- Verified patient eligibility through insurance portals
- Prepared billing statements for patients and verified correct diagnostic coding.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
- Billing for all medical carriers including Aetna, Cigna, Blue Cross Blue Shield, United Health Care, and Medicare
General Manager
Mister Rich Night Club
12.2016 - 09.2019
- Managed budget implementations, employee reviews, training, schedules, and contract negotiations.
- Monitored financial performance, set budgets and controlled expenses to provide financial stability and long-term organizational growth.
- Drove year-over-year business growth while leading operations, strategic vision, and long-range planning.
- Implemented operational strategies and effectively built customer and employee loyalty.
- Analyzed market trends and competitor activities to create competitive advantages.
- Mitigated business risks by working closely with staff members and assessing performance.
- Assisted owner in designing and opening of Venue
- Built and maintained positive relationship with reps
- Knowledgeable on health, fire, and TABC laws in order to work with agents
Medical Billing Manager, Scheduler, Receptionist, Pretest Technician
Eye Pieces Dallas
06.2013 - 01.2016
- Verified patients eligibility for services through vision and medical insurance portals
- Continually strived to maintain high level of customer satisfaction
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Posted and adjusted payments from insurance companies.
- Precisely evaluated and verified benefits and eligibility.
- Filed and updated patient information and medical records.
- Resolved customer problems and complaints.
- Assisted Optometrist in performing diagnostic tests and procedures to identify accurate treatment for patients.
- Prepared and inspected medical equipment and instruments to manage wear and tear.
Education
Business Management
Texas A&M University - Commerce
Skills
- Cross-Functional Team Management
- Profit and Loss
- Team Development
- Exceptional Interpersonal Communication
- Resource Optimization
- Data Review
- Operations Management
- Client Relations
- Team Leadership
- Customer Experience
- Project Management
- Analytical Skills
- Highly Motivated
Timeline
Seasonal Floor Manager
Aetna Medicare
10.2024 - 01.2025
General Manager
Ekko Lounge
10.2022 - 08.2023
Medical Billing Trainer, Scheduler, Receptionist
Eye Pieces Dallas
02.2021 - 01.2022
General Manager
Mister Rich Night Club
12.2016 - 09.2019
Medical Billing Manager, Scheduler, Receptionist, Pretest Technician
Eye Pieces Dallas
06.2013 - 01.2016
Business Management
Texas A&M University - Commerce
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