April Lindsay

• Analyze and consolidate data from multiple sources to improve denial management, identify payer trends, and drive revenue cycle process improvements.

• Create executive dashboards and KPI reports to support revenue forecasting, operational visibility, and performance monitoring.

• Develop automated reporting solutions that improve data accuracy, transparency, and efficiency across revenue operations.

• Collaborate with leadership to implement strategies that reduce write-offs, improve reimbursement, and optimize financial performance.

• Provide data-driven insights and recommendations to enhance overall revenue cycle efficiency and operational decision-making.

• Analyze and validate CPT and ICD-10 coding data to identify billing trends, reduce claim errors, support revenue integrity, and improve reimbursement outcomes.

• Processed prior authorizations and insurance claims in compliance with payer guidelines, ensuring timely approvals and payments.
• Liaised with providers, pharmacies, and insurers to resolve claim delays and reimbursement issues.
• Identified recurring payer challenges and recommended process changes that improved turnaround times.
• Maintained up-to-date documentation to support audits and payer reviews.
• Contributed to faster claims resolution by implementing consistent tracking methods.

• Managed financial reporting, KPI tracking, and data analysis to support leadership decisions.
• Utilized SQL and Excel for trend analysis and forecasting, improving reporting efficiency and accuracy.
• Coordinated cross-departmental projects using Agile principles to streamline workflows and ensure timely deliverables.
• Developed actionable insights from large datasets to inform strategic planning.
• Presented reports to senior leadership summarizing operational trends and recommendations.

• Resolve issues efficiently by collaborating with staff, members, providers, and pharmacies to ensure timely solutions.
• Handle member inquiries regarding co-pays, deductibles, and co-insurance, providing clear, accurate information.
• Document and report critical information to supervisors, ensuring smooth communication and accurate record-keeping.
• Utilize multiple company databases to access and update member information, ensuring data accuracy and accessibility.
• Foster professional relationships within the team, facilitating quick resolutions to various issues and promoting collaboration.

• Provide actionable feedback to leadership and collaborate with Project Director, Managers, and Supervisors to identify and address education/training needs, including preparing summaries and presentations as needed.
• Actively contribute to the quality improvement process by identifying areas for enhancement and supporting team initiatives.
• Assist the Eligibility team with processing cases, ensuring accuracy and timely completion in line with organizational goals.
• Conduct thorough grievance and complaint investigations, documenting findings and resolving issues in accordance with established policies and procedures.
• Review applicant data in adherence to guidelines to determine eligibility for economic assistance, ensuring compliance with regulatory requirements.