Summary
Overview
Work History
Education
Skills
Timeline
Generic

April Rider

Dubuque

Summary


Knowledgeable claims analyst with solid background in financial services leadership. Proven ability to develop and implement strategic initiatives that enhance operational efficiency and client satisfaction. Demonstrated expertise in risk management and team leadership, consistently driving results and fostering collaborative environments.

Overview

23
23
years of professional experience

Work History

Patient Financial Services Lead

Exact Sciences Laboratories
04.2019 - Current
  • Collaborate with team leadership and support the day-to-day operations and workflow management. Compose and provide a monthly review of individual metrics and monitor daily team performance. Monitor the process of timely and accurate claims processing to maintain established turn around times. Process and review claims in work queues when needed or assigned. Perform project-based work, both independently and group based. Coach, mentor, and engage team members to increase overall performance. Complete the weekly team work assignment schedule. Actively contribute to the process improvement process. Perform routine audits of team members work as instructed by leadership. Utilize analytical skills and possess the ability to understand business processes as they apply to our daily workload.

Revenue Cycle Associate

Exact Sciences Laboratories
04.2019 - 01.2020
  • Verify patient eligibility for claims requiring follow up. Update discrepancies found regarding patient demographics and insurance coverage. Research and correct any errors, rejections and denials related to the claim’s submittal process. Process resubmissions and appeal letters for denied claims. Submittal of write-off requests based on uncollectable payments. Complete work in a timely manner while adhering to deadlines given for normal workflow as well as special projects. Identify any issues with payors, billing or reimbursement and communicate as well as provide examples to Leadership. Provide support to team members and Leadership as assigned. Stay current with insurance guidelines and billing practices.

Billing Specialist

Acadia Healthcare
04.2018 - 01.2019
  • Duties include posting payments from multiple insurance companies and making sure that accounts balance after payments are posted. Accounts Receivable duties include reviewing spreadsheets with outstanding balances and calling insurance companies for resolution. Billed WI Medicaid for medications through the Forward Health Portal. Work on three different billing systems daily to complete billing payment posting duties.

Financial Coordinator

Dental Health Associates
03.2005 - 01.2018
  • Financial Coordinator for the Downtown Clinic, East Clinic, and Endodontic Clinics. Responsible for creating insurance estimates plans for all patients with upcoming appointments at three of our clinic locations. As well as reviewing treatment plans with patients. Responsible for providing insurance benefit information to clinic staff and doctors. Daily interaction with patients via written and phone communication regarding insurance benefits and financial responsibilities. In addition, schedule and provide customer service to new and established patients. Provided a variety of administrative duties such as the onboarding and training of new employees. Managed AR report, posted patient cash, check and credit card payments and completed the daily deposit. Reviewed payment history to determine eligibility for payment plans. Processed credit applications for financing.
  • Manager Duties
  • Selected to be the first employee in the Supervisor Training Program. Duties included (in addition to my normal job duties): Organized daily workflow and ensured that employees understood duties or delegated tasks. Set performance goals and monitored employee productivity. Provided constructive feedback and coaching at scheduled 1:1 during performance reviews. Attended leadership meetings when required. Monitored employee work schedules, time off requests and payroll. Worked closely with my immediate Supervisor to ensure daily business was completed efficiently and accurately.

Special Billing Representative/Billing Account Representative

UW Medical Foundation
11.2002 - 03.2005
  • Duties included, monitoring a work queue, account research and payment posting and customer service inquiries. Negotiated payment plans and assisted in the determination of the ability to pay. Daily communication with insurance and third-party payors. Worked with third-party liability payors and special payors such as State Correctional facilities and UW Egg Donor Program.

Education

A.A. - Supervisory Management

Madison College
Madison, WI

A.A. - Paralegal Studies

ITT-Technical Institute
Madison, WI

Skills

  • Medical and Dental Insurance
  • Billing and Claims Processing
  • Accounts Receivable
  • Customer Satisfaction and Service
  • Professional Correspondence
  • Professional Communication

Timeline

Revenue Cycle Associate

Exact Sciences Laboratories
04.2019 - 01.2020

Patient Financial Services Lead

Exact Sciences Laboratories
04.2019 - Current

Billing Specialist

Acadia Healthcare
04.2018 - 01.2019

Financial Coordinator

Dental Health Associates
03.2005 - 01.2018

Special Billing Representative/Billing Account Representative

UW Medical Foundation
11.2002 - 03.2005

A.A. - Paralegal Studies

ITT-Technical Institute

A.A. - Supervisory Management

Madison College

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