April Riggs
Colorado Springs,CO
Summary
Experienced Revenue Cycle Expert with a solid history of medical billing for over 30 years. Highly motivated self-starter with exceptional organizational abilities and conflict resolution specialist.
Overview
5
5
years of professional experience
Work History
Billing Specialist
WovenCare
07.2024 - 11.2024
- Identified, researched, and resolved billing variances to maintain system accuracy and reduce Insurance denials by 60%.
- Review insurance contracts and worked with network management to insurance correct in network claim processing.
- Handled account payments and provided information regarding outstanding balances.
- Prepared itemized statements, bills, set up monthly payment plans for families.
- Collaborated with customers to resolve disputes.
Billing Account Manager
Rethink First
04.2022 - 07.2024
- Billing Account Manager-Rethink
- Investigate and follow up on claim status for appeals/reconsideration's, analyze claim denials to identify root cause and trends, reducing outstanding AR by 35%.
- Oversee Quality Assurance on claims for weekly submission to insurance payors,
- Conduct meetings to discuss health of account and trends and patterns, monitor.
- Record payments, refunds and prepare patient statements
Medical Billing Specialist
Hopebridge Autism Therapy
09.2021 - 04.2022
- Medical Billing Specialist-Autism in Motion
- Communicate effectively with patient, insurance and providers regarding billing inquiries and discrepancies, Utilize Quick Books or similar software for financial transactions and record keeping,
- Prepare patient statements and ensure patient confidentiality by adhering to HIPAA regulations
- Identified and resolved patient billing and payment issues
Assistant Director Revenue Cycle Management
ABA Billing And Insurance Services
01.2020 - 09.2021
- Provide leadership to team for support by conducting various meetings to discuss trends and patterns to ensure company goals were met,
- Collaborate with Director to address and resolve key issues identified
- Conduct audits on multiple accounts for compliance and provide training/mentoring opportunities.
- Established team priorities, maintained schedules and monitored performance, over team of 15 people and 30 accounts.
- Recruited, interviewed and hired employees and implemented mentoring program to promote positive feedback and engagement.
Education
Certificate - AI In Medical Billing And Coding
AAPC
Salt Lake City, UT12.2024
Certificate - CPCO Compliance Officer Course
AAPC
Salt Lake City, UT04.2024
Certification - Behavioral Health Coding
AAPC
Salt Lake City, UT01.2024
Certificate - Explanation of Benefits (EOB)
American Medical Billing Association
Oklahoma City, OK12.2023
Certificate - Chiropractic 101 Course
American Medical Billing Association
Oklahoma City, OK01.2022
Certificate - Certified Professional Biller
American Association of Professional Coders
Salt Lake City, UT07.2021
Certificate - Certified Medical Reimbursement Specialist
American Medical Billing Association
Utah12.2018
Certificate - Appeals And Denials
American Medical Billing Association
Davis, OK12.2018
Certificate - Billing And Coding Specialist
Penn Foster Career School
Scranton, PA2017
High School Diploma -
Woodland Park High School
Woodland Park, CO05.1984
Skills
- Compliance, Leadership, Quality Assurance, Medical Terminology, ABA Expert, Authorizations, Patient
Account Specialist, Eligibility & Authorizations, Customer Service
- Revenue Cycle Management
Timeline
Billing Specialist
WovenCare
07.2024 - 11.2024
Billing Account Manager
Rethink First
04.2022 - 07.2024
Medical Billing Specialist
Hopebridge Autism Therapy
09.2021 - 04.2022
Assistant Director Revenue Cycle Management
ABA Billing And Insurance Services
01.2020 - 09.2021
Certificate - AI In Medical Billing And Coding
AAPC
Certificate - CPCO Compliance Officer Course
AAPC
Certification - Behavioral Health Coding
AAPC
Certificate - Explanation of Benefits (EOB)
American Medical Billing Association
Certificate - Chiropractic 101 Course
American Medical Billing Association
Certificate - Certified Professional Biller
American Association of Professional Coders
Certificate - Certified Medical Reimbursement Specialist
American Medical Billing Association
Certificate - Appeals And Denials
American Medical Billing Association
Certificate - Billing And Coding Specialist
Penn Foster Career School
High School Diploma -
Woodland Park High School
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