APRIL SHIELDS
LAS VEGAS,NV
Summary
Seasoned Medical Billing Lead known for high productivity and efficiency in task completion. Possess specialized skills in coding accuracy, claims processing, and compliance monitoring. Excel in communication, problem-solving, and team leadership, ensuring smooth billing operations and effective resolution of billing issues.
Overview
22
22
years of professional experience
Work History
Medical Billing Lead
Las Vegas Neurosurgical Institute
Las Vegas, NV
10.2023 - Current
- I am the lead in the billing department
- We handle full cycle billing for 7 providers
- I assist the practice manager with anything billing related including training, hiring, and making sure everything is flowing properly in the clinic
- The software we used is AdvancedMD.
Medical Billing Specialist
Southern Nevada Family Medicine
Las Vegas, NV
02.2022 - 10.2023
- I was the biller for a Family Practice with 4 providers
- Billing included posting charges, posting payments, working on denials, payer rejections from the clearinghouse, and working the AR
- I also did the credentialing providers and trained staff
- The PM system we use is Caretracker
- For EMR we use Amazing Charts.
Lead Accounts Receivable Specialist
Nevada Spine Clinic
Las Vegas, NV
03.2020 - 01.2022
- I was the lead in the billing department in the billing office
- As a billing lead I oversaw the Representatives and assisted in running the billing department
- I trained new staff, did the daily deposits, posted payments, and worked the AR
- Also, I handled all the credentialing for 12 providers
- The software used was Lytec.
Medical Biller
PIVANT LLC
Las Vegas, NV
09.2018 - 02.2020
- At Pivant we were the CBO for WHASN, a large group of Obstetrician/Gynecologists that practice in LasVegas, NV
- I was a biller and entered charges including office charges, office procedures, surgeries, and deliveries
- I also posted payments, worked denials, posted take backs, and worked the account receivable
- The PM system we used was Greenway Prime Suites.
Financial Input Coordinator
ABBEY DENTAL
Las Vegas, NV
04.2018 - 08.2018
- At Abbey Dental I entered financial information for patients that were applying for financing for dental work
- Also, by entering patient's treatments for any dental work that needed to be done
- Assisted treatment coordinators schedule appointments, collected money for treatment, finalized financing with 3rd party finance companies, and assisted the patients with any other questions or concerns about their treatment.
Medical Biller
MANAGEMENT SOLUTIONS
Las Vegas, NV
06.2014 - 04.2018
- At Management Solutions I was part of a billing company
- The billing company bills for over 100 Physicians in Las Vegas
- Personally, I took care of 10 different provider accounts
- I entered demographics, charges, submitted claims, sent patient statements, and followed-up on accounts and appealed claims when necessary
- When closing the month out, we balanced with the provider's bank statements
- Some of the specialties of physicians I billed for were Mental Health/Psychology, Oncology, Gastroenterology, Optical, Internal Medicine, OB/GYN and Rehabilitation
- The systems we used were Medical Manager, AdvancedMD, Prime Suite, and eClinical Works.
Manager of Medical Billing Services
FALCON HEALTHCARE
Las Vegas, NV
02.2013 - 06.2014
- At Falcon Healthcare I managed the billing department
- We billed for 12 different practices and the software used for billing were systems that integrated with the practice's EMR program
- The software systems I used were Aprima, Kareo, eClinical Works, and Office Ally
- Many of the clients were using Aprima
- I prepared all monthly reports and dealt directly with the clients on any concerns they have with billing
- We had monthly meetings with each provider/office manager and went over all billing numbers and questions
- I also did the daily tasks for the clients which included entering charges, submitting electronic and paper claims, posting payments, submitting patient statements, and dealing with patient calls
- The specialties we billed for were Internal Medicine, Cardiology, Rheumatology, General Surgery, Podiatric, and Ear, Nose & Throat, and Colon and Rectal Surgery.
Medical Biller
Management Solutions
Las Vegas, NV
04.2010 - 02.2013
- At Management Solutions I was part of a billing company
- The billing company billed for over 100 Physicians in Las Vegas
- Personally, I took care of 10 provider accounts
- I entered demographics, charges, submitted claims, sent statements, and followed-up on accounts and appeal claims when necessary
- When closing the month out, we all must balance with the providers' bank statements
- Some of the specialties of physicians I billed for were Mental Health/Psychology, Oncology, Gastroenterology, optical, Internal Medicine, and Rehabilitation
- The program that was used was Medical Manager.
Medical Biller/office Manager
WOMEN'S CANCER CENTER
Las Vegas, NV
08.2006 - 04.2010
- At the Women's Cancer Center there were 2 medical billers in the office
- The office was a 5 Doctor practice and they also had 2 Physician Assistants
- I entered all patient demographics, entered charges for office visits and surgeries, posted payments, worked denials, and worked AR
- The medical software we used was EClinical Works
- I also worked as an office manager and biller for an Ob/Gyn practice that was being managed by the Women's Cancer Center of Nevada
- While running the practice I also was handling the billing for this practice
- This is what my job consisted of from 8/2009 to 4/2010.While managing the practice, it included keeping up to date with all accounts payable and receivable, managing all employees, and handling payroll
- While doing the billing includes entering all charges, posting payments, working the A/R, and handling all patient financial issues as well
- The systems used in this practice are AdvancedMD and Digichart.
Medical Biller
NEVADA SURGERY & CANCER CARE
Las Vegas, NV
06.2005 - 08.2006
- At Nevada Surgery & Cancer Care I helped build a new 2 Doctor practice
- In doing that I did all aspects of billing including, adding demographics, posting charges, billing insurance companies and patients, and posting charges
- When first opening the practice, I did everything manually, from billing all insurance companies by using the HCFA 1500 and entering all information into a generic claim program (InstaClaim)
- I also entered all patient statements using MS Excel and entered all statement information manually
- The providers then purchased an EMR/PM system, and I helped with the transition and re- enter all the information that I had manually entered from the first 9 months
- The medical software I used was Greenway Intergy.
Medical Biller
WOMEN'S CANCER CENTER
Los Gatos, CA
03.2003 - 06.2005
- At the Women's Cancer Center I dealt with collections for 7 Doctors
- As a biller I entered charges for office visits and surgeries
- I worked on the AR, posted payments, and sent patient statements
- The program we used was On Staff
- Our doctors specialized in Gynecologic Oncology
- I helped relocate the billing office Las Vegas, NV from Los Gatos, CA
- The medical software I used at this job was Tiny Term also known as Prime Clinical.
Education
MT. PLEASANT HIGH SCHOOL
06.2000
Skills
- Medical billing
- CPT coding
- ICD-10
- EMR systems
- EHR systems
- Medical collection
- Insurance verification
- Practice management
- Analysis skills
- Accounts payable
- Accounts receivable
- Credentialing
- Organizational abilities
- Accounts receivable management
- Collections experience
- 10-Key Data Entry
- Billing and Invoicing
- Team leadership abilities
- Payment Processing
- Dispute Negotiation
References
References available upon request.
Timeline
Medical Billing Lead
Las Vegas Neurosurgical Institute
10.2023 - Current
Medical Billing Specialist
Southern Nevada Family Medicine
02.2022 - 10.2023
Lead Accounts Receivable Specialist
Nevada Spine Clinic
03.2020 - 01.2022
Medical Biller
PIVANT LLC
09.2018 - 02.2020
Financial Input Coordinator
ABBEY DENTAL
04.2018 - 08.2018
Medical Biller
MANAGEMENT SOLUTIONS
06.2014 - 04.2018
Manager of Medical Billing Services
FALCON HEALTHCARE
02.2013 - 06.2014
Medical Biller
Management Solutions
04.2010 - 02.2013
Medical Biller/office Manager
WOMEN'S CANCER CENTER
08.2006 - 04.2010
Medical Biller
NEVADA SURGERY & CANCER CARE
06.2005 - 08.2006
Medical Biller
WOMEN'S CANCER CENTER
03.2003 - 06.2005
MT. PLEASANT HIGH SCHOOL
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