Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Languages
Timeline
Generic

April Sprinkle

Midlothian,VA

Summary

Healthcare and eligibility professional with over 5 years of experience in processing sensitive information and maintaining accurate documentation. Graduate in Medical Billing and Coding with expertise in healthcare terminology, HIPAA compliance, and medical coding. Skilled in analyzing financial data, identifying discrepancies, and ensuring confidentiality across multiple systems.

Overview

1
1
Language
1
1
Certification
13
13
years of professional experience

Work History

Sr. Counselor-Enrollment/Eligibility Specialist

Maximus
05.2021 - Current

• Review and analyze detailed applicant information to determine eligibility for Medicaid and other assistance programs in accordance with applicable policies, regulations, and program requirements.

• Maintain current knowledge of laws, regulations, and policy changes affecting eligibility determinations and documentation requirements.

• Review financial, personal, and supporting information to ensure accuracy and completeness.

• Process a high-volume caseload while maintaining accuracy, confidentiality, and established deadlines.

• Enter, update, and maintain sensitive information across multiple computer systems and applications.

• Identify missing, inconsistent, or conflicting information and obtain clarification or additional documentation as needed.

• Handle confidential information in accordance with HIPAA requirements and professional standards.

• Conduct intake assessments and communicate with clients regarding application status and required information.

• Prioritize workload effectively while consistently meeting or exceeding productivity expectations.

• Complete a high volume of cases while maintaining accuracy and quality standards.

• Collaborate with team members to support consistent processes and efficient case management.

Warehouse Laborer/Ambassador

Amazon
02.2014 - 06.2021

• Consistently met productivity and accuracy goals in a fast-paced, high-volume environment.

• Reviewed orders and inventory information for accuracy and completeness.

• Documented quantities and maintained accurate inventory records.

• Inspected products to identify errors, defects, or discrepancies before shipment.

• Assisted with training new employees on procedures, quality standards, and productivity expectations.

• Supported daily operations and helped maintain an organized and efficient work environment.

• Supervised employees during assigned shifts and assisted with workflow coordination.

Education

Graduate Certificate - Medical Billing And Coding

Centura College
Midlothian, VA
06.2011

High School Diploma -

Monacan High School
Chesterfield, VA
05.2003

Skills

    Medicaid and Medicare Knowledge

    Healthcare documentation

    Regulatory compliance

    HIPAA Compliance

    Quality Assurance

    Data Management

    Information review

    Information assessment

    Information handling

    Microsoft Office and Outlook

    System Integration

    Workload Prioritization

Accomplishments

  • Achieved daily production by completing double amount of cases with accuracy and efficiency by end of day.
  • Supervised team of eight plus staff members.

Certification

  • Certified Medical Billing and Coding

Languages

English

Timeline

Sr. Counselor-Enrollment/Eligibility Specialist

Maximus
05.2021 - Current

Warehouse Laborer/Ambassador

Amazon
02.2014 - 06.2021

High School Diploma -

Monacan High School

Graduate Certificate - Medical Billing And Coding

Centura College
April Sprinkle