APRIL THRASH
Detroit,MI
Summary
With 16+ years of experience in the healthcare industry, I bring extensive knowledge and expertise. My investigative nature and strong decision-making skills have led to success in various roles. Proficient in medical terminology, pre-certification processes, insurance claims, and eligibility verification. Expert in CareAdvance, Content Manager, Web DENIS, Finesse, and Microsoft Office Suite. Proficient in Availity and familiar with Oracle. Strong analytical and problem-solving skills to tackle challenges. Exceptional communication skills for effective collaboration and patient service. Open to relocation for further contributions to the healthcare industry.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Henry Ford Hospital
09.2024 - Current
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Developed strong product knowledge to provide informed recommendations based on individual customer needs.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
- Maintained detailed records of customer interactions, ensuring proper follow-up and resolution of issues.
- Collaborated with team members to develop best practices for consistent customer service delivery.
- Exceeded performance metrics consistently, earning recognition as a top performer within the team.
- Improved resolution time with effective problem-solving for customer complaints.
Patient Service Representative/Medical Assistant
Entech Medical Staffing
12.2022 - 09.2024
- Greeting and aiding customers in obtaining needed services within the office
- Scheduling patients for appointments
- Receiving and responding to patients' requests for medications
- Confirming accuracy of billing requests
- Setting up patients' accurate information
- Collecting payments
- Assists with necessary paperwork
- Facilitate efficient patient flow through the office
- Accurate and proper billing for services
- Applying excellent organizational skills
- Maintaining HIPAA law with patient records
- Complete blood draws and take accurate vitals
- Prepare examination rooms before Physician enters
- Health insurance appeals experience
- Crafting letters-strong written, proofreading and editing skills
Medical Receptionist
Metro Detroit Cardiovascular Associates
10.2023 - 02.2024
- Calling and confirming patients' appointments
- Setting up patient testing for procedures
- Prep charts for the clinic week
- Call patients for appointment reminders
- Answer patients' requests for appointments
- Schedule for procedures in the office/hospital
- All Medical Record Requests
- Do chart review for insurance companies for onsite chart review
- Call in medications for patients
- Familiarity with Medicare Advantage
- Collect patient's copay
- Check patients in and out
- Talk to Drug Reps about prior authorization forms when needed
Precertification Specialist
Bartech (Contract to BCBS)
12.2017 - 10.2022
- Received, triaged, and processed incoming requests for inpatient admissions
- Excelled in efficiency, accuracy, and attention to detail
- Consistently exceeded expectations in productivity, quality, and error rates
- Received and interpreted chart documentation to ensure the patient meets medical guidelines
- Emphasis on correct and prompt completion of case entry and following proper procedural guidelines
- Received and responded to incoming calls regarding pre-certification requests, pending authorizations, and department procedures
- Emphasis on efficient handling, professional communication, and accurate information delivery
- Adept at diffusing irate callers and escalating issues as appropriate
- Prioritized incoming authorization requests according to urgency
- Research/Data Entry experience
- Call Center Experience
- Decision making with insurance appeals
- Confirmed accuracy of CPT and ICD-10 diagnoses in the procedure order
- Performed as directed, routine and special periodic quality monitoring of assigned sections
- Acted as subject matter expert for team questions
- Assisted in the precepting/training of employees on benefits, policies, and procedures in the assigned area
- Assisted in the review and documentation of departmental procedures
- Developed and improved workflows and business processes within defined areas to improve customer service, decrease operational costs and improve overall quality
- Obtained authorization via payer website or by phone and follow up pending cases
- Contacted facilities to discuss authorization status
- Contributed as engaged member of regional senior leadership team
- Supported regional business unit leader(s) in business needs, fast turnaround data analysis, preparing for business reviews, etc
- Managed and executed strategic projects and transformational business initiatives (including acquisition targets)
- Facilitated and manages development and implementation of corporate, business, or functional strategy
- Followed up on calls received on the Urgent Care Nurse Line
- Prepared all reports as assigned
- Documented and communicated project concepts, milestones, and results
- Familiarity with CMS regulations
- Participated in systems testing, developed procedures/controls and provided recommendations for the ongoing improvement of the updated process
Medical Receptionist
Ark Cardiovascular Institute
08.2016 - 11.2017
- Submitted medical claims to insurance companies and payers within 48 hours of receipt
- Monitored payments/ follow up with patients when payment lapses occur
- Accurately applied payments to patient accounts
- Processed monthly patient statements
- Prepared patient documents for transplant
- Insured accuracy of insurance claims/Verified ICD10 and CPT codes for a variety of specialties
- Posted and reconciled insurance/patient payments
- Resubmitted insurance claims, as necessary
- Set up new patient accounts
Medical Assistant
Employer Name (Contract to St. John Providence/Newland Medical)
04.2014 - 02.2016
- Processed authorizations and authorized surgical boarding
- Recorded patient vital signs/Collected lab specimens
- Removed PICC lines/Flushed med ports
- Performed phlebotomy on patients with hemochromatosis
- Gave vaccines/injections
- Drew blood work/put in lab orders
- Called in patient prescriptions/wound care
- Prepped patients for Infectious Disease Clinic
Medical Assistant
Heart & Vascular Institute
04.2009 - 10.2012
- Prepared and administered medications for patients as directed by physicians
- Ensured compliance with all health care regulations including HIPAA and OSHA
- Delivered compassionate support, attention, assistance, to patients and families
- Called Drug Representatives to supply the facility with necessary medications
- Prepared treatment rooms for clinical examinations and assisted practitioners with medical procedures and other medical care
- Coordinated the daily administrative activities, including scheduling appointments, patient check-in and check-out, and patient record maintenance
- Obtained and recorded patient medical histories, vitals, and test results, and other medical information while maintaining record confidentiality
- Prepared medical charts and tests for the Physicians
- Ordered testing procedures, scheduled catheterization procedures, and other medical testing needed by the physicians
- Called patients regarding testing, medication, and clinical record information update
- Called medications for patients to the Pharmacy
Education
Bachelor Degree - Nursing
Arizona College of Nursing
Southfield, MI04-2026
Certificate - Medical Billing and Coding
Bryan University
Tempe, Arizona06.2023
Associate in Science degree -
Wayne County Community College District
Detroit, MI06.2021
Diploma - Medical Assisting
Everest Institute
Detroit, MI05.2008
Skills
- Medical Receptionist
- Documentation Review
- Content Management
- Experience Administering Injections
- Medical Scheduling
- Laboratory Experience
- Medical Records
- CPT Coding
- EMR Systems
- ICD-10
- Insurance Verification
- HIPAA
- Medical Terminology
- Venipuncture
- Epic
- Proofreading
- Medical Coding
- Medical Billing
- Web Services
- Medical Office Experience
- Triage
- Analysis Skills
- Microsoft SharePoint
- Clinic
- Communication skills
- Organizational skills
- Customer service
- Intake
- Administrative experience
- Vital signs
- Microsoft Office
- Office experience
- Leadership
- Typing
- Front desk
- Clerical experience
- Guest services
- Windows
- Hospital experience
- Computer skills
- Patient monitoring
- ICD-9
- Kronos
- SharePoint
- Cash register
- Schedule management
- Research
- Quality control
- Content management systems
- Nursing
- Workday
- Java
- Oracle
- Analytics
- Teaching
- Clinical research
- System testing
- Restaurant experience
- Bookkeeping
- Negotiation
- Order entry
- Records management
- Oracle HCM
- Driving
- Databases
- Hospitality
- Data collection
- Phlebotomy
- Medical administrative support
- Multi-line phone systems
- Microsoft Excel
- Client Relations
- Computer Proficiency
- Conflict Resolution
- Call Center Operations
- Call Management
- Paperwork Processing
- Data Collection
- De-Escalation Techniques
- Assertiveness
Certification
- Medical Billing Certification
- CPR Certification
- BLS Certification
- Certified Medical Assistant
- Driver's License
Timeline
Customer Service Representative
Henry Ford Hospital
09.2024 - Current
Medical Receptionist
Metro Detroit Cardiovascular Associates
10.2023 - 02.2024
Patient Service Representative/Medical Assistant
Entech Medical Staffing
12.2022 - 09.2024
Precertification Specialist
Bartech (Contract to BCBS)
12.2017 - 10.2022
Medical Receptionist
Ark Cardiovascular Institute
08.2016 - 11.2017
Medical Assistant
Employer Name (Contract to St. John Providence/Newland Medical)
04.2014 - 02.2016
Medical Assistant
Heart & Vascular Institute
04.2009 - 10.2012
Certificate - Medical Billing and Coding
Bryan University
Associate in Science degree -
Wayne County Community College District
Diploma - Medical Assisting
Everest Institute
- Medical Billing Certification
- CPR Certification
- BLS Certification
- Certified Medical Assistant
- Driver's License
Bachelor Degree - Nursing
Arizona College of Nursing
Similar Profiles
Bosra YeasminBosra Yeasmin
Intern at Henry Ford HospitalIntern at Henry Ford Hospital
Adriane Sean BrillantesAdriane Sean Brillantes
Assistant Clinical Nurse Manager (7 EAST) at Henry Ford Hospital WarrenAssistant Clinical Nurse Manager (7 EAST) at Henry Ford Hospital Warren
Camillya LewisCamillya Lewis
Certified Sterile Processing Technician at Henry Ford HospitalCertified Sterile Processing Technician at Henry Ford Hospital