Summary
Overview
Work History
Education
Skills
Timeline
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April Whitehead

Cincinnati,OH

Summary

Versatile professional serves as first point of contact for patients by verifying insurance, handling paperwork and preparing records. Patient-oriented and helpful candidate familiar with MS Office and EHR systems coupled with thorough knowledge of medical terminology. Committed to providing personalized service and quality patient care. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.

Overview

11
11
years of professional experience

Work History

Admissions Coordinator

Liberty Rehabilitation Hospital
06.2024 - Current
  • Confirmed all insurance benefits met standards of admissions as dictated by policy.
  • Optimized communication strategies between departments involved in the admissions process, fostering collaboration and efficiency.
  • Assisted in patient admission process based on federal and state laws.
  • Collaborated with admissions team to develop and implement strategies to improve admissions process.
  • Enhanced patient experience by providing compassionate assistance throughout the admissions process.
  • Maintained a high level of customer service with patients, families, and visitors by consistently displaying empathy, professionalism, and excellence in communication skills.

Pathology Admin

Phynet
12.2021 - 06.2024
  • Provide thorough research to verify insurance and benefits that patients have via online insurance portals and calling insurance companies.
  • Monitor pending cases closely, proactively following up on outstanding documentation needed for approvals of procedures ordered by our physicians.
  • Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
  • Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
  • Support pathologists'' research efforts by accurately compiling data, preparing slides, and documenting findings in a timely manner.
  • Facilitated seamless operations within the pathology department through proficient management of daily administrative tasks.

Lead Accounts Payable Specialist/Precertification Specialist

Mayfield Spine Surgery Center
02.2018 - 07.2021
  • Ensured accurate billing by carefully reviewing invoices before issuing them to client
  • Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
  • Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
  • Analyzed medical records and other documents to determine approval of requests for authorization.
  • Reached out to insurance carriers to obtain prior authorization for testing and procedures.
  • Responded to inquiries from healthcare providers regarding prior authorization requests.
  • Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
  • Verified eligibility and compliance with authorization requirements for service providers.
  • Maintained precise vendor records by verifying account information and updating contact details as necessary.
  • Negotiated favorable payment terms with key vendors, enhancing cash flow management strategies.

Patient Services Specialist

University Family Physicians
03.2014 - 01.2018
  • Contacted insurance company via insurance website or by telephone to verify patient coverage before each visit.
  • Obtained prior authorizations for medications prescribed to patients when needed.
  • Collected forms, insurance card and co-pay to facilitate registration process and prepare patient for appointment.
  • Thoroughly explained benefits, co-pays, co-insurance, deductibles, and OOP to patients based on their insurance plan.
  • Ensured paperwork for all tests and procedures contained prior authorizations.

Education

Diploma - Medical Billing And Coding

Bohecker College
Sharonville, OH
05.2008

Skills

  • Strong Communication Skills
  • Time management expertise
  • Patient confidentiality
  • File Organization
  • Organizational abilities
  • Healthcare Industry Familiarity
  • Document Management
  • Problem-Solving
  • Time Management
  • Insurance Authorizations
  • Data Entry

Timeline

Admissions Coordinator

Liberty Rehabilitation Hospital
06.2024 - Current

Pathology Admin

Phynet
12.2021 - 06.2024

Lead Accounts Payable Specialist/Precertification Specialist

Mayfield Spine Surgery Center
02.2018 - 07.2021

Patient Services Specialist

University Family Physicians
03.2014 - 01.2018

Diploma - Medical Billing And Coding

Bohecker College

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