Chelsey Aprile, CPC
Hopkinton,MA
Summary
Certified professional coder, with expertise in billing, insurance verification, and prior authorizations. Proven ability to streamline workflows and enhance team collaboration for improved patient care.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Billing Coordinator
Tufts Medicine, Heart Center of MetroWest
Framingham, Massachusetts
06.2024 - Current
- Developed workflows for obtaining and entering insurance referrals.
- Processed prior authorization requests for various medical services and procedures.
- Served as primary contact for insurance, billing, referral, and prior authorization inquiries.
- Verified patient eligibility and coverage details, ensuring accurate payment information.
- Utilized electronic billing systems to process medical claims efficiently.
Practice Coordinator
Milford Regional Physician Group, Caring for Women
Milford, MA
05.2023 - 03.2024
- Checked in and greeted patients.
- Verified insurance information and eligibility.
- Scheduled office and telehealth appointments.
- Scheduled C-sections at main hospital.
- Answered multiline phone system, addressing inquiries promptly.
- Processed patient referrals.
- Created a workflow for tracking and ordering IUDs.
- Served as EPIC super user, providing training and support to staff.
Senior Medical Opinion Ally
ConsumerMedical, an Alight Company
Norwell, Massachusetts
03.2019 - 12.2022
- In-person expert opinion: Provided physician credentialing and lists of top physicians that met client needs.
- Remote expert opinion: Assisted in collecting patient medical records. Acted as the point person between nurses, physicians, and the clinical care team. Coordinated peer review of medical reports.
- Behavioral health liaison: Acted as the point person on the team for all behavioral health requests, and assisted in training all team members and the nursing team.
- Offered support to help participants better understand their medical conditions and treatment options
- Other: Education Chairwoman for diversity & inclusion committee.
Mental Health Technician
The Willough at Naples
Naples, Florida
04.2018 - 03.2019
- Delivered direct client care while supporting nursing and clinical staff.
- Facilitated crisis support and intervention to address urgent needs.
- Processed patient admissions and discharges efficiently.
- Created a therapeutic environment for adults receiving services.
Education
High School Diploma -
Pembroke High School:
Pembroke, MASkills
- Medical coding and billing
- CPT
- ICD-10
- Insurance Verification & Eligibility
- Prior Authorizations
- Peer review
- Medical terminology
- HIPAA compliance
- EMR software proficiency
- Data entry
- Medical chart management
- Verbal and written communication
- Problem solving
- Critical thinking
- Multitasking ability
- Team collaboration
- Organizational skills
- Attention to detail
Certification
Certified Professional Coder (CPC)- AAPC
Timeline
Billing Coordinator
Tufts Medicine, Heart Center of MetroWest
06.2024 - Current
Practice Coordinator
Milford Regional Physician Group, Caring for Women
05.2023 - 03.2024
Senior Medical Opinion Ally
ConsumerMedical, an Alight Company
03.2019 - 12.2022
Mental Health Technician
The Willough at Naples
04.2018 - 03.2019
High School Diploma -
Pembroke High School: