April Boyce
@aprilboyce
Detail-oriented healthcare administration professional with 12 years of experience.
United StatesWhat I'm looking for
I am a highly skilled and detail-oriented healthcare administration professional with over 12 years of experience in insurance verification, prior authorization, reimbursement, and patient account services. My strong background in customer relations and financial account management has equipped me with the ability to manage complex healthcare documentation and ensure timely approvals and optimal coverage for patients.
Throughout my career, I have demonstrated my expertise in submitting referrals, processing appeals, and verifying eligibility. I excel in multitasking and thrive in fast-paced environments, consistently resolving complex issues with professionalism. My commitment to maintaining confidentiality and adhering to HIPAA standards has been a cornerstone of my work ethic, ensuring that I deliver clear and effective communication across multiple platforms.
Experience
Work history, roles, and key accomplishments
Premium Representative
Motion Picture Industry Pension & Health Plans
Feb 2023 - Present (2 years 3 months)
Processed premium payments including personal checks, cashier’s checks, and money orders. Managed refund requests, ensuring accuracy in all financial transactions and resolved account discrepancies.
Insurance Reimbursement Specialist
Advanced Bionics
Jul 2016 - Nov 2019 (3 years 4 months)
Submitted prior authorizations and referral requests for hearing-related surgeries and equipment. Conducted follow-up on pending authorizations and processed insurance appeals to secure reimbursement.
Eligibility Services Representative
IPC The Hospitalist Company
Feb 2014 - May 2015 (1 year 3 months)
Verified patient insurance coverage and benefits for inpatient services through direct payer contact. Reviewed and resubmitted denied claims, ensuring quota compliance and accuracy.
Benefit Coordinator
Southern California Orthopedic Institute
Dec 2013 - Jan 2014 (1 month)
Conducted surgery pricing and benefit investigations for orthopedic and spinal procedures. Submitted and tracked prior authorizations for surgeries and durable medical equipment (DME).
Education
Degrees, certifications, and relevant coursework
Modern Technology College
Certified Medical Biller/Coder, Medical Billing and Coding
Completed a comprehensive program in medical billing and coding. Gained expertise in ICD-9/HCPCS and CPT-4 coding, medical terminology, and electronic medical office procedures. Studied anatomy & physiology and computerized practice management.
Birmingham High School
Diploma, General Education
Obtained a high school diploma with a focus on general education. Developed foundational academic skills across various subjects. Prepared for further education and career opportunities.
Tech stack
Software and tools used professionally
Availability
Location
United StatesAuthorized to work in
Job categories
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