Open to opportunities

April Moore

@aprilmoore

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Experienced medical billing specialist dedicated to maximizing claim payments.

United States

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What I'm looking for

I am looking for a role that values accuracy and efficiency in billing, with opportunities for professional growth.

I am an experienced and dedicated medical billing professional with a strong track record in ensuring maximum payments through proficient claim billing. My career spans over a decade, during which I have honed my skills in various roles, including Accounts Receivable Specialist and Billing Specialist. I take pride in my ability to resolve billing issues and optimize patient services, ensuring that healthcare providers receive timely and accurate payments.

Throughout my career, I have worked in diverse healthcare settings, including private home care and cardiology practices. My experience includes researching and resolving incorrect payments, re-billing denied claims, and maintaining meticulous records of patient accounts. I am certified as a Billing and Coding Specialist and am well-versed in ICD-10-CM coding, payment processing, and insurance accounts receivable.

Experience

Work history, roles, and key accomplishments

Private Home Health Caregiver

Private Family

May 2021 - Present (4 years 3 months)

Provided optimal healthcare to an elderly patient in the comfort of her own home, monitoring vital signs and administering medications. Assisted the patient with various life activities including bathing, eating, and exercising, and reported any changes in mental or physical health.

Patient Care Vital Signs Record keeping

Accounts Receivable/AR Follow-up Specialist

Protocol Staffing Agency

Feb 2012 - Present (13 years 6 months)

Researched and resolved incorrect payments and non-payments of outstanding accounts, and reviewed and re-billed denied claims submitted through EDI and manually with 1500 CMS forms via IDX system. Researched EOB/Remittance advices, wrote appeals daily, and dispositioned each account according to outcome.

Accounts Receivable EDI IDX Remittances Appeals Navinet

Billing Specialist/AR Follow-up Specialist

PA Cardiology Associates

Sep 2009 - Present (15 years 11 months)

Reviewed, modified, and resolved rejected claims by assigning appropriate insurance carriers, and re-coded Medicare and Medicaid claims by assigning proper conditioning codes/ICD-9 procedure codes into the Accounts Receivable Billing system/PCN. Accurately applied payments to patient accounts, created patient account narratives daily, and wrote appeals as necessary.

Billing Medicare Medicaid Appeals Navinet

Boutique Owner

Moore Exclusive Designs

Jan 2002 - Present (23 years 7 months)

Planned and designed Couture Clothing for an established clientele base, and maintained inventory, company files, and accurate spending records. Scheduled and coordinated custom fittings, and received and posted payments daily to the company database.

Fashion Design Inventory Management Scheduling Payment Processing Customer Service