April McGuin
Summary
Dynamic individual with hands-on experience in claims investigation as well as medical billing & coding with a talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Claims Investigator
Saia Motor Frieght
01.2018 - Current
- Investigates and assesses carrier liability for low-value cargo loss and damage claims according to company guidelines.
- Reviews claim forms and documentation for accuracy, obtaining missing information from customers and terminals as needed.
- Maintains company's compliance with industry regulations by adhering to guidelines through the course of investigations.
- Improve customer satisfaction rates by providing clear explanation of claims decisions and professionally addressing concerns.
- Identifies shipments requiring inspections and coordinates with external agencies.
- Provides backup support to cargo claims associate staff.
Medical Biller and Coder
Terrebonne General Medical Center
01.2016 - 11.2018
- Collected, posted, and managed patient account payments, and prepared and submitted claim forms to insurance companies and other third-party payers.
- Provided administrative support to physicians and interpreted medical reports and data to assign ICD-9 and ICD-10 codes; entered diagnosis codes and patient information into billing software.
- Updated and managed diagnosis list, coordinated routine documentation and coding audits, and executed qualitative analyses of discharged charges.
- Performed insurance verification, pre-certification, and pre-authorization.
- Reviewed and validated accuracy of charges, including dates of service, services provided, location, patient identification, and provider signature.
Administrative Assistant Clerk
Leonard J Chabert Medical Center
08.2010 - 12.2016
- Collected personal information from patients and entered into system to ensure updated and accurate patient records.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Delivered excellent customer service through prompt responses to client inquiries, addressing concerns effectively, and building strong relationships.
- Identified and recommended changes to existing processes to improve accuracy, efficiency, and quality service.
Education
High School Diploma -
H. L. Bourgeois High
Gray, LA 05-2006
Skills
- Claim analysis
- Investigative techniques
- Data Entry
- Problem - Solving
- Customer Relations
- Microsoft Office Suite
Certification
Technical Certificate - Medical Billing and Coding
Timeline
Claims Investigator
Saia Motor Frieght
01.2018 - Current
Medical Biller and Coder
Terrebonne General Medical Center
01.2016 - 11.2018
Administrative Assistant Clerk
Leonard J Chabert Medical Center
08.2010 - 12.2016
High School Diploma -
H. L. Bourgeois High
Similar Profiles
Karen LopezKaren Lopez
Proactive Representative at Saia Motor FreightProactive Representative at Saia Motor Freight
Andre EvansAndre Evans
Driver, Warehouse Orders at Saia Motor FreightDriver, Warehouse Orders at Saia Motor Freight
CHARLES TARINCHARLES TARIN
Operations Manager at Saia Motor FreightOperations Manager at Saia Motor Freight