April Campos Email & Phone Number

Los Angeles Metropolitan Area

• Manage reimbursement and access programs for Teva products in the Neuro Health and Mental health space across multiple locations.• Collaborated with healthcare professionals and office staff to navigate therapy PAs, appeals, and denials.• Developed partnerships with key stakeholders to improve patient access and affordability.

United States

• Seasoned consultant and Field Reimbursement Manager at Xcenda, adept at providing comprehensive assistance to provider offices in resolving intricate coverage and reimbursement challenges for patients. • Proven expertise in overseeing successful biologic injectable product launches, with a strong focus on Women's Health, Immunology, Rheumatology, Oncology, and Gastroenterology specialties. • Diligently managing the review process for grievances, appeals, and denials, ensuring thorough investigation and leveraging compliance expertise to achieve favorable outcomes.

Orange County, California Area

• Served as the Financial Coordinator for Pediatric Endocrinology, ensuring that all appeals were processed in compliance.• Maintained email resources, internal logs, and collaborated closely with supervisors and managers to facilitate smooth operations. • Engaged with insurance providers to gather information on eligibility, benefits, network status, and authorization.• Conducted thorough analysis of requests and accompanying documentation to determine coverage and approval, involving nurses for medical reviews as needed. • Managed a high volume of requests for prior authorizations, referrals, appeals; aided with Grievances within a specialty clinic-hospital-based setting. • Acted as a liaison between payers, clinic schedulers/medical support staff, medication manufacturers, and specialty pharmacies. • Accurately coded each diagnosis of service and procedures using ICD-10 and CPT codes to maintain precise documentation and billing standards.

United States

• Conducted intervention assessments of families and provided counseling services to individuals and groups affected by domestic abuse, offering support and guidance. • Responded to hotline calls, providing a compassionate and empathetic ear to victims of violence, and collaborated with other agencies to secure shelter and necessary resources for abuse victims. • Empowered and motivated victims to transition from a state of victimhood to survivorship, fostering self-confidence and assisting in the healing process.

• Effectively managed the authorization and referral process for Growth Hormone procedures, hormone therapy, and outpatient surgery, ensuring timely and accurate coordination of patient care. • Served as a patient advocate, advocating for patients in appeals and denials with various insurance companies. • Performed both front and back office duties, including efficiently scheduling and answering patients' appointments.• Verified insurance coverage and submitted prior authorizations, facilitating seamless reimbursement and minimizing delays.

Yorba Linda, California, United States

• Conducted efficient patient check-in procedures by verifying insurance coverage, updating demographic information, and collecting co-payments, ensuring accurate and up-to-date records. • Managed the scheduling and rescheduling of patients' appointments, including coordinating surgery schedules with contracted hospitals, ensuring optimal patient care coordination. • Provided training and education to new hires on medical office procedures, contributing to the smooth on-boarding process • Supported podiatrists, general surgeons, dermatologists, and plastic surgeons during minor procedures, demonstrating a strong understanding of sterile techniques and procedural support. • Utilized ICD-9 and CPT codes to accurately submit referrals, facilitating specialized care for patients.

Alhambra,Ca

• Collected and accurately coded health information, ensuring proper reimbursement, statistical analysis, and mandatory reporting for the County hospital or complex care facility. • Engaged in regular communication with hospitals or complex care facilities to obtain updates on patient status, facilitating the timely processing of claims and ensuring accurate information. • Reported collected information to Registered Nurses for final approval of claims, maintaining compliance with healthcare regulations and billing requirements. • Utilized designated computer-based coding systems to select appropriate diagnoses and procedures codes, ensuring accuracy and consistency in coding practices. • Collaborated with service providers to update the encounter form, facilitating accurate billing and reporting of services rendered. • Completed UB92 and other insurance claim forms as necessary, adhering to insurance guidelines and requirements. • Demonstrated proficiency in utilizing coding systems such as ICD-9-CM, CPT/HCPCS nomenclature, and Ambulatory Payment Classifications (APCs), ensuring accurate and standardized coding practices for optimal reimbursement and reporting.

Whittier,Ca

• Demonstrated flexibility and adaptability by providing support across multiple specialty offices, including Urgent Care, Cardiology, Pediatrics, Orthopedics, and Internal Medicine, ensuring seamless patient care and efficient operations. • Managed multiple phone lines, efficiently handling inquiries, verifying patient eligibility, scheduling and canceling appointments, and collecting co-payments, ensuring a smooth patient experience. • Accurately inputted ICD-9 codes and CPT codes for billing purposes, ensuring proper documentation and reimbursement. • Handled workers' compensation claims and facilitated the processing of referrals and authorizations for specialty offices, ensuring timely access to specialized care for patients. • Performed a wide range of clinical procedures including vital signs, weight and height measurements, minor surgeries, pap smears, suture removals, wound care, phlebotomy, injections, EKG, and colonoscopies, delivering high-quality patient care and support. • Recorded patients' medical history, vital statistics, and lab results accurately into the electronic medical records (EMR) system, ensuring comprehensive and up-to-date patient records for healthcare providers.

Medical Assistant, Medical Field, Medical Assistant, Medical Field

Health/Health Care Administration/Management

Associate'S Degree, Health/Health Care Administration/Management