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.

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.

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.
• 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.
• 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