Accounts Payable Receivable
Resume:
Lowell, MA *****
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linkedin.com/in/april-farley
APRIL D. FARLEY
QUALIFICATIONS
Counseling, Coaching & Consulting – Manjit Khalsa, EdD 7/23 – present
• Full cycle billing via Therapy Notes
• Invoicing Clients on Monthly Basis and processing payments
• Send & Upload Intake paperwork
• Respond to all inquiries via phone or email
Key Connections ABA Services 03/2022 – present
Billing/Credentialing Specialist
• Verifies patient-specific benefits and precisely documents specifics for various payer plans including patient coverage, cost-share, and access/provider options according to specific SOPs.
• Submit insurance claims to clearinghouse electronically or via paper claim.
• Ensure claim information is complete and accurate.
• Prepare and submit secondary claims upon processing by primary carrier.
• Knowledge of insurance websites
• Follow up with insurance carriers on unpaid or rejected claims.
• Receive and post payments from insurance and patient responsibility through Central Reach, Puresight, or Insurance websites, PaySpan, Zelis
• Perform Quarterly/Yearly Client Record Checks
• Billing for all ABA Services via AcuPoint, Central Reach after 10/2022
• Credentialing for all new BCBA’s (CAQH, Insurances) Unemployment 01/2022 – 03/2022
April D Farley, Self-employed – Remote July 2018 to Present Credentialing / Billing Consultant
• Accounts Receivable Recovery, when necessary, call insurance companies regarding any discrepancies in payments
• Insurance carrier enrollment and re-enrollment for group and clinical staff, the maintenance of these providers in in CAQH,
• Monitor denied claims and work to resolve any issues to obtain payment
• Acquire a CAQH ID for the provider, complete CAQH information, and maintain the CAQH ID information for the provider.
• Full-cycle Insurance credentialing & Insurance billing and Insurance Verification
• Maintain knowledge of multiple Billing Platforms New England Psychiatry, PC November 2021 to January 2022 Practice Administrator/Consultant
• Accounts Receivable Recovery, when necessary, call insurance companies regarding any discrepancies in payments
• Review and submitted claims 3-4 times a week, post all payment via ERA, health insurance websites, using AdvancedMD. Assign Pt balances.
• Insurance carrier enrollment and re-enrollment for group and clinical staff, the maintenance of these providers in in CAQH,
• Notify all staff of any upcoming billing protocol changes
• Monitor denied claims and work to resolve any issues to obtain payment
• Data Entry of all New patients, verify Insurance coverage, Schedule with available Provider
• Monitor claims for processing
118 E Meadow Rd
Lowell, MA 01854
ad5urc@r.postjobfree.com
linkedin.com/in/april-farley
APRIL D. FARLEY
• Submit Month End reports and other reports requested Comprehensive Health Services, LLC February 2020 to November 2021 Billing/credentialing Specialist
• Accounts Receivable Recovery, when necessary, call insurance companies regarding any discrepancies in payments
• Insurance carrier enrollment and re-enrollment for group and clinical staff, the maintenance of these providers in in CAQH,
• Notify all staff of any upcoming billing protocol changes
• Implemented the bring back all Billing Functions in-house
• Monitor denied claims and work to resolve any issues to obtain payment
• Monitor patient statement prior to mailing for accuracy
• Managed all aspect of the Implementation of a New EMR/billing software (IACANotes to InSync) Ally Integrated Healthcare - Part-time (remote position) February 2020 to January 2021 Billing/credentialing Specialist
• Full cycle Behavioral Health Billing, Practice/Provider Credentialing.
• Review and submitted claims 3-4 times a week, post all payment via ERA, health insurance websites, using AdvancedMD. Assign Pt balances. Submit Month End reports and other reports requested Waltham Behavioral Health, LLC - January 2015 to February 2020 Credentialing / Billing Consultant, Office Manager
• Accounts Receivable Recovery, when necessary, call insurance companies regarding any discrepancies in payments
• Review and submitted claims 3-4 times a week, post all payment via ERA, health insurance websites, using AdvancedMD
• Insurance carrier enrollment and re-enrollment for group and clinical staff, the maintenance of these providers in in CAQH,
• Acquire a CAQH ID for the provider, complete CAQH information, and update the
• CAQH ID information for the provider.
• Knowledge of insurance websites
• Train front end and Intake staff on the importance of information obtained for claim and treatment
• Submit Month End reports for Payroll and other reports requested Bayberry at Emerald Court- Assisted Living a Northbridge Company 1/2016 – 8/2017 Business Office Manager
• Coordinates and facilitates the workflow of reception associates
• Process bi-weekly payroll for all community staff, approx. 120 staff members
• Coordinate the onboarding and orientation process for all new hires. Cori’s, Sam checks, OIG checklist, I-9 verification, Registry Checks, Timeclock, badges
• All financial admissions and discharge processes for the facility, along with the admissions process for new residents, including leases and meeting with family members
• Manage the move in/move out process within YARDI
• Responsible for all areas of accounts receivable and oversee accounts payable
• Compliance with Section 404 of the Sarbanes-Oxley Act (SOX) FRX Polymers, Inc. 6/2014 – 1/2016
118 E Meadow Rd
Lowell, MA 01854
ad5urc@r.postjobfree.com
linkedin.com/in/april-farley
APRIL D. FARLEY
A/P, A/R Cash Management Specialist
• Full cycle A/P, A/R, Billing, Payroll, HR, Expense Reports Primary Care Office 5/2011 – 1/2014
Office & Credentialing Manager
• Full cycle Credentialing, A/P, A/R, Billing, Payroll, HR Greater Lowell Psychiatric Associates, LLC 10/2000 – 5/2011 Business & Credentialing Manager
• Full cycle Credentialing, A/P, A/R, Billing, Payroll, HR EDUCATION
Greater Lowell Regional High School 1985
Graduated (H.S. Diploma) – Major- Marketing and Distributive Education SKILLS
Experience with eClinicalWorks, Great Plains (GP), Yardi, Zen Charts, AdvancedMD, MWTherapy.com, ICANotes, Ability.com, InSync, Accupoint, Central Reach, Word, Excel, QuickBooks, Paycom, Paychex, ADP, Timeclock Wizard, CAQH, Google Docs, Teams, Zoom, Electronic Data Interchange/3rd party clearinghouse environment, Waystar, Change network, MCO portals
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