April Knigge
Mitchell,SD
Summary
Dynamic Revenue Recovery Specialist with a proven track record at Avera, adept in data entry and problem-solving. Skilled in customer service and insurance billing, I excel in transforming complex claims into financial achievements while fostering strong relationships with payers and clients.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Revenue Recovery Specialist
Avera
03.2023 - Current
- Analyzed claim trends to pinpoint trends and proactively identify potential areas of concern, allowing for targeted intervention..
- Investigated and resolved complex claims, ensuring adherence to policy guidelines and regulatory compliance.
- Reduced claim resolution times with thorough documentation and timely follow-up.
- Calculated adjustments, premiums and refunds.
- Coordinated with contracting department to resolve payer issues.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Certified Pharmacy Technician
Walmart Pharmacy
05.2024 - Current
- Answered incoming phone calls and addressed questions from customers and healthcare providers.
- Stocked, labeled, and inventoried medication to keep accurate records.
- Completed paperwork, entering prescription and insurance or billing information into patient profiles.
- Increased customer satisfaction by delivering friendly, personalized service during transactions.
- Helped pharmacist clear problematic prescriptions and address customer questions to keep pharmacy efficient.
- Worked with computerized and automated systems for dispensing medications and editing new patient profiles.
Pharmacy Operations Manager
Walgreens Pharmacy
02.2012 - 03.2024
- Addressed patient complaints promptly and professionally, working collaboratively with other healthcare professionals as needed to resolve issues satisfactorily for all parties involved.
- Optimized workflow processes within the pharmacy to reduce wait times for patients without compromising accuracy or safety standards in prescription fulfillment.
- Supervised a team of pharmacists and technicians, fostering an environment of collaboration, continuous improvement, and mutual respect among team members.
- Trained pharmacy interns and newly hired pharmacy technicians.
- Developed policies and procedures for effective pharmacy management.
Education
High School Diploma -
Plankinton High School
Plankinton, SD05-2008
Skills
- Data entry
- Attention to detail
- Problem-solving skills
- Customer service
- Insurance billing
- Inventory management
- Time management
- Verbal and written communication
- Complex Problem-solving
- Goal setting
Certification
- Licensed Pharmacy Technician - State Boards of Pharmacy.
- Certified Pharmacy Technician (CPhT) - Pharmacy Technician Certification Board (PTCB).
Timeline
Certified Pharmacy Technician
Walmart Pharmacy
05.2024 - Current
Revenue Recovery Specialist
Avera
03.2023 - Current
Pharmacy Operations Manager
Walgreens Pharmacy
02.2012 - 03.2024
High School Diploma -
Plankinton High School
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