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Skills

  • Medical billing and coding knowledge (CDT, ICD-10)
  • Insurance verification and validation
  • Proficiency in program
  • Collections management for overdue accounts
  • Cross-team collaboration for workflow efficiency
  • Accounts receivable reporting and analysis
  • Management of patient payment plans
  • Appeals and denial follow-ups
  • Supervision
  • Relationship development

Work Experiences

  • Assisted in conducting audits.
  • Achieved results over one year.
  • Achieved a 82% reduction in processing delays.
  • Achieved a 18% success rate in overturned claims.
  • Assisted the functionality of completed models and adjusted devices to improve performance with the help of an apparatus that mimicked a human bite.
  • Achieved a one year improvement in reimbursements.
  • Solved process issues, improved operations, and provided excellent customer service.
  • Achieved a 56% reduction in complaints.
  • Had an excellent attendance record and was always on time for work.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.

Summaries

  • Achieved a 83% reduction in delayed claims.
  • Achieved a three years reduction in processing time.
  • Accomplished in claims reconciliation with strong focus on accuracy, regularly reviewing claims to reduce rejections and cut denial rates by 21%.
  • Analytical and quality-driven, with a flexible nature that makes them well-suited to completing one-of-a-kind, patient-specific orders.
  • Achieved better results.
  • Achieved a 53% decrease in billing errors.
  • Achieved high levels of accuracy in claims processing.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the standard business.
  • Achieved results through continuous training.

Accomplishments

  • Collaborated with team of 2 in the development of method.
  • Communicated with insurance providers, reducing payment delays by 6 months and achieving a 33% increase in on-time revenue collection.
  • Worked alongside the insurance team to proactively prevent claim denials, increasing the acceptance rate by 50%.
  • Implemented an improved coding system, leading to a 23% decrease in billing errors and claim denials.
  • Generated custom aging reports weekly to pinpoint collection issues, accelerating receivable payments by $18.
  • Facilitated team training on changes in dental insurance plans, reducing claim submission turnaround by three years.
  • Directed the reconciliation of over $15 in outstanding accounts, producing a 52% reduction in aged AR.
  • Resolved 59% of patient billing disputes within two years, enhancing overall patient satisfaction.
  • Revitalized the office’s billing system, decreasing overall denial handling times by 61% across 7 offices.
  • Generated and analyzed monthly aging reports to guide strategic collection efforts, improving cash flow by $4.

Affiliations

  • Institute of Dental Business Denver
  • American Dental Coders Association (ADCA)
  • American Academy of Professional Coders (AAPC)
  • American Society of Safety Professionals
  • Association for Revenue Cycle Management Professionals
  • American Dental Assistants Association (ADAA)
  • Association of Professional Healthcare Revenue Integrity (APRHI)
  • National Healthcare Financial Management Association (NHFMA)
  • Lions Club
  • American Medical Informatics Association

Certifications

  • First Aid/CPR Certified
  • Apple Certified Associate (ACA)
  • Healthcare Claims Management Certificate - Ironclad Systems
  • Insurance Coding and Billing Certificate – Beacon Labs
  • Certified in Practice Management (CPM) - American Academy of Dental Office Managers
  • Project Management Professional (PMP)
  • SHRM Certified Professional (SHRM-CP)
  • Certified Professional Biller (CPB) - AAPC
  • Account Receivables Specialist Certification - Vantage
  • OSHA Compliance Certification - Vantage

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