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Skills

  • Multitasking in high-volume environments
  • Efficient patient data entry
  • Collaboration with insurance carriers
  • Accounting systems and controls
  • Sheet balancing
  • Regulatory filings
  • Time management
  • Knowledge of CPT and CDT coding
  • Compliance with HIPAA Regulations
  • Tax reporting

Work Experiences

  • Assisted in negotiating fee schedules.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Collaborated with insurance companies.
  • Communicated regularly with category to expedite the resolution of complex claims, reducing average resolution time by 7 days.
  • Transported Asana to two years customer locations.
  • Actively participated in audits of insurance claims, identifying discrepancies and recovering over $13 in missed reimbursements.
  • Solved program issues, improved operations, and provided excellent customer service.
  • Collaborated with category customers to determine their needs and deliver process service.
  • Actively participated in audits of insurance claims.
  • Compiled and analyzed monthly reports on denied claims and provided suggested improvement strategies to reduce future denials.

Summaries

  • Dental Insurance Coordinator who is results-oriented and has a track record of keeping finances up-to-date and accurate.
  • Proactive and self-motivated, with a high level of professionalism and excellent problem-solving skills.
  • Results-oriented Dental Insurance Coordinator with a keen eye for detail and a desire to assist in the transformation of business operations.
  • Category professional with a strong understanding of numbers who is capable of managing multiple projects with tight deadlines.
  • Dental Insurance Coordinator is a well-organized Dental with 11 years of experience.
  • Offering 13 years of functional experience in the system industry providing clerical, financial, and administrative services.
  • Recognized on a regular basis for outstanding performance and contributions to the Dental industry's success.
  • To ensure payment accuracy, be familiar with verifying information in the accounting ledger against vendor information.
  • Adept at coordinating between dental providers and insurance companies.
  • Dedicated to increasing profits, lowering accounting errors, and streamlining accounting processes.

Accomplishments

  • Managed and resolved discrepancies in claims submissions, recovering over $6 in billable patient care.
  • Created a database to track denials and follow-ups, reducing rejections of claims by insurance companies by 15%.
  • Trained front-desk staff on insurance verification procedures to improve patient onboarding and claim submission accuracy.
  • Improved patient confirmation rate by 26% through effective communication regarding insurance coverage and treatment costs.
  • Documented and resolved method which led to category.
  • Successfully negotiated with insurance companies to recover $16 in underpaid or denied claims.
  • Collaborated with team members and external insurance representatives to resolve claims issues, resulting in a 51% reduction in reprocessing time.
  • Provided detailed treatment plan cost estimates, resulting in a 36% improvement in patient upfront payment collections.
  • Reduced claims submission errors by 53% by implementing a quality review system for all outgoing insurance claims.
  • Enhanced patient documentation accuracy by implementing a cross-verification process, reducing billing errors by 55%.

Affiliations

  • American Society of Safety Professionals
  • American Health Information Management Association (AHIMA)
  • American Dental Hygienists' Association (ADHA)
  • National Association of Social Workers
  • International Association of Administrative Professionals
  • Professional Association for Dental Office Professionals Denver
  • Academy of Dental Management Consultants (ADMC)
  • Jaycees
  • State Board of Dental Examiners Arizona
  • International Foundation for Employee Benefit Plans (IFEBP)

Certifications

  • Certified Business Analysis Professional (CBAP)
  • Certified Dental Practice Business Associate (CDPB)
  • Cisco Certified Internetwork Expert (CCIE)
  • Health Insurance Portability and Accountability Act (HIPAA) Compliance Certification
  • CompTIA Security+
  • Certified Claims Management Specialist (CCMS)
  • Certified Patient Relations Specialist (CPRS)
  • Certified Dental Claims Specialist (CDCS)
  • First Aid/CPR Certified
  • Google Certified Professional Cloud Architect

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