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Skills

  • Accounting systems and controls
  • Insurance plan benefits explanation
  • General accounting
  • Improving patient satisfaction
  • Efficient patient data entry
  • Management accounting
  • Vendor invoice processing
  • Claims status monitoring
  • Efficient use of system
  • Confidential patient information handling

Work Experiences

  • Answered 16 calls per three years to help customers with their questions and concerns.
  • Saved $4 by putting in place cost-cutting measures that addressed long-standing issues.
  • Collaborated with dental providers.
  • Assisted in the negotiation of fee schedules with insurance carriers, maximizing reimbursement rates for key dental procedures.
  • Aligned insurance payments with contracted provider rates.
  • Addressed insurance coverage-related scheduling issues.
  • Appealed partial reimbursements.
  • Actively participated in audits of insurance claims.
  • Designed and led team workshops.
  • Created and sent invoices in accordance with established accounts receivable schedules and terms.

Summaries

  • Dental Insurance Coordinator is a well-organized Dental with 11 years of experience.
  • Professional accountant with extensive experience analyzing data and identifying areas for improvement.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the method business.
  • Expert in payment processing to reduce outstanding debt, fees, and interest.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Advanced knowledge of Jira.
  • Vendor management and bank reconciliation are two areas where I excel.
  • To ensure payment accuracy, be familiar with verifying information in the accounting ledger against vendor information.
  • Accounting systems and related computer software programs, such as Tableau and HubSpot, are second nature to me.
  • Strengths in workflow optimization and process improvement backed up by Dental training.

Accomplishments

  • Documented and resolved method which led to category.
  • Reduced claim follow-up time by 62% by implementing a tracking system for pre-authorizations and benefit checks.
  • Reduced claims submission errors by 53% by implementing a quality review system for all outgoing insurance claims.
  • Initiated corrective actions with insurance carriers to handle disputed claims, recovering 54% of contributions within 15 days.
  • Provided detailed treatment plan cost estimates, resulting in a 36% improvement in patient upfront payment collections.
  • Managed and resolved discrepancies in claims submissions, recovering over $6 in billable patient care.
  • Collaborated with team members and external insurance representatives to resolve claims issues, resulting in a 51% reduction in reprocessing time.
  • Trained front-desk staff on insurance verification procedures to improve patient onboarding and claim submission accuracy.
  • Proactively contacted insurance companies for claim inquiries, leading to timely processing of claims and reducing denial rates by 36%.
  • Created a database to track denials and follow-ups, reducing rejections of claims by insurance companies by 15%.

Affiliations

  • International Association of Administrative Professionals
  • State Board of Dental Examiners Arizona
  • Association for Supply Chain Management (APICS)
  • Healthcare Financial Management Association (HFMA)
  • Rotary International
  • Professional Association for Dental Office Professionals Denver
  • Association for Dental Support Organizations (ADSO)
  • Local Dental Office Managers’ Group Columbus
  • Medical Dental Cross-Coding Industry Alliance (MDCCIA)
  • National Association of Claims Professionals metric

Certifications

  • Certified Dental Practice Management Administrator (CDPMA)
  • Certified Business Analysis Professional (CBAP)
  • Apple Certified Associate (ACA)
  • Project Management Professional (PMP)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Technical Expert in system
  • Certified Health Insurance Specialist (CHIS)
  • Certified Dental Coder (CDC)
  • Certified Patient Relations Specialist (CPRS)
  • CPR and First Aid Certification Seattle

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