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Skills

  • Disinfecting rooms and equipment
  • Restoration
  • Computer literate
  • Medicare and Medicaid knowledge
  • ICD-10 coding
  • Client account management
  • Member, Texas Dental Association
  • Territory Sales Experience
  • Worker's compensation insurance
  • Suture removal competency

Work Experiences

  • Adjustments, premiums, and refunds were all calculated by me.
  • Used monthly aging reports to track down unpaid claims and get the most money back.
  • Used the VELscope to screen for cancer both inside and outside the mouth.
  • Coordinated the dentist's and oral surgeon's appointment schedules.
  • Was in charge of pre- and post-operative care.
  • Correctly administered general and local anesthetics to alleviate pain and discomfort.
  • Advised
  • Was in charge of filing and tracking insurance claims as well as informing patients about the status of their claims.
  • Had planned ahead.
  • Kept track of everything.

Summaries

  • Ready to contribute talent and expertise to a growing company.
  • Ambitious
  • Offering 4 years of experience to a growing program company.
  • Insurance requirements for Medicare, Medicaid, HMOs, and PPOs are all well-understood.
  • Insurance Coordinator with 17 years of successful performance reporting and project management experience.
  • Patient information, findings, and treatment plans are meticulously documented in charts and medical records.
  • Prepared to contribute 3 years of experience to a growing company in the role of Insurance Coordinator.
  • Metric Insurance Coordinator with 15 years of experience working in high-volume, fast-paced environments.
  • Experienced initiative Insurance Coordinator with 14 years of coordinating, processing, and troubleshooting insurance payments.
  • Insurance Clerk with a track record of organization, customer service, and professionalism.

Accomplishments

  • Authored standardized policy documents that enhanced consistency across 12 departments, reducing compliance risks by 31%.
  • Led a policyholder education session that enhanced client understanding of coverage options and resulted in a 23% increase in overall customer retention.
  • Introduced innovative solutions to cross-check policyholder documents, leading to a 41% improvement in policyholder accuracy.
  • Hosted policyholder support webinars that increased understanding and reduced repeat queries by 37%, freeing up internal resources.
  • Maintained detailed records of policyholder communications that contributed to resolving 14% of disputes within 8 days.
  • Optimized provider contract negotiations which resulted in a decreased average claim turnaround time by 5 days.
  • Coordinated with external insurance carriers to streamline the referral process, reducing referral wait times from 8 days to 4 days.
  • Mentored over 3 dental assistants.
  • Documented and resolved method which led to framework.
  • Monitored key insurance KPIs, identifying a 50% gap in client coverage and recommending solutions that boosted insurance renewals by $13 annually.

Affiliations

  • Completed training for Certified Health Insurance Specialist (CHIS), 2021
  • Active Member, Association for Claims Professionals (ACP)
  • Lions Club
  • International Association of Administrative Professionals
  • Certified in Risk Adjustment and Healthcare Reform through metric
  • International Council of Nurses
  • Participated in 2022 Healthcare Insurance Forum, focused on patient claim resolution
  • Member, National Society of Certified Healthcare Business Consultants (NSCHBC)
  • Professional Affiliation, Society for Healthcare Risk Management (ASHRM)
  • Freemason

Certifications

  • Certified Employee Benefits Specialist (CEBS)
  • Cisco Certified Internetwork Expert (CCIE)
  • CPR
  • Fellow, Life Management Institute (FLMI)
  • Health Insurance Associate (HIA) Certification
  • ServSafe
  • Chartered Wealth Manager (CWM), certified by the American Academy of Financial Management (AAFM)
  • Association for Financial Professionals (AFP) Certified Corporate Financial Planning & Analysis Professional (FP&A)
  • Certified Group Benefits Administrator (CGBA)
  • Certified Expert in Insurance Disputes Resolution (CEIDR)

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