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Skills

  • Communication with patients about billing inquiries
  • Budgeting
  • ERP software
  • Knowledge of dental procedures billing guidelines
  • Management accounting
  • Insurance claim submission
  • Patient account management
  • Electronic Health Record (EHR) systems proficiency
  • Accounting remittances
  • Accounts Receivable (AR) Management

Work Experiences

  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Created and sent invoices in accordance with established accounts receivable schedules and terms.
  • Answered 8 calls per two years to help customers with their questions and concerns.
  • Achieved operational cost savings of $16.
  • Assisted dentists in coding accuracy.
  • Achieved recovery in 2015.
  • Developed an audit process for denied claims.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Looked for industry trends on social media and through online sources.

Summaries

  • Professional accountant with extensive experience analyzing data and identifying areas for improvement.
  • Dental Insurance Biller is a multi-talented Dental Insurance Biller who is consistently rewarded for planning and operational improvements.
  • Accelerated reimbursement timelines by 10%.
  • Achieved a 29% success rate in timely claim submissions.
  • Vendor management and bank reconciliation are two areas where I excel.
  • Dental Insurance Biller with over 13 years of experience who is efficient and detail-oriented.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Achieved a 77% reduction in rejections.
  • Recognized on a regular basis for outstanding performance and contributions to the Healthcare industry's success.
  • Dedicated to increasing profits, lowering accounting errors, and streamlining accounting processes.

Accomplishments

  • Collaborated with dental providers to ensure proper documentation and coding for services rendered, achieving a 26% clean claim submission rate.
  • Collaborated cross-departmentally with front office and clinical staff to streamline patient eligibility verification, reducing errors by 40%.
  • Implemented a patient notification system that informed about denied claims, increasing quicker resolution rates by 59%.
  • Improved revenue flow by reducing total days in Account Receivables (A/R) from 17 to 7 days through efficient claim resubmission.
  • Incorporated new billing software Asana that improved claim tracking, leading to a reduction in delays by 62%.
  • Trained and mentored a team of 8 new billing staff, ensuring full proficiency in claims submission and billing protocols within several months.
  • Developed and implemented a new billing policy in partnership with the office manager, reducing claim rejection rate by 84%.
  • Monitored accounts receivable by actively following up on outstanding claims, improving collection rate by 38% within 18 months
  • Maintained a 19% accuracy rate in submitting claims for surgical dental procedures like system.
  • Developed a standard operating procedure for handling denied claims, which led to an increase of $6 in recovered revenue.

Affiliations

  • American Academy of Professional Coders (AAPC)
  • Society of Human Resource Management
  • Billing and Insurance Collections Research Group
  • Dental Office Compliance of Massachusetts Group
  • American Medical Informatics Association
  • Professional Billing & Coding Network (PBCN)
  • National Association of Dental Plans (NADP)
  • Health Resources and Services Administration (HRSA)
  • The Professional Association of Healthcare Coding Specialists (PAHCS)
  • American Marketing Association

Certifications

  • First Aid/CPR Certified
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Medical Reimbursement Specialist (CMRS) - AMBA
  • SHRM Certified Professional (SHRM-CP)
  • ServSafe
  • Medicare and Medicaid Billing Certification - Beacon Labs
  • Project Management Professional (PMP)
  • OSHA Compliance Training 2016
  • Advanced Dental Billing Specialist Certification - Lakeside Partners
  • Certified Dental Practice Billing Coordinator (CDPBC) - Beacon Labs

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