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Skills

  • Electronic Health Record (EHR) systems proficiency
  • Regulatory compliance
  • Confidential information handling
  • General ledger accounting expertise
  • Coordination with dental practitioners
  • Audit coordination
  • Knowledge of dental procedures billing guidelines
  • Accuracy in insurance coding and claim resubmission
  • Payment processing
  • Communication with patients about billing inquiries

Work Experiences

  • Audited claims histories for billing discrepancies.
  • Consistently met claim approval benchmarks.
  • Collaborated with multi-state dental offices.
  • Developed an audit process for denied claims.
  • Actively contributed to monthly financial reviews, identifying loss patterns and recouping an additional $7 from delinquent claims.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Achieved operational cost savings of $4 by improving billing accuracy and reducing incorrect submissions that led to denied claims.
  • Collaborated with dentists and office staff.
  • Achieved results within one year.
  • Achieved a 40% success rate.

Summaries

  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the category business.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • To ensure payment accuracy, be familiar with verifying information in the accounting ledger against vendor information.
  • Dental Insurance Biller is a detail-oriented Dental Insurance Biller with 9 years of finance and accounting experience.
  • Accomplished Dental Insurance Biller.
  • Dental Insurance Biller who is results-oriented and has a track record of keeping finances up-to-date and accurate.
  • Accounting reports and account reconciliations are second nature to me.
  • Skilled at establishing positive relationships with clients and vendors, as well as managing accounts to reduce outstanding balances.
  • Vendor management and bank reconciliation are two areas where I excel.
  • Dental Insurance Biller with 17 years of successful risk assessment and performance reporting experience.

Accomplishments

  • Successfully handled claim resolutions for complex dental treatments, increasing reimbursement rate by $10 within three years.
  • Resolved discrepancies between insurance claims and Explanation of Benefits (EOB), leading to a 19% reduction in objections.
  • Resolved product issue through consumer testing.
  • Monitored accounts receivable by actively following up on outstanding claims, improving collection rate by 38% within 18 months
  • Led a successful project to modernize claims tracking mechanisms that contributed to a 62% increase in payment receipt time.
  • Authored and updated comprehensive billing procedure documents, ensuring consistent processing and reducing claim follow-up time by 71%.
  • Reviewed and corrected over 3 claims monthly, reducing processing errors by 70%.
  • Documented and resolved initiative which led to process.
  • Developed a standard operating procedure for handling denied claims, which led to an increase of $6 in recovered revenue.
  • Improved revenue flow by reducing total days in Account Receivables (A/R) from 17 to 7 days through efficient claim resubmission.

Affiliations

  • Dental Business Assistant Professional Group
  • Jaycees
  • Dental Administration Network (DAN)
  • American Society of Safety Professionals
  • Association of Dental Support Organizations (ADSO)
  • Freemason
  • Dental Office Compliance of Massachusetts Group
  • Certified Medical Administrative Assistant (CMAA) from procedure
  • Healthcare Billing and Collections Professionals Group
  • Rotary International

Certifications

  • Certified Dental Billing Processor (CDBP) - Cedar Works
  • Certified Public Accountant (CPA)
  • Certified Medical Reimbursement Specialist (CMRS) - AMBA
  • CompTIA Security+
  • Certified Professional Biller (CPB) - AAPC
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Dental Account Specialist (CDAS) - Harbor & Co.
  • First Aid/CPR Certified
  • Cisco Certified Internetwork Expert (CCIE)
  • SHRM Senior Certified Professional (SHRM-SCP)

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