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Skills

  • Process optimization
  • Regulatory compliance
  • Electronic claims submission
  • Proactive follow-up on unpaid claims
  • Patient Dispute Resolution
  • Operational improvement
  • Collaborative problem-solving
  • Method equipment
  • Customer service excellence
  • Patient financial communications

Work Experiences

  • Consistently met departmental KPIs by processing claims accurately and timely while working under high pressure and strict deadlines.
  • Accomplished this in 2021.
  • Coordinated payment arrangements between patients and system, reducing delinquent accounts by 25%.
  • Boosted timely collections by 15%.
  • Achieved a 52% first-time approval rate.
  • Kept track of office supplies by checking inventory and ordering new supplies as needed.
  • Achieved less than 39% error rate in billing submissions.
  • Was in charge of financial documents like expense reports and invoices.
  • By maintaining a filing system for both in-house and discharged residents, I was able to facilitate organized record retrieval and access.
  • Coordinated payment arrangements between patients and method.

Summaries

  • Healthcare practices, compliance standards, and operations are all familiar territory for this versatile administrative professional.
  • Exceptional attention to detail, collaboration, and typing skills.
  • Dedicated to streamlining organizational procedures in order to improve office environments.
  • Adhered to strict claim submission guidelines.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • With a positive and upbeat personality, he is an excellent problem-solver and clear communicator.
  • Maintain high-volume medical offices by coordinating files, appointments, and other patient needs efficiently.
  • Dental Biller with 7 years of successful workflow optimization and performance reporting experience.
  • Adept at negotiating patient payment plans.
  • Adept at interpreting Explanation of Benefits (EOBs) and resolving discrepancies, decreasing accounts receivable by 44%.

Accomplishments

  • Resolved patient billing disputes by clearly communicating account balances and negotiating payment plans, reducing overdue accounts by 33%.
  • Handled all aspects of patient insurance verification and eligibility, identifying potential issues before claims submission.
  • Implemented a billing audit system that improved claim rejection rate by 68% and saved the practice $15 annually.
  • Reduced time-to-payment from insurance claims by 16 days by analyzing returned claims and correcting documentation errors.
  • Trained new administrative staff in insurance claim submission and reconciliation processes, ensuring workflow efficiency.
  • Improved practice cash flow by decreasing outstanding balances from patients by 44% in two years.
  • Correctly interpreted and processed Explanation of Benefits (EOB) documents to ensure accurate patient and insurance account balances.
  • Enhanced the practice's collection rate by 26% through stronger insurance follow-ups and patient communication.
  • Resolved product issue through consumer testing.
  • Led the transition to a digital billing platform, decreasing manual error entry by 36% and reducing processing time by 15 hours weekly.

Affiliations

  • Association of Information Technology Professionals
  • Initiative for Healthcare Systems Improvement – Participated in projects aimed at optimizing claim submission processes in dental settings.
  • American Medical Informatics Association
  • Insurance Billing Specialist Forum – Collaborated to discuss solutions for reducing underpayment rates and dealing with insurance disputes.
  • American Society of Administrative Professionals (ASAP) – Continued education on managing financial data and keeping accounts balanced.
  • Lions Club
  • International Council of Nurses
  • Professional Association of Health Care Office Managers – Regularly attended seminars on policy changes impacting dental billing practices.
  • Toastmasters
  • Certifying Board of the American Association of Healthcare Administrative Management – Achieved certification for excellence in dental billing systems.

Certifications

  • Certified Medical Reimbursement Specialist (CMRS) - 2023, Portland
  • Certified Professional Coder (CPC) - 2017, American Academy of Professional Coders (AAPC)
  • Basic Life Support (BLS) Certification - 2023
  • First Aid/CPR Certified
  • Apple Certified Associate (ACA)
  • CompTIA Network+
  • CompTIA A+ Technician
  • Medical Billing and Insurance Coding Certification - The American Medical Certification Association (AMCA) 2015
  • Certified Dental Coder (CDC) by Dental Claims Academy, 2016
  • Certified Healthcare Financial Professional (CHFP) – Healthcare Financial Management Association (HFMA) 2022

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