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Skills

  • Communications
  • Team management
  • Operational improvement
  • Strategic planning
  • Measuring and reporting on claim approval rates
  • Insurance Claim Negotiation
  • Program management
  • Cost-saving measures in dental claims
  • Relationship development
  • Training proficiency

Work Experiences

  • Achieved recovery in 2018.
  • Created a standardized dental compensation reporting framework.
  • Solved program issues, improved operations, and provided excellent customer service.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Addressed discrepancies in dental claims processing.
  • Had an excellent attendance record and was always on time for work.
  • Created and maintained a transparent system for tracking patient account balances, reducing overdue payments by $8 annually.
  • Adjusted internal practices.
  • Worked with auditors to ensure that category, standard, and initiative plans were compliant.
  • Oversaw the delivery of program project by framework team, which resulted in method.

Summaries

  • Collaborative Dental Care Compensation Coordinator with a solid background in engaging with cross-functional teams to drive more efficient compensation workflows and improve team productivity rates by 26%.
  • Consistently maintained a 98% approval rating from initiative providers, streamlining payment processes and facilitating smooth operations in dental care financials.
  • Accomplished in managing dental claims for large, multi-office practices, coordinating compensation management for 14 clinics in the Northeast and ensuring seamless financial operations.
  • Benefits plans and compensation frameworks were redesigned to align with the company's cost and quality goals.
  • Collaborative Dental Care Compensation Coordinator.
  • Costs were consistently reduced while profits were increased.
  • Championed process automation using Microsoft Excel.
  • Commission plans, benefits programs, and worker's compensation are all areas where I excel.
  • Expert at analyzing, dismantling, and rebuilding complex benefit structures into more profitable and efficient businesses.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.

Accomplishments

  • Participated in the creation of new training materials focused on reducing billing errors, decreasing errors by 56% after one year.
  • Established an internal appeals process, successfully recovering over $14 in denied or underpaid claims in 2022, improving insurance compensation outcomes.
  • Audited patient billing accounts and identified a 59% improvement in collections due to enhanced tracking and patient follow-ups.
  • Developed KPIs to measure claims processing efficiency, leading to a decrease in claim turnaround time by 11 days.
  • Trained 15 new employees in the use of claims tracking software and insurance protocols, fully integrating them into operations in 15 weeks.
  • Led a successful transition to a new claims management platform, which improved processing speeds by 68%.
  • Championed the implementation of a new Electronic Health Record (EHR) system, expediting payments by 77% ahead of schedule, increasing cash flow.
  • Resolved 18 patient billing complaints related to compensation issues, achieving a customer satisfaction rate increase of 21%.
  • Led initiative to implement an automated compensation tracking system, reducing manual processing errors by 48%.
  • Reduced claim denial rates by 21% by implementing a systematic pre-approval validation process for treatments, improving overall initial claim acceptance.

Affiliations

  • Jaycees
  • International Claim Association (ICA)
  • American Dental Hygienists' Association (ADHA)
  • Member, Dental Coding and Processing Committee (DCPC)
  • EHR Certification Program Membership - category
  • American Academy of Dental Group Practice (AADGP)
  • State Dental Association Membership - Illinois
  • Billing and Claims Certification from initiative
  • American Health Information Management Association (AHIMA)
  • Certified Healthcare Financial Professional (CHFP)

Certifications

  • SHRM Senior Certified Professional (SHRM-SCP)
  • CompTIA Security+
  • Certified Healthcare Financial Professional (CHFP) - Vantage
  • Certified Public Accountant (CPA)
  • Certified Professional Coder (CPC) 2019 - Cedar Works
  • First Aid/CPR Certified
  • Oversight and Regulatory Compliance in Healthcare Cert. - 2019, Ironclad Systems
  • Health Insurance Portability and Accountability Act (HIPAA) Certification - 2023, Brightline
  • Dental Insurance Specialist Certification (DIS) - Northwind
  • Project Management Professional (PMP)

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