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Skills

  • MS Office
  • Data analysis
  • Process improvement
  • Compensation tracking improvement
  • Team management
  • First Aid/CPR
  • Cross-functional team collaboration
  • Customer service
  • Team building
  • Industry standard billing documentation (CPT/ICD codes)

Work Experiences

  • Achieved a 32% reduction in unresolved claims.
  • Acquired new insights to improve compensation strategies.
  • Consistently recovered unpaid dental claims.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Cut resolution times by 12 days.
  • Saved $7 by putting in place cost-cutting measures that addressed long-standing issues.
  • Created a standardized dental compensation reporting framework.
  • Achieved recovery in 2018.
  • Looked for industry trends on social media and through online sources.
  • Achieved a 71% improvement in claims resolution rate.

Summaries

  • Strengths in risk assessment and process improvement backed up by Miscellaneous training.
  • Acknowledged for boosting patient satisfaction metrics by 51%.
  • Costs were consistently reduced while profits were increased.
  • Respectful and resilient thinker with a big-picture mindset.
  • Conducted meticulous claim reviews.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Accomplished in managing dental claims for large, multi-office practices, coordinating compensation management for 14 clinics in the Northeast and ensuring seamless financial operations.
  • Achieved a 37% decline in unpaid invoices.
  • PMP certified
  • Boosted compensation processing efficiency.

Accomplishments

  • Reviewed treatment plans and suggested cost-saving options for patients, without compromising care, establishing an average saving of 17 per patient.
  • Championed the implementation of a new Electronic Health Record (EHR) system, expediting payments by 77% ahead of schedule, increasing cash flow.
  • Participated in strategic meetings with senior management to recommend changes to improve compensation workflows, resulting in cost savings of 4.
  • Introduced new post-treatment compensation protocols, reducing patient billing errors by 56% per quarter, contributing to higher patient satisfaction.
  • Led initiative to implement an automated compensation tracking system, reducing manual processing errors by 48%.
  • Participated in the creation of new training materials focused on reducing billing errors, decreasing errors by 56% after one year.
  • Coordinated appeals for denied claims, resulting in 43% of initially denied claims being overturned.
  • Led a team of 14 billing staff in real-time tracking of claims, speeding up processing and payment by 78% over one year.
  • Collaborated with dentists and administrative staff to streamline the claims submission process, reducing submission errors by 17% in 2015.
  • Reviewed and reconciled claims data, identifying anomalies and recovering over $7 in lost compensation within the first 6 months.

Affiliations

  • Healthcare Compliance Association (HCCA)
  • American Association of Dental Office Management (AADOM)
  • Member, Dental Coding and Processing Committee (DCPC)
  • National Association of Dental Plans (NADP)
  • Billing and Claims Certification from initiative
  • Rotary International
  • Academy of General Dentistry (AGD)
  • Practice Management Certification (PMC) - American Dental Association
  • Medical Group Management Association (MGMA)
  • Project Management Institute

Certifications

  • ServSafe
  • Insurance Billing and Coding Specialist (IBCS) - Cedar Works
  • Advanced Medical Billing Certificate - Chicago
  • Certified Business Analysis Professional (CBAP)
  • Certified Public Accountant
  • Certified Revenue Cycle Specialist (CRCS) 2020
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Dental Coder (CDC) - 2021, Cedar Works
  • Healthcare Financial Management Association (HFMA) Membership - 2020
  • Oversight and Regulatory Compliance in Healthcare Cert. - 2019, Ironclad Systems

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