Experienced Medical/Dental professional with high standard for achieving results. Proven track record in debt recovery, account management, and customer communication. Strong focus on team collaboration and adaptability to changing needs. Reliable problem-solver with keen understanding of financial systems and regulations.
Overview
19
19
years of professional experience
Work History
Collections Representative
Children's National Medical Center, CNMC
01.2022 - Current
Reviewed collection reports to determine status of collections and amounts of outstanding balances.
Track appeals of denied claims to determine status and work with carrier for payment; Resubmit claim if payor does not have record of claim.
Research reason for denial and collect more information and documentation: review system records to identify source of denial; contact Clinic Operations staff, Utilization Management department and Health Information Management department to collect necessary information and documents, e.g., referrals, authorizations for appeal.
Exhibited strong time management skills, prioritizing tasks based on urgency and potential impact on business objectives.
Played a key role in reducing account aging by proactively identifying at-risk accounts and initiating early intervention measures.
Demonstrated exceptional problem-solving abilities in addressing complex collection scenarios, leading to successful resolutions.
Resolved challenging situations with friendly but firm strategies.
Contributed to improved cash flow by consistently meeting or exceeding monthly recovery goals set by management.
Maintained accurate records of all collection activities, ensuring compliance with company policies and industry regulations.
Researched accounts and completed due diligence to resolve collection problems.
Responded to customer inquiries and provided detailed account information.
Follow-up on submitted claims to determine payment status through telephone or web contact in a timely manner.
Clinical Operations Rep
CHILDREN'S NATIONAL MEDICAL CENTER
05.2017 - Current
Scheduling patients using the applicable scheduling system for the department
Collect accurate demographic and insurance information
Update systems as needed in accordance with department standards for registration accuracy
May include messaging center work lists in the future)
Verify insurance eligibility using applicable eligibility system
Ensure managed care carve outs (lab and radiology carve outs) are adhered to
Discuss co-payment, deposits, payment in full, or past due balance collections with parents prior to scheduled appointment in a professional & courteous manner
Counsel parents or refer parent to Financial Information Center (FIC) for establishing payment schedule or method of payment
Verify insurance information is complete prior to procedure and collect and verify pre-authorization/referral information: goal is to obtain authorizations 5 days in advance of service
Utilize all systems where patient information may be stored (EPRS, SCI, Cerner, IDX, McKesson, etc.) to verify that systems are in sync
Collect and record co-payments, deposits and payments in full
Responsible for helping department meet 85% of the collection target for the department
Maintain departmental requirements regarding cash controls and collections
Assistant Office Manager
KIDS SMILES DENTAL OFFICE
10.2013 - 04.2017
Create, file, and retrieve patient charts
Assist in walking out charts, excel sheets, Pre Authorizations, Accounts and Receivables
Coordinated and independently provided administrative support and guidance to patients and staff
Assisted in daily AR activity (outstanding patient balances, outstanding insurance claims, and denied insurance claims)
Reported weekly office numbers to Practice Administrator and Regional Administrator and devised plans based on information provided in office manager report
Monitored confirmations for patient appointments
Communicated with Doctors for daily goals to achieve their production and collection goal
Prepared reports ensuring accuracy and timeliness of reports
Performed data entry of documentation, records management and uploading of documents into Eagle soft Database
LEAD FRONT OFFICE RECEPTIONIST
10.2012 - 10.2013
Run routine reports on daily A/R and production goals
Assist with daily scheduling and collection strategies for providers and office
Conduct daily production audits for provider's schedule
Correspond with various insurances agencies regarding outstanding claims and appeals
Correspond with dental labs regarding patient case delivery
Oversee all patient charts for accurate and updated personal information, policies and procedures
Tracked all new and established patients upon entry and exit of practice
Assist clinical staff with post op calls for patients who received anesthesia
Attend weekly meetings to discuss office operation and change
SMALL SMILES DENTAL CLINIC
03.2006 - 08.2012
Greet and seat patient upon their arrival
Prepare individual tray setups for routine and surgical procedures
Knowledge of nitrous oxide and its use during dental procedures
Proficient with assisting dentist and hygienist with various inter-office procedures
Knowledge and experience of alginate impressions preparation and study models
Knowledge and experience of Intraoral Radiographic Images
Knowledge of root canal procedures
Sanitize and sterilize surgical instruments after each procedure in accordance with OSHA standards
Utilize various HIPPA rules and regulations to ensure patient confidentiality
Demonstrate team support by assisting staff members with maintenance and sanitation of the laboratory
Prepare operative room for next business day
Maintain stock and conduct inventory on daily basis
Responded to written and telephone requests for the doctor or office staff
Complete insurance forms and maintained clerical records
Schedule appointments, prepared bills and received payment for dental services
Record treatment information in patient records
Basic computer skills utilizing: MS Word, Keyboarding, Patterson Eagles soft office application
Create, file, and retrieve patient charts
Coordinated and independently provided administrative support and guidance to patients and staff
PET WORTH DENTAL CLINIC
12.2006 - 12.2006
Company Overview: DENTAL EXTERNSHIP
DENTAL EXTERNSHIP
WHITMAN WALKER CLINIC
08.2006 - 10.2006
Education
Dental Assistant Program -
ACT College
Arlington, VA
High School Diploma -
Paul Lawrence Dunbar Senior High School
Washington, DC
Criminal Justice -
University District of Columbia
01.2005
Skills
MS Word
Keyboarding
Dentrix
Patterson Eagle Soft & Easy Dental Software
Cerner
Star
Passport
Revenue Cycle
SSI
Powerpoint
Timeline
Collections Representative
Children's National Medical Center, CNMC
01.2022 - Current
Clinical Operations Rep
CHILDREN'S NATIONAL MEDICAL CENTER
05.2017 - Current
Assistant Office Manager
KIDS SMILES DENTAL OFFICE
10.2013 - 04.2017
LEAD FRONT OFFICE RECEPTIONIST
10.2012 - 10.2013
PET WORTH DENTAL CLINIC
12.2006 - 12.2006
WHITMAN WALKER CLINIC
08.2006 - 10.2006
SMALL SMILES DENTAL CLINIC
03.2006 - 08.2012
High School Diploma -
Paul Lawrence Dunbar Senior High School
Criminal Justice -
University District of Columbia
Dental Assistant Program -
ACT College
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