Summary
Overview
Work History
Education
Skills
Work Availability
Timeline
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Alicia McDade

Jacksonville,FL

Summary

Contracting Representative bringing top-notch skills in oral and written communication, active listening and analytical problem-solving. Enhances client experiences by employing service-oriented behaviors, understanding client desires and providing customized solutions.

Overview

12
12
years of professional experience

Work History

Contracting Representative

Ventra Health, Inc.
05.2013 - Current
  • Negotiated best rates through financial impact analysis and identified most appropriate insurance carriers for over 100 client accounts.
  • Enrolled providers with Managed Care Organizations.
  • Submitted appeals to insurances on behalf of clients.
  • Fostered positive and professional relationships through agreements between clients and insurance carriers.
  • Took ownership of projects and processes to meet established timelines.
  • Investigated and resolved client and internal inquiries quickly.
  • Trained new personnel on tasks and operations.
  • Responded to client requests, offering excellent support and tailored recommendations to address their financial needs.
  • Utilized data reporting to identify, investigate and resolve accounting variances.
  • Professionally answered and resolved patient calls.
  • Identified and resolved EDI front end rejections.
  • Posted payments.

Dental Hygeine Assistant

Great Expressions Dental Centers
10.2011 - 03.2013
  • Proved successful working within tight deadlines in fast-paced environment with 20+ patients per day.
  • Set-up dental trays in preparation for procedures.
  • Strengthened communication skills through regular chairside interactions with patients.
  • Performed full-mouth x-rays multiple times daily and developed/mounted individual films.
  • Mixed alginate and took impressions.
  • Pulled, documented and returned patient charts.
  • Assisted Doctor and Hygeinist with various procedures including fillings, cleanings, denture fittings, extractions, prophylaxis,
  • Utilized excellent sterilization and safety techniques.

Education

Expanded Function Dental Assistant - Dentistry

Everest University
Jacksonville
07.2011

Skills

  • Client Account Management
  • Credentialing/Provider Enrollment
  • Contract Negotiations
  • Financial Impact Analysis
  • Excel, One Note and SmartSheet
  • Administrative and Office Support
  • Payment Research, Posting, and Refunds
  • Provider Appeals
  • EDI Front End Rejections
  • Call Center/Reception
  • Policy and Procedure Adherence
  • Document and Record Management
  • Client and Patient Data Confidentiality

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Contracting Representative

Ventra Health, Inc.
05.2013 - Current

Dental Hygeine Assistant

Great Expressions Dental Centers
10.2011 - 03.2013

Expanded Function Dental Assistant - Dentistry

Everest University

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Alicia McDade