Andrea Fernandes
St Petersburg,FL
Summary
Detail-oriented insurance coordinator with extensive experience in claims processing and policy management. Proven ability to streamline procedures and enhance customer relationships, driving efficiency and satisfaction.
Overview
14
14
years of professional experience
Work History
Insurance Coordinator
Creating smiles
Lutz, Florida
07.2012 - Current
- Managed insurance documentation and ensured compliance with company policies.
- Assisted clients with policy inquiries and provided necessary information promptly.
- Coordinated scheduling for insurance appointments and follow-up meetings.
- Maintained organized records of insurance claims and client communications.
- Collaborated with team members to streamline insurance processing procedures.
- Conducted research on insurance products to support client needs effectively.
- Provided administrative support in preparing reports and presentations for management.
- Validated insurance and advised patients of benefits and coverage.
- Performed customer service duties such as answering inquiries, providing information and resolving customer complaints.
- Researched policy changes requested by clients and updated their accounts accordingly.
- Filed insurance claims by obtaining and entering data related to patient, insurance provider, and medical code for procedures and services provided.
- Analyzed weekly and monthly financial reports and reviewed accounts receivable reports and insurance contracts to facilitate revenue cycle management.
- Participated in meetings with senior management to discuss current projects and develop action plans for implementation.
- Informed patients of claims status after filing insurance claims.
- Processed payments for insurance premiums and maintained accurate records of all transactions.
- Investigated any discrepancies between client's stated needs and actual coverage requirements.
- Secured pre-authorizations and pre-certifications for minor surgical procedures performed in office settings.
- Maintained up-to-date knowledge of industry trends in order to provide customers with the best possible coverage options.
- Efficiently managed collections and receivables, referrals process and billing to meet revenue goals.
- Conducted research related to insurance policies and procedures to ensure compliance with applicable regulations.
- Assisted in the preparation of insurance documents, including applications, claims forms and renewal notices.
- Advised patients on alternative financing options when necessary, including payment plans and charity care.
- Managed the appeal process for denied claims, providing necessary documentation and follow-up.
- Coordinated communication between insurance providers and patients to ensure clear understanding of coverage.
- Negotiated with insurance companies to obtain the best possible coverage for patient treatments.
Education
Dental Assistant -
Concorde Institute
Tampa, FL08-2001
Skills
- Claims processing
- Insurance policy management
- Benefit validation
- Customer relationship management
- Financial reporting
- Team collaboration
- Insurance processes
- Customer service and assistance
- Private insurance
- Claims
- Bilingual in Spanish and Portuese
- Customer service
- Records management
- Settlement verification
Timeline
Insurance Coordinator
Creating smiles
07.2012 - Current
Dental Assistant -
Concorde Institute