Summary
Overview
Work History
Education
Skills
Timeline
Generic

April Berni

Alcoa,TN

Summary

Dynamic Dental Insurance Coordinator with a proven track record. Excelling in insurance processes and customer service. Demonstrated success in enhancing team efficiency and achieving revenue goals through expert claims processing and problem-solving abilities. Skilled in maintaining confidentiality and boosting patient satisfaction, with a focus on comprehensive insurance policy management.

Overview

20
20
years of professional experience

Work History

Dental Insurance Coordinator

Country Creek Dental
10.2020 - 10.2024
  • Verified insurance and communicated coverage to staff and patients.
  • Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
  • Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
  • Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
  • Filed and tracked insurance claims and communicated claims status to patients.
  • Obtained prior authorization and precertification for outpatient procedures.
  • Prepared insurance claims for submission to clearinghouses or insurance companies.
  • Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
  • Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
  • Enhanced customer satisfaction by efficiently handling insurance claims and processing policy updates.
  • Increased team efficiency with development of comprehensive training materials on insurance protocols.
  • Assisted in resolving complex insurance claims, liaising between clients and providers for favorable outcomes.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Posted payments to accounts and maintained records.
  • Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
  • Generated, posted and attached information to claim files.
  • Calculated adjustments, premiums and refunds.
  • Collected premiums and issued accurate receipts.
  • Maintained confidentiality of patient finances, records, and health statuses.
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Prepared insurance claim forms or related documents and reviewed for completeness.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.

Treatment Plan Coordinator

Country Creek Dental
10.2020 - 10.2024

Fabricating all treatment plans and proposing treatment and financing options with all patients

Dental Front Office Receptionist

Rocky Hill Dental
01.2020 - 10.2020
  • Minimized missed appointments through consistent reminder calls or emails to confirm upcoming visits or reschedule if necessary.
  • Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
  • Handled incoming calls professionally and courteously while ensuring accurate message-taking for dental staff followup.
  • Helped patients complete necessary medical forms and documentation.
  • Adhered to strict HIPAA guidelines to protect patient privacy.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff
  • Completed new patient registrations in software to create accurate and comprehensive
  • Prepared and processed patient referrals
  • Obtained payments from patients and scanned identification and insurance cards.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Received and routed laboratory results to correct clinical staff members.

Dental Assistant

Watson Family Dentistry
04.2015 - 01.2020


  • Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
  • Performed x-rays safely while adhering to radiation safety guidelines, ensuring high-quality diagnostic images for dentists'' evaluations.
  • Successfully assisted dentist by performing four-handed dentistry and other chair-side duties.
  • Performed general chair-side duties for general dentistry, endo procedures, and oral surgery.
  • Documented patient dental health information, medical history, and vital signs for future reference.
  • Explained treatment procedures and instructed patients on home care guidelines.
  • Created dental impressions used for diagnostics, opposing models and study casts to make crowns, bridges, and other dental prosthetics.
  • Recorded patients' health histories, documented current symptoms, and pulled up records from prior visits for dentists to view and evaluate.

Dental Assistant

Dr. John Emert
08.2011 - 04.2015


  • Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
  • Performed x-rays safely while adhering to radiation safety guidelines, ensuring high-quality diagnostic images for dentists'' evaluations.
  • Successfully assisted dentist by performing four-handed dentistry and other chair-side duties.
  • Performed general chair-side duties for general dentistry, endo procedures, and oral surgery
  • Created dental impressions used for diagnostics, opposing models and study casts to make crowns, bridges, and other dental prosthetics.
  • Maintained dental supply inventory by checking stock to determine inventory levels and placing and expediting orders for supplies
  • Handled administrative tasks such as billing, insurance claims processing, and appointment confirmation calls to support office operations efficiently.
  • Collaborated with the dental team to develop customized treatment plans for individual
  • Improved dental procedure outcomes with accurate preparation of filling and crown materials.
  • Assisted dentists by passing instruments, suctioning intraoral fluids, adding water, and mixing materials for fillings, Type, casts and impressions.

Dental Assistant

Dr. Marty Lindahl
06.2004 - 08.2011


  • Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
  • Performed x-rays safely while adhering to radiation safety guidelines, ensuring high-quality diagnostic images for dentists'' evaluations.
  • Performed general chair-side duties for general dentistry, endo procedures, and oral surgery.
  • Created dental impressions used for diagnostics, opposing models and study casts to make crowns, bridges, and other dental prosthetics.
  • Maintained dental supply inventory by checking stock to determine inventory levels and placing and expediting orders for supplies.
  • Collaborated with the dental team to develop customized treatment plans for individual patients.
  • Improved dental procedure outcomes with accurate preparation of filling and crown materials.
  • Assisted dentists by passing instruments, suctioning intraoral fluids, adding water, and mixing materials for fillings, Type, casts and impressions.
  • Helped dentists restore teeth by applying permanent and temporary fillings and crowns.

Education

Registered Dental Assistant - Dental Assisting

Tennessee Technology Center of Knoxville
Knoxville, TN
11.2002

Skills

  • Insurance processes
  • Customer service and assistance
  • Insurance claims processing
  • Claims
  • Collections processing
  • Billing statement review
  • Account collections
  • Insurance confirmation
  • Cash Handling
  • Problem-solving abilities

Timeline

Dental Insurance Coordinator

Country Creek Dental
10.2020 - 10.2024

Treatment Plan Coordinator

Country Creek Dental
10.2020 - 10.2024

Dental Front Office Receptionist

Rocky Hill Dental
01.2020 - 10.2020

Dental Assistant

Watson Family Dentistry
04.2015 - 01.2020

Dental Assistant

Dr. John Emert
08.2011 - 04.2015

Dental Assistant

Dr. Marty Lindahl
06.2004 - 08.2011

Registered Dental Assistant - Dental Assisting

Tennessee Technology Center of Knoxville
April Berni