Ashley Cash
Dental Billing Specialist
Mineral,VA
Summary
Experienced dental billing professional with proven track record in managing patient accounts and claims processing. Known for meticulous approach to detail and ensuring compliance with healthcare regulations. Strong team collaborator with focus on achieving results and adapting to changing needs, leveraging skills in claim resolution and patient communication.
Overview
21
21
years of professional experience
5
5
years of post-secondary education
3
3
Certifications
1
1
Language
Work History
Dental Billing Specialist
Brilliance Dental
Spotsylvania, Virginia
03.2021 - Current
- Process and post all patient payments, insurance checks, and EOBs accurately into account with a 99% accuracy rate, ensuring compliance with ADA coding standards.
- Submitted clean claims for payment within 1 business day, posting all payments to patient ledgers within 1 business day, and collecting 100% of what's rightly owed to the dental practice.
- Maintained a 98% claim submission accuracy rate, significantly reducing billing errors and associated financial losses
- Execute customer-specific revenue cycle workflows to accommodate federal, state, and payer-specific requirements.
- Manage coding requirements, collection regulations, and ensure optimal collections.
- Utilize advanced software and tools to streamline billing processes and maximize efficiency.
- Submit electronic claims with any attachments needed, submit predeterminations, and follow up on outstanding claims promptly.
- Prepare and send narratives and appeals for claim resolutions, ensuring timely filing and reimbursement.
- Review EOBS and resolve denied claims achieving a 95% resolution success rate.
- Experience with clearinghouses and healthcare portals Excellent communication.
- Responsible for managing revenue cycle workflows to optimize revenue collection while delivering exceptional customer service. Builds strong relationships with Members and Customers, fostering confidence in the company and its team.
- Proficient in PPO, HMO, DMO, and Medicare plans to guide patient billing inquiries.
- Extensive knowledge of ADA/CDT codes
- Run end-of-day, month, and year reports to ensure financial accuracy.
- Communicate with patients regarding billing concerns and provide detailed explanation of charges.
- Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Facilitated staff training on new billing software, enhancing team productivity and billing accuracy.
- Negotiated with insurance companies to resolve disputed claims, securing rightful payments and negotiating in network insurances fee's.
- Assisted in transition to electronic billing, reducing paper waste and improving operational efficiency.
- Supervised and trained front office staff, ensuring exceptional customer service and a adherence to office policies.
- Managed scheduling and insurance verification while supervising daily front operations.
- Followed up at least every 10 business days on all claims that hit 30+ days in aging to achieve the goal of getting the 90 day insurance aging report near ZERO and keeping it there.
- Presenting treatment plans to patients with a high case acceptance.
- Enhanced revenue collection rates by diligently monitoring outstanding accounts, initiating timely follow-ups, and negotiating payment plans with patients.
- Optimized claim submissions with thorough knowledge of payer-specific requirements, leading to decreased denials due to incomplete or incorrect information.
- Negotiated with suppliers to secure better pricing for practice management software, leading to reduced overhead expenses and higher profit margins.
- Reduced instances of late payments from patients by implementing automated reminders sent via email or text messages before the due date.
- Coordinated with other team members to resolve any scheduling conflicts or miscommunications that could impact billing processes or patient satisfaction.
Dental Revenue Cycle Manager
Gentle Touch Dentistry
Fredericksburg, VA
08.2013 - 03.2021
- Supervised front office operations, managing schedules for 6 providers and 4 front office staff.
- Manage coding requirements, collection regulations, and ensure optimal collections.
- Following up at least every 10 business days on all claims that hit 30+ days in aging to achieve the goal of getting the 90 day insurance aging report near ZERO and keeping it there.
- Maintained a 98% claim submission accuracy rate, significantly reducing billing errors and associated financial losses.
- Experience with clearinghouses and healthcare portals.
- Oversaw the accurate entry of patient data and billing information into the system.
- Execute customer-specific revenue cycle workflows to accommodate federal, state, and payer-specific requirements.
- Utilize advanced software and tools to streamline billing processes and maximize efficiency.
- Manage coding requirements, collection regulations, and ensure optimal collections.
- Improved patient satisfaction scores by simplifying billing process and enhancing transparency.
- Tracked outstanding balances, contacted patients for payments, and handled collections.
- Conducted morning team meetings to align schedules and ensure smooth daily operations.
- Trained new front office staff, ensuring thorough understanding of policies and procedures.
- Developed strong relationships with repeat customers through personalized service and attention to detail in meeting their needs.
- Enhanced patient satisfaction by efficiently managing front office operations and addressing customer concerns promptly.
- Reconciled end-of-day reports to determine accurate billing and payment processing.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
Dental Scheduling Manager
The Foleck Center Dental Office
Virginia Beach, Virginia
08.2010 - 06.2013
- Coordinated patient appointments while optimizing provider schedules to enhance productivity
- Confirmed upcoming appointments and followed up on recall and treatment plans
- Assisted patients in understanding insurance benefits and estimated out-of-pocket costs
- Resolved schedule conflicts swiftly, ensuring minimal disruption to operations and client satisfaction levels.
- Confirmed patient appointments via telephone and text to inform of appropriate preparations needed prior to examination.
- Handle inquiries by email and phone, resolve issues, and ensure customer satisfaction through effective communication.
- Resolve customer complaints with empathy and efficiency, escalating to higher-level support when necessary.
- Managed high-volume customer interactions, addressing inquiries and resolving issues.
- Process and post all payments, insurance checks, EFT's and EOBs accurately into accounts.
- Submit electronic claims, predeterminations, and follow up on outstanding claims promptly.
- Once a week run an over 30 day dental insurance aging report and accounts receivable aging report.
- Supervised coding, insurance billing and reimbursement tracking for 4 administrative workers.
- Reduced staff overtime hours by optimizing schedules and minimizing conflicts.
- Enhanced scheduling efficiency by streamlining processes and implementing automated systems.
- Conducted regular reviews of scheduling processes, identifying areas for improvement and implementing necessary changes.
- Implemented continuous improvement strategies within the scheduling department for increased productivity levels.
Administrative Assistant
Lovett's Pest Services
Fredericksburg, VA
08.2004 - 08.2010
- Provided administrative support, including appointment scheduling and payment processing
- Maintained meticulous records and ensured timely communication with clients.
- Managed approximately 40 incoming calls, emails, and faxes per day from customers.
- Oversaw the accurate entry of patient data and billing information into the
system. - Tracked outstanding balances, contacted patients for payments, and
handled collections. - Conducted morning team meetings to align schedules and ensure smooth
daily operations. - Trained new front office staff, ensuring thorough understanding of policies
and procedures.
Education
Certified Dental Assistant -
Dental Careers Foundation
Virginia Beach, VA 01.2008 - 06.2009
High School Diploma -
Massaponax High School
Fredericksburg, VA 09.2004 - 06.2008
Skills
Certification
Certified Dental Assistant & X-Ray Certified
Languages
5
Accomplishments
Peer Recognition Award- Nominated by colleagues for consistently fostering a positive team environment, contributing to improved team morale and productivity.
Customer Service Excellence Award- Recognized for delivering exceptional customer service and maintaining a high level of client satisfaction, resulting in a 95% positive feedback rating over the year.
Maintained a 98% claim submission accuracy rate, significantly reducing billing errors and associated financial losses.
Successfully implemented and maintained compliance with all HIPAA regulations regarding patient data privacy and security.
Developed and delivered comprehensive dental billing training sessions for new staff members, improving overall billing accuracy and efficiency.
Effectively communicate with patients, insurance companies, and dental practice staff.
Developed and delivered comprehensive dental billing training sessions for new staff members, improving overall billing accuracy and efficiency.
Successfully negotiated higher reimbursement rates with major dental insurance providers, resulting in a 5% increase in average claim payments.
Submitted clean claims for payment within 1 business day, posting all payments to patient ledgers within 1 business day, and collecting 100% of what's rightly owed to the dental practice.
Successfully negotiated higher reimbursement rates with major dental insurance providers, resulting in a 5% increase in average claim payments.
Following up at least every 10 business days on all claims that hit 30+ days in aging to achieve the goal of getting the 90 day insurance aging report near ZERO and keeping it there.
Customer Service Excellence Award Recognized for delivering exceptional customer service.
As a dental billing specialist, I was recently honored with a Customer Service Excellence Award for consistently exceeding expectations and going above and beyond in my interactions with patients and insurance companies. This recognition stemmed from my dedication to providing clear, timely communication, proactively addressing potential billing issues, and actively resolving complex claims with a patient-centric approach. By taking the time to thoroughly explain billing details and promptly respond to inquiries, I consistently strive to create a positive and stress-free experience for all customers.
Timeline
Dental Billing Specialist
Brilliance Dental
03.2021 - Current
Dental Revenue Cycle Manager
Gentle Touch Dentistry
08.2013 - 03.2021
Dental Scheduling Manager
The Foleck Center Dental Office
08.2010 - 06.2013
Certified Dental Assistant -
Dental Careers Foundation
01.2008 - 06.2009
High School Diploma -
Massaponax High School
09.2004 - 06.2008
Administrative Assistant
Lovett's Pest Services
08.2004 - 08.2010
Certified Dental Assistant & X-Ray Certified
CPR/AED Certified
OSHA & HIPAA Certified
Similar Profiles
Ashley CashAshley Cash
Data Entry Specialist at Brilliance DentalData Entry Specialist at Brilliance Dental
Tiffany Pereira-BarillasTiffany Pereira-Barillas
Dental Assistant at Brilliance DentalDental Assistant at Brilliance Dental
Chelsie BottChelsie Bott
Expanded Functions Dental Assistant at Brilliance DentalExpanded Functions Dental Assistant at Brilliance Dental