ASHLEY A THEN
Philadelphia,PA
Summary
Obtain a challenging position that will allow me to utilize my skills and enhance my experience.
Overview
6
6
years of professional experience
Work History
Dental Claims Processor
DAG PARTNERS PC
Philadelphia, PA
10.2023 - 05.2026
- Processed dental claims with high accuracy, ensuring compliance with industry regulations.
- Evaluated claim submissions for completeness and adherence to company policies.
- Coordinated with dental providers to resolve discrepancies and clarify billing issues.
- Utilized insurance verification tools to confirm patient eligibility and benefits coverage.
- Maintained detailed records of claims activities, facilitating audits and reporting requirements.
- Improved claim processing efficiency by accurately reviewing and analyzing dental claims for payment.
- Reduced claim errors by diligently verifying patient eligibility and coverage details before processing.
- Verified client information by analyzing existing evidence on file.
- Processed and recorded new policies and claims.
- Posted payments to accounts and maintained records.
- 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.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Lead Front Desk Receptionist
Ismile Dental
Philadelphia, PA
07.2022 - 10.2023
- Scheduled, coordinated and confirmed appointments.
- Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.
- Maintained organized and clean front office area to create professional and welcoming environment for visitors and employees.
- Maintained confidentiality of sensitive data to protect customer and business information.
- Completed data entry and filing to keep records updated for easy retrieval.
- Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
- Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
- Helped patients complete necessary medical forms and documentation.
- Communicated with insurance companies to dispute unpaid claims and verify patient coverages.
Dental Office Manager
Dental Dreams LLC
10.2020 - 04.2021
- Supervised and led team of dental hygienists and support staff of 12.
- Assessed personnel performance and implemented incentives and team-building events to boost morale.
- Developed highly-efficient administrative team through ongoing coaching and professional development opportunities.
- Performed billing, collection and reporting functions for office generating over 500,000 annually.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Oversaw office inventory activities, including ordering and requisitions, stocking and shipment receiving.
- Supervised and guided new employees on calls, scheduling, and verifying insurances and responded quickly to questions, which improved understanding of job responsibilities.
- Completed bi-weekly payroll for 12 employees.
Education
High School Regents Diploma -
SAMUEL GOMPERS VOCATIONAL & TECHNICAL HIGH SCHOOL
The Bronx, NY06.2009
Skills
- Insurance billing
- Excellent multitasking capability
- Professional phone etiquette
- Multi-line telephone system
- Scheduling
- Employee training
- Payment plans
- Workflow planning
- Dental procedures
- Customer service
- Excellent communication
- Patient care
- Bilingual
- Claims adjustment
- Denied claims identification
Timeline
Dental Claims Processor
DAG PARTNERS PC
10.2023 - 05.2026
Lead Front Desk Receptionist
Ismile Dental
07.2022 - 10.2023
Dental Office Manager
Dental Dreams LLC
10.2020 - 04.2021
High School Regents Diploma -
SAMUEL GOMPERS VOCATIONAL & TECHNICAL HIGH SCHOOL