Summary
Overview
Work History
Education
Skills
Interests
Timeline
Generic

Athina Persaud

Summary

I am a goal-oriented person with 13 years' experience who seeks to obtain a responsible and challenging role where my experience can be used to help drive business development and growth in order to make an impact. Experienced with dental claims processing, ensuring accurate and timely claims adjudication. Utilizes strong analytical skills and industry knowledge to resolve discrepancies. Track record of effective problem-solving and maintaining compliance with regulatory standards.

Overview

15
15
years of professional experience

Work History

Claims Processor

Administrative Services Only, Inc
08.2018 - Current
  • Responsible for handling dental insurance claims for NYC, NJ, FL, CT, PA
  • Review dental claims to be processed correctly
  • Handling high-volume claims processing including document review
  • Reviewing claim submission & verifying the information
  • Release payment in timely manner

Claims Processor

Administrative Services Only, Inc
08.2018 - Current
  • Responsible for handling dental insurance claims for NYC, NJ, FL, CT, PA
  • Review dental claims to be processed correctly
  • Handling high-volume claims processing including document review
  • Reviewing claim submission & verifying the information
  • Release payment in timely manner

Financial Coordinator

Advance Dental Specialties of NY
04.2016 - 06.2018
  • Duplicated x-rays when requested by insurance companies
  • Expertly filed patients' charts and processed billing and payments
  • Managed aging report and reprocess claims that were unpaid
  • Appealed claims that were unpaid and provided evidence
  • Billed patients that have outstanding balance/ or sent to collections
  • Explained Explanation of Benefits (EOB) to patients

Financial Coordinator

Advance Dental Specialties of NY
04.2016 - 06.2018
  • Duplicated x-rays when requested by insurance companies
  • Expertly filed patients' charts and processed billing and payments
  • Managed aging report and reprocess claims that were unpaid
  • Appealed claims that were unpaid and provided evidence
  • Billed patients that have outstanding balance/ or sent to collections
  • Explained Explanation of Benefits (EOB) to patients

Manager

Complete Smiles Dental
11.2014 - 04.2016
  • Managed office daily, printed daily reports, daily deposits and closed out scheduled, confirmed appointments, six-month recalls and insurance verification dental
  • Processed insurance claims, collected co-payments, posted EOBs and patient payments
  • Contacted insurance companies on outstanding dental claims
  • Submitted pretreatment estimates to insurance companies prior to patient treatment
  • Reviewed patient treatment plan and set-up financial arrangement with patients
  • Handled patient billing issues, printed monthly patient statement, and A/R report
  • Hire, train and managed new staff

Manager

Complete Smiles Dental
11.2014 - 04.2016
  • Managed office daily, printed daily reports, daily deposits and closed out scheduled, confirmed appointments, six-month recalls and insurance verification dental
  • Processed insurance claims, collected co-payments, posted EOBs and patient payments
  • Contacted insurance companies on outstanding dental claims
  • Submitted pretreatment estimates to insurance companies prior to patient treatment
  • Reviewed patient treatment plan and set-up financial arrangement with patients
  • Handled patient billing issues, printed monthly patient statement, and A/R report
  • Hire, train and managed new staff

Billing Coordinator/Administrative Assistant

Complete Dental Care Multi-Specialty Dental Group
01.2014 - 11.2014
  • Greeted patients and prepared them for dental examinations
  • Reviewed status of waiting room on a routine basis to ensure patients were being seen in a timely fashion
  • Coordinated appointment schedules for both the dentist and oral surgeon
  • Expertly filed patients' charts and processed billing and payments
  • Submitted pre-authorizations, checking status of claims Enter EOB's, adjusted claims in patient's account
  • Managed invoices and transaction receipts
  • Provided appropriate postoperative instructions as prescribed by dentist
  • Carefully reviewed dental records for accuracy and completion as required by insurance companies
  • Prepared prescription refill requests on behalf of the dentist
  • Scheduled patient appointments
  • Completed registration quickly and cordially for all new patients
  • Consistently ensured proper coding, sequencing of diagnoses and procedures

Billing Coordinator/Administrative Assistant

Complete Dental Care Multi-Specialty Dental Group
01.2014 - 11.2014
  • Greeted patients and prepared them for dental examinations
  • Reviewed status of waiting room on a routine basis to ensure patients were being seen in a timely fashion
  • Coordinated appointment schedules for both the dentist and oral surgeon
  • Expertly filed patients' charts and processed billing and payments
  • Submitted pre-authorizations, checking status of claims Enter EOB's, adjusted claims in patient's account
  • Managed invoices and transaction receipts
  • Provided appropriate postoperative instructions as prescribed by dentist
  • Carefully reviewed dental records for accuracy and completion as required by insurance companies
  • Prepared prescription refill requests on behalf of the dentist
  • Scheduled patient appointments
  • Completed registration quickly and cordially for all new patients
  • Consistently ensured proper coding, sequencing of diagnoses and procedures

Administrative Assistant

All Bright Dental P.C. - Dr. Pratix Shroff, DDS
06.2011 - 01.2014
  • Knowledge of Easy Dental Software
  • Greeted patients upon arrival/dismissal
  • Provided information about patient Insurance (PPO- DMO)/ Pre-Authorization Verifications/Deductibles
  • Explained treatment plans to patients
  • Coinsurance - collecting payments and co-payments, updating patient's charts
  • Maintained patient relationships and scheduled appointments for follow-up/no-show cancellation appointments
  • Answered heavy multiple-line telephone calls
  • Pulled and filed patient charts and documents
  • Entered claims/ adjustments/pre-authorization and payments received by insurance companies
  • Followed up with insurance companies regarding patient treatment/pre-authorization

Administrative Assistant

All Bright Dental P.C. - Dr. Pratix Shroff, DDS
06.2011 - 01.2014
  • Knowledge of Easy Dental Software
  • Greeted patients upon arrival/dismissal
  • Provided information about patient Insurance (PPO- DMO)/ Pre-Authorization Verifications/Deductibles
  • Explained treatment plans to patients
  • Coinsurance - collecting payments and co-payments, updating patient's charts
  • Maintained patient relationships and scheduled appointments for follow-up/no-show cancellation appointments
  • Answered heavy multiple-line telephone calls
  • Pulled and filed patient charts and documents
  • Entered claims/ adjustments/pre-authorization and payments received by insurance companies
  • Followed up with insurance companies regarding patient treatment/pre-authorization

Administrative Assistant

Queens Boulevard Oral & Maxillofacial Surgery, Dr. David Tabaroki, DDS
01.2010 - 04.2011
  • Assisted patients by taking panoramic x-rays.
  • Maintained patient relationships and schedule appointments
  • Worked on insurance verifications
  • Worked on emergency referrals, calling prescriptions into pharmacy

Administrative Assistant

Queens Boulevard Oral & Maxillofacial Surgery, Dr. David Tabaroki, DDS
01.2010 - 04.2011
  • Assisted patients by taking panoramic x-rays.
  • Maintained patient relationships and schedule appointments
  • Worked on insurance verifications
  • Worked on emergency referrals, calling prescriptions into pharmacy

Education

Medical Assistant Certified -

Allen Medical School
01.2010

High School Diploma - undefined

August Martin High School
01.2008

Skills

  • Appointment scheduling proficiency
  • Insurance verification competency
  • Electronic dental charting
  • Insurance billing
  • Front office procedures
  • Billing and coding
  • Dental terminology knowledge
  • Patient charting
  • Insurance eligibility verifications
  • Easy dental/Dentrix Software
  • Multitasking capacity
  • Dental procedures
  • Teamwork
  • HIPAA compliance
  • Claims processing efficiency
  • Organizational growth

Interests

  • Adventure Travel
  • Animal Care
  • Music
  • Crafting and DIY Projects
  • Cooking
  • Baking
  • Growing herbs, vegetables, or fruits in home gardens

Timeline

Claims Processor

Administrative Services Only, Inc
08.2018 - Current

Claims Processor

Administrative Services Only, Inc
08.2018 - Current

Financial Coordinator

Advance Dental Specialties of NY
04.2016 - 06.2018

Financial Coordinator

Advance Dental Specialties of NY
04.2016 - 06.2018

Manager

Complete Smiles Dental
11.2014 - 04.2016

Manager

Complete Smiles Dental
11.2014 - 04.2016

Billing Coordinator/Administrative Assistant

Complete Dental Care Multi-Specialty Dental Group
01.2014 - 11.2014

Billing Coordinator/Administrative Assistant

Complete Dental Care Multi-Specialty Dental Group
01.2014 - 11.2014

Administrative Assistant

All Bright Dental P.C. - Dr. Pratix Shroff, DDS
06.2011 - 01.2014

Administrative Assistant

All Bright Dental P.C. - Dr. Pratix Shroff, DDS
06.2011 - 01.2014

Administrative Assistant

Queens Boulevard Oral & Maxillofacial Surgery, Dr. David Tabaroki, DDS
01.2010 - 04.2011

Administrative Assistant

Queens Boulevard Oral & Maxillofacial Surgery, Dr. David Tabaroki, DDS
01.2010 - 04.2011

High School Diploma - undefined

August Martin High School

Medical Assistant Certified -

Allen Medical School
Athina Persaud