Brandy Mowery
Ashville,OHIO
Summary
Reliable insurance coordinator with expertise in securing pre-authorizations and pre-certifications for wide range of orthodontic procedures. Proficient in Medicaid dental terminology. Expertise in office administration, records management and leadership. Talented Insurance Coordinator with 15 years background in an orthodontic office. Expert in managing insurance claims process, maintaining patient accounts and liaising with insurance companies. Well-versed in Medicare, Medicaid, HMO and PPO insurance requirements.
Overview
18
18
years of professional experience
Work History
Insurance Coordinator
Montgomery Orthodontics
11.2017 - Current
- Generated, posted and attached information to claim files.
- Processed and recorded new policies and claims.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Developed strong relationships with primary carriers, leveraging partnerships for better negotiation outcomes in coverage options.
- Obtained prior authorization and precertification for outpatient procedures.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
- Verified insurance and communicated coverage to staff and patients.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Reviewed accounts receivable reports, insurance contracts and weekly and monthly financial reports.
- Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
- Conducted thorough policy reviews, identifying gaps in coverage and offering appropriate solutions.
- Conducted regular reviews of billed services against actual treatment rendered to ensure accuracy in coding practices leading to optimal reimbursement rates from insurers.
- Enhanced office productivity by effectively scheduling appointments according to provider availability and patient needs.
- Created improved filing system to maintain secure client data.
- Streamlined claim submission process for faster reimbursement and reduced claim denials.
- Served as a liaison between patients, dental providers, and insurance companies to resolve any discrepancies or misunderstandings regarding coverage or billing issues.
- Maintained accurate records of patient treatments, billing information, and insurance details to ensure seamless communication between patients, providers, and insurers.
- Audited and corrected billing and posting documents for accuracy.
- Verified accuracy of accounts payable payments, resulting in payment errors and check reissues.
- Ensured timely payment collection from both patients and insurance companies by diligently tracking outstanding balances.
- Handled account payments and provided information regarding outstanding balances.
- Used data entry skills to accurately document and input statements.
- Reconciled accounts receivable to general ledger.
- Managed accounts receivable, decreasing outstanding balances through diligent follow-up with both patients and insurers.
- Monitored outstanding invoices and performed collections duties.
- Developed comprehensive training materials for new employees on dental insurance coordination processes, fostering a smoother onboarding experience.
- Monitored changes in dental insurance policies and communicated updates to staff, enabling the team to stay informed about the latest industry standards.
- Responded to customer concerns and questions on daily basis.
- Improved patient satisfaction by efficiently managing dental insurance claims and coordinating with providers.
- Reduced billing errors by consistently verifying insurance eligibility prior to service delivery.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
- Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
- Educated dental team members on insurance policies and procedures to promote a cohesive office environment focused on quality patient care.
- Generated monthly billing and posting reports for management review.
- Generated accounts payable reports for management review to aid in financial and business decision making.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Collaborated with dentists to create treatment plans that optimize available insurance benefits without compromising quality of care.
- Collaborated with customers to resolve disputes.
- Maintained accurate records of customer payments.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Developed strong organizational and communication skills through coursework and volunteer activities.
- Demonstrated creativity and resourcefulness through the development of innovative solutions.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Developed and maintained courteous and effective working relationships.
- Gained extensive knowledge in data entry, analysis and reporting.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Excellent communication skills, both verbal and written.
- Resolved problems, improved operations and provided exceptional service.
- Identified issues, analyzed information and provided solutions to problems.
- Gained strong leadership skills by managing projects from start to finish.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Proved successful working within tight deadlines and a fast-paced environment.
- Provided professional services and support in a dynamic work environment.
- Self-motivated, with a strong sense of personal responsibility.
- Developed strong communication and organizational skills through working on group projects.
- Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
- Answered constant flow of customer calls with minimal wait times.
- Responded proactively and positively to rapid change.
- Clarified customer issues and determined root cause of problems to resolve product or service complaints.
- Streamlined appointment scheduling process by utilizing advanced software tools, optimizing time management for both patients and medical professionals.
- Took copayments and compiled daily financial records.
- Reduced process inconsistencies and effectively trained team members on best practices and protocols.
- Used PerfectByte, and Carestream Dental to schedule appointments.
- Proficient with using Skygen, The Dental Hub, and DentaQuest.
Dental Insurance Coordinator
Edward B. Jones DDS
05.2008 - 11.2017
- Proficient with SkyGen, and DentaQuest.
- Conducted regular reviews of billed services against actual treatment rendered to ensure accuracy in coding practices leading to optimal reimbursement rates from insurers.
- Enhanced office productivity by effectively scheduling appointments according to provider availability and patient needs.
- Increased revenue by identifying underbilling trends and implementing corrective measures in the claims submission process.
- Developed strong relationships with insurance representatives for efficient problem-solving and expedited claims processing.
- Negotiated pre-authorizations for necessary dental procedures, securing coverage for vital treatments otherwise not covered.
- Created improved filing system to maintain secure client data.
- Disbursed petty cash by recording entries and verifying documentation.
- Streamlined claim submission process for faster reimbursement and reduced claim denials.
- Served as a liaison between patients, dental providers, and insurance companies to resolve any discrepancies or misunderstandings regarding coverage or billing issues.
- Maintained accurate records of patient treatments, billing information, and insurance details to ensure seamless communication between patients, providers, and insurers.
- Audited and corrected billing and posting documents for accuracy.
- Verified accuracy of accounts payable payments, resulting in [Number]% reduction in payment errors and check reissues.
- Ensured timely payment collection from both patients and insurance companies by diligently tracking outstanding balances.
- Implemented an electronic filing system for improved organization of patient records, resulting in increased efficiency during audits or inquiries from insurers.
- Handled account payments and provided information regarding outstanding balances.
- Used data entry skills to accurately document and input statements.
- Reconciled accounts receivable to general ledger.
- Managed accounts receivable, decreasing outstanding balances through diligent follow-up with both patients and insurers.
- Monitored outstanding invoices and performed collections duties.
- Developed comprehensive training materials for new employees on dental insurance coordination processes, fostering a smoother onboarding experience.
- Monitored changes in dental insurance policies and communicated updates to staff, enabling the team to stay informed about the latest industry standards.
- Utilized various software programs to process customer payments.
- Responded to customer concerns and questions on daily basis.
- Improved patient satisfaction by efficiently managing dental insurance claims and coordinating with providers.
- Reduced billing errors by consistently verifying insurance eligibility prior to service delivery.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
- Kept vendor files accurate and up-to-date to expedite payment processing.
- Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
- Educated dental team members on insurance policies and procedures to promote a cohesive office environment focused on quality patient care.
- Assisted patients in completing necessary paperwork for filing claims, ensuring timely submission of required documentation.
- Generated monthly billing and posting reports for management review.
- Generated accounts payable reports for management review to aid in financial and business decision making.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Collaborated with dentists to create treatment plans that optimize available insurance benefits without compromising quality of care.
- Maintained accurate records of customer payments.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Developed strong organizational and communication skills through coursework and volunteer activities.
- Demonstrated creativity and resourcefulness through the development of innovative solutions.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Developed and maintained courteous and effective working relationships.
- Gained extensive knowledge in data entry, analysis and reporting.
- Demonstrated strong organizational and time management skills while managing multiple projects.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
- Excellent communication skills, both verbal and written.
- Applied effective time management techniques to meet tight deadlines.
- Resolved problems, improved operations and provided exceptional service.
- Identified issues, analyzed information and provided solutions to problems.
- Gained strong leadership skills by managing projects from start to finish.
- Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
- Participated in team projects, demonstrating an ability to work collaboratively and effectively.
- Proved successful working within tight deadlines and a fast-paced environment.
- Provided professional services and support in a dynamic work environment.
- Self-motivated, with a strong sense of personal responsibility.
- Developed strong communication and organizational skills through working on group projects.
- Sanitized trays, instruments, and surfaces for clean dental office setting and patient safety.
- Educated patients by giving oral hygiene, plaque control, and postoperative instructions.
- Prepared and sterilized instruments and materials for use by dentists.
- Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
- Assisted dentists with complex procedures, ensuring optimal patient care and treatment outcomes.
- Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
- Staged tray for procedures by arranging dental instruments and equipment.
- Implemented educational programs within the practice that emphasized preventative care strategies for patients.
- Contributed to office organization by maintaining accurate patient records and updating files regularly.
- Conducted preliminary assessments of new patients, gathering crucial information for accurate diagnoses.
- Maintained a clean and sterile work environment to prevent cross-contamination and infection.
- Assisted in chair-side orthodontic procedures, and taking impressions.
- Maintained dental supply inventory by checking stock to determine inventory levels and placing and expediting orders for supplies.
- Managed inventory of dental supplies, reducing waste and optimizing resource allocation.
- Supported dentists during orthodontic procedures by preparing rooms with necessary tools and sterilized instruments.
- Aided in the development of staff training materials, fostering a cohesive team environment focused on continuous improvement.
- Increased patient retention by building rapport through excellent communication skills and a friendly demeanor.
- Streamlined appointment scheduling for increased efficiency and reduced wait times.
- Performed general chair-side duties for the orthodontist.
- Educated patients on proper oral hygiene techniques, promoting long-term dental health.
- Reduced appointment cancellations by implementing reminder calls and text messaging services, resulting in improved scheduling efficiency.
- Handled administrative tasks such as billing, insurance claims processing, and appointment confirmation calls to support office operations efficiently.
- Learned and adapted quickly to new technology and software applications.
- Cultivated interpersonal skills by building positive relationships with others.
- Organized and detail-oriented with a strong work ethic.
- Strengthened communication skills through regular interactions with others.
- Worked effectively in fast-paced environments.
- Skilled at working independently and collaboratively in a team environment.
Sales Associate
JCPenney
09.2005 - 05.2008
- Created inviting environment for customers by maintaining store organization and cleanliness.
- Maintained up-to-date knowledge of store sales, payment policies and security standards.
- Answered customer questions about sizing, accessories, and merchandise care.
- Managed conflict resolution with dissatisfied customers professionally, resulting in improved customer retention rates.
- Stocked merchandise, clearly labeling items, and arranging according to size or color.
- Accurately processed POS transactions, returning coin, currency, payment cards, and receipts to customers.
- Boosted customer satisfaction levels through exceptional service, addressing concerns promptly, and providing a welcoming store environment.
- Streamlined processes within the store''s operations by organizing merchandise layouts for easy access.
- Worked to meet or exceed special targets for credit card applications, special donations and specific product promotions.
- Managed returns, exchanges and refunds in accordance with store policy.
- Prioritized helping customers over completing other routine tasks in store.
- Collaborated with team members to improve overall store performance, sharing best practices, and offering support as needed.
- Generated new sales leads to achieve and exceed monthly sales goals.
- Volunteered for extra shifts during holidays and other busy periods to alleviate staffing shortages.
- Engaged in friendly conversation with customer to better uncover individual needs.
- Assisted in training new staff members on company policies, product information, and sales techniques for a seamless onboarding experience.
- Participated in team meetings and training sessions regularly for continuous professional development within the retail industry.
- Achieved monthly sales targets consistently by implementing effective sales strategies and maintaining a high level of product knowledge.
- Assisted in the development and implementation of marketing initiatives to promote store events and special promotions.
- Engaged with customers to build rapport and loyalty.
- Utilized cross-selling techniques to introduce customers to complementary products, increasing average transaction size.
- Recommended complementary purchases to customers, increasing revenue.
- Solved customer challenges by offering relevant products and services.
- Enhanced team productivity by fostering a positive work environment and providing support to colleagues as needed.
- Handled cash transactions efficiently while adhering to company cash handling policies, ensuring accuracy in all financial exchanges.
- Monitored customers for signs of security concerns and escalated issues to management.
- Managed efficient cash register operations.
- Rotated stock and restocked shelves to maintain product availability and store appearance.
- Educated clients on current promotional offerings and products using persuasive selling tactics.
- Minimized wait times for customers during peak hours, maintaining a high level of customer satisfaction.
- Opened, shelved and merchandised new products in visually appealing and organized displays for optimal sales promotions.
- Prepared merchandise for sales floor by pricing or tagging.
- Answered customer questions about products and services, helped locate merchandise, and promoted key items.
- Listened to customer needs and desires to identify and recommend optimal products.
- Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
- Contributed to visual merchandising efforts by creating eye-catching displays that showcased products effectively and enticed shoppers to make purchases.
- Boosted jewelry sales by providing excellent customer service and personalized product recommendations.
- Learned and frequently used multiple sales systems to investigate, track, and correct customers' issues.
- Contributed to team objectives in fast-paced environment.
- Trained new employees on customer service, money handling and organizing strategies.
- Gained strong leadership skills by managing projects from start to finish.
- Adaptable and proficient in learning new concepts quickly and efficiently.
- Paid attention to detail while completing assignments.
- Demonstrated creativity and resourcefulness through the development of innovative solutions.
- Learned and adapted quickly to new technology and software applications.
Education
No Degree - Physical Therapy
Hocking College
Nelsonville, OHNo Degree - Business Management
Columbus State Community College
Columbus, OHNo Degree - Paralegal Studies
Columbus State Community College
Columbus, OHHigh School Diploma -
Liberty Union High School
Baltimore, OH05.2006
Skills
- Coverage Determination
- Customer Service
- Microsoft Office
- Account Management
- Organizing and Prioritizing Work
- Decision-Making
- Insurance claims processing
- New Policies Processing
- Insurance Coverage Verification
- Medicare and Medicaid knowledge
- Patient contact
- Customer service and assistance
- Recordkeeping Organization
- Claims adjustment
- Proficient in PerfectByte, Carestream Dental, SkyGen, Dental Hub, and DentaQuest
- Data Entry
- Understanding of dental terminology
- Information Verification
- Prior authorization processing
- Data Entry Software
- Teamwork and Collaboration
- Attention to Detail
- Appointment Scheduling
- Records Management
- Patient Rapport
- Paperwork Processing
- Insurance processes
- Eligibility Determination
- Financial Transactions
- Active Listening
- Business Correspondence
- Billing Software
- Insurance Verification
- Denied claims identification
- Policy Review
- Strategic thinking skills
- Claims Processing
- Account Management Software
- Medicaid knowledge
- Claims
- Accounts Receivable
- Excellent administrative abilities
- Organization
- Dependable and Responsible
- Time Management
- Multitasking Abilities
- Supervision and leadership
- Clerical Support
- Self-Directed
- Good Telephone Etiquette
Timeline
Insurance Coordinator
Montgomery Orthodontics
11.2017 - Current
Dental Insurance Coordinator
Edward B. Jones DDS
05.2008 - 11.2017
Sales Associate
JCPenney
09.2005 - 05.2008
No Degree - Physical Therapy
Hocking College
No Degree - Business Management
Columbus State Community College
No Degree - Paralegal Studies
Columbus State Community College
High School Diploma -
Liberty Union High School
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