Summary
Overview
Work History
Education
Skills
Timeline
Generic

Brandy Stover

Summary

REMOTE DENTAL BILLING & PROCESSING SPECIALIST Productive, hardworking and trained Dental Assistant offering 10+ years of experience in dental billing, office administration, customer service, prioritizing and completing projects, and back office operations. Confidently interface with patients and colleagues across all organizational levels. Committed, with a positive and proactive service attitude. Strong dental knowledge and clinical background, utilizing HIPAA guidelines at all times; ensure timely filing of all insurance claims, review insurance denials and actively collect on accounts for payment. Command exemplary independent, self-motivated, resourceful, creative, and organized aptitudes, with excellent research and communication skills; quickly learn new processes and thrive in challenging work environments. Strong work ethic; able to work independently in meeting goals without supervision, well versed in multiple practice management systems, preparing accurate billing and queueing of patient statements. Work diligently and routinely on accounts receivable (AR) reports, ensure accurate notation of patient accounts, and provide necessary information and documentation requested by insurance companies for claim payment.

Overview

15
15
years of professional experience

Work History

Claims Processor

Avesis
01.2024 - Current
  • Collaborated with cross-functional teams to resolve complex claims issues efficiently and effectively.
  • Processed PPO claims
  • Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.
  • Trained new employees on claims processing procedures, contributing to a well-prepared workforce.
  • Assisted in updating company guidelines for consistent application of policies across all claims processed.
  • Managed workload and priorities to meet claims processing meet deadlines.
  • Utilized excellent analytical and problem-solving skills to quickly and accurately assess insurance claims.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.

CLAIMS PROCESSOR

TOTAL MED TEMP AGENCY FOR COMPANY AVESIS
03.2023 - 01.2024
  • PROCESSING REFERRALS, DATA ENTRY OF CLAIMS, PROCESSING PPO/DHMO CLAIMS, WORKING WITH EXCEL, WORKING CLAIMS LOG FOR AGING CLAIMS IN A TIMELY FASHION, WORKING WITH NFF PROCESSING OF CLAIMS

DENTAL LABORATORY TECHNICIAN

Slage-Kiser Dental Ceramics Inc
06.2021 - 02.2023
  • Evaluated model functionality with use of bite-mimicking apparatus, adjusting devices to optimize performance
  • Used articulators and micrometers to check conformance of appliances and occlusion accuracy
  • Reviewed prescription orders, promptly filling medications
  • Marked impressions with case numbers for easy patient identification
  • Melted metals or mixed plasters, acrylic and porcelain to pour into molds, creating dental apparatuses and prosthetics
  • Created models of patients' mouth by pouring plaster into dental impressions and allowing plaster to set.

CLAIMS PROCESSING SPECIALIST

Dental Claims Cleanup
09.2020 - 03.2021
  • Analyzed contracts and claim systems to apply appropriate benefit amounts
  • Addressed customer inquiries to provide information and explanations on coverage and terms, expediting claims
  • Conducted and documented comprehensive investigations to negotiate settlements or deny claims
  • Processed claims according to established quality and production standards and made corrections and adjustments to solve problems
  • Verified claim data correctness in preparation for processing
  • Checked documentation for appropriate coding, catching errors and making revisions
  • Coordinated and planned investigations of claims to confirm compensability and coverage
  • Modified and updated existing policies and claims to reflect change in beneficiary, amount of coverage or type of insurance.

FRONT DESK / DENTAL ASSISTANT

May Family Dental
06.2009 - 05.2020
  • Set the tone and image of this family-oriented dental clinic by providing excellent customer service for patients, assisting them from check-in to check-out on a number of levels including scheduling appointments, taking and processing insurance information, filing patient charts and documents, and assisting in dental procedures
  • Accurately and efficiently manage dental billing and processing procedures utilizing Dentrix, Easy Dental and VixWin software, track down payments, attach and read X-Rays and submit insurance and third-party claims
  • Successfully brought the insurance aging report down from 12 to 8 pages within one month, enabling review checks just once per month, taking care of anything in the report that needs to be accomplished in a timely manner
  • Interact with office staff to ensure full patient services, assist in problem solving, inform customers of products and services costs, and diplomatically resolve customer grievances and/or problems providing equitable solutions
  • Answer incoming phone calls and insurance questions, update patient information in the computer, troubleshoot computer systems, set and maintain clear standards regarding individual performance and punctuality
  • Provide dental assistance in a Four-Hand chair side, take digital X-rays, mix various dental materials, pour stone and plaster molds, sterilize dental equipment, and repair computer and X-ray sensor as needed.

Education

High School Diploma -

Fairfield Union
Lancaster, OH
06.2008

Skills

  • Data entry
  • Goal Setting
  • Reliability
  • Adaptability
  • Friendly, Positive Attitude
  • Active Listening
  • People Skills
  • Problem Resolution Charting HIPPA Guidelines
  • Team Collaboration
  • Claims Processing

Timeline

Claims Processor

Avesis
01.2024 - Current

CLAIMS PROCESSOR

TOTAL MED TEMP AGENCY FOR COMPANY AVESIS
03.2023 - 01.2024

DENTAL LABORATORY TECHNICIAN

Slage-Kiser Dental Ceramics Inc
06.2021 - 02.2023

CLAIMS PROCESSING SPECIALIST

Dental Claims Cleanup
09.2020 - 03.2021

FRONT DESK / DENTAL ASSISTANT

May Family Dental
06.2009 - 05.2020

High School Diploma -

Fairfield Union
Brandy Stover