Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic
Caio Wigand

Caio Wigand

Rio de Janeiro,RJ

Summary

I am a dedicated and detail-oriented dental biller with a strong track record of managing billing processes efficiently. With extensive experience in posting payments, handling insurance claims, and with multiple different softwares, I excel in ensuring accuracy and resolving discrepancies. My commitment to maintaining high standards accuracy and excellent communication skills makes me a valuable asset to any dental practice or company.

Overview

5
5
years of professional experience

Work History

CSR/Dental Insurance Specialist

Teem
02.2024 - Current
  • Dental Billing & Coding: Expertise in dental billing procedures, including the use of CDT codes for accurate billing and claim submissions.
  • Insurance Verification: Skilled in verifying patient insurance coverage, benefits, and eligibility; handling pre-authorizations and pre-determinations.
  • Claims Management: Proficient in preparing, submitting, and following up on insurance claims, managing denials and appeals.
  • Accounts Receivable: Experience in managing patient accounts, tracking outstanding balances, and ensuring timely payment.
  • Patient Communication: Strong communication skills for explaining billing statements, handling inquiries, and negotiating payment plans.
  • Software Proficiency: Proficient in dental practice management software (e.g., Dentrix, Eaglesoft, Open Dental, Dentrix Ascend, Dentive and others)
  • Regulatory Compliance: Knowledgeable about HIPAA regulations and dental billing standards to ensure compliance and protect patient information.
  • Problem Solving: Effective in identifying billing discrepancies, resolving issues, and implementing solutions to improve billing processes.
  • Payment Posting: Proficient in accurately posting payments from dental insurance companies to patient accounts and practice management systems.
  • EOB Interpretation: Experienced in reviewing and interpreting Explanation of Benefits (EOB) to ensure correct application of insurance payments and patient responsibility.
  • Reconciliation: Skilled in reconciling insurance payments with practice records, identifying discrepancies, and resolving any issues.
  • Claims Management: Knowledgeable in managing and posting adjustments for underpaid, overpaid, or denied claims.
  • Data Entry: Accurate and efficient in entering payment information, updating patient accounts, and maintaining financial records.

Department Manager

EZ Dental Billing
02.2022 - 01.2024
  • Provided valuable technical support to colleagues and key clients, addressing requests, while also delivering effective training to new trainees
  • Leveraged data insights to implement Editable templates, increasing employee production and client collection in 40%
  • Designed and implemented a comprehensive Google Sheets-based data control system, ensuring accurate data entry and adherence to quality standards
  • Established role-based access control and user authentication to safeguard sensitive information
  • Conducted regular data validation checks, minimizing errors and maintaining data accuracy
  • Developed and maintained a version control system for tracking changes to datasets, facilitating easy identification of modifications
  • Collaborated closely with cross-functional teams to identify and resolve component and data quality issues, ensuring data integrity and consistency throughout the organization
  • Oversee the assignment and coordination of a team of 18 agents responsible for costumer service, financial analysis, increase in clients monthly collections, guarantee all receivable in timely manner disputing contractual policies with Insurance companies
  • Develop and implement efficient workflows to ensure optimal agent performance and adherence to organizational goals
  • Conduct regular performance evaluations, providing constructive feedback and identifying opportunities for skill development
  • Monitor and analyze client satisfaction metrics, implementing improvement initiatives as needed
  • Successfully managed a diverse portfolio of over 60 clients, overseeing their financial needs, objectives

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Billing Specialist

EZ Dental
08.2021 - 02.2022
  • Insurance Verification: Proficient in verifying dental insurance coverage, including understanding policy details and benefits.
  • Claim Processing: Experienced in processing and managing insurance claims, including handling denials and appeals.
  • Customer Service: Strong interpersonal skills for effective communication with insurance companies, patients, and dental office staff.
  • Data Management: Accurate data entry and record-keeping skills for managing patient and insurance information.
  • Compliance: Knowledgeable in HIPAA regulations to ensure patient confidentiality and data security.
  • Problem Solving: Skilled in addressing and resolving coverage discrepancies and claim issues.
  • Follow-Up: Effective at tracking and following up on claims to ensure timely payment and resolution.
  • Aging Report Management: Expertise in tracking, analyzing, and managing aging accounts receivable reports to optimize collections.
  • Data Analysis: Proficient in analyzing financial data to identify trends, discrepancies, and areas for improvement.
  • Collections: Experienced in developing and implementing strategies for effective collections and reducing overdue accounts.
  • Software Proficiency: Skilled in using dental practice management software and accounting systems (e.g., Dentrix, Eaglesoft, QuickBooks).
  • Maintained a comprehensive understanding of dental procedures and terminology, enabling clear communication with both patients and insurance companies regarding billing matters.

Administration, Purchasing and Supplies Internship

MRV
02.2021 - 08.2021
  • Supported daily administrative operations by handling phone calls, emails, and coordinating appointments
  • Assisted in managing office supplies inventory, ensuring adequate stock levels and placing orders as needed
  • Coordinate with project managers to understand material requirements and ensure timely delivery of supplies to construction sites
  • Source and negotiate pricing with suppliers, ensuring cost-effectiveness and adherence to project budgets
  • Oversee the tracking and storage of construction materials, maintaining accurate inventory records
  • Collaborate with logistics teams to optimize transportation and delivery schedules, minimizing project delays
  • Handle documentation for supply orders, including purchase orders, delivery notes, and invoices


Administrative Assistant (Temporary Contract)

Quissamã Treasury Department
07.2020 - 01.2021
  • Provide comprehensive administrative support to the Treasury Department.
  • Assist in the preparation of financial reports, budget documentation, and other treasury-related documents
  • Handle confidential information with discretion, ensuring compliance with financial regulations and privacy policies
  • Provide exceptional administrative support to the Treasury Department with a focus on delivering high-quality customer services
  • Serve as the primary point of contact for customer inquiries related to treasury services.
  • Conduct customer satisfaction surveys, gather feedback, and implement improvements to enhance the overall customer experience.

Administrative Analyst

Serede
06.2019 - 06.2020
  • Manage nationwide logistics operations with a focus on coordinating the movement of goods and materials across multiple locations
  • Oversee patrimonial security measures for facilities and assets, implementing protocols to ensure the safety of personnel and property
  • Act as the primary point of contact for the opening of occurrences related to theft, robbery, and security breaches
  • Coordinate with law enforcement agencies to ensure prompt response and investigations into reported incidents
  • Conduct internal investigations to identify and analyze the root causes of security incidents.

Education

Art -

CAL (Casa das Artes de Laranjeiras)

Business -

Estácio De Sá University
11.2026

Law -

Estácio de Sá University
01.2024

Skills

  • CRM Software
  • Data Entry
  • Call Management
  • Problem Resolution
  • Microsoft Excel
  • Research
  • Time Management
  • Multitasking Abilities
  • Excellent Communication

Languages

Portuguese
Native or Bilingual
English
Native or Bilingual
Spanish
Limited Working

Timeline

CSR/Dental Insurance Specialist

Teem
02.2024 - Current

Department Manager

EZ Dental Billing
02.2022 - 01.2024

Billing Specialist

EZ Dental
08.2021 - 02.2022

Administration, Purchasing and Supplies Internship

MRV
02.2021 - 08.2021

Administrative Assistant (Temporary Contract)

Quissamã Treasury Department
07.2020 - 01.2021

Administrative Analyst

Serede
06.2019 - 06.2020

Art -

CAL (Casa das Artes de Laranjeiras)

Business -

Estácio De Sá University

Law -

Estácio de Sá University
Caio Wigand