Summary
Overview
Work History
Education
Skills
Languages
Timeline
Generic

Elizabeth Castaneda

Bronx,NY

Summary

Accomplished Insurance Coordinator and Dental Treatment Coordinator with a proven track record at Expert Dental, enhancing patient satisfaction and streamlining insurance processes. Skilled in insurance verification and customer service, successfully increased case acceptance rates and improved cash flow. Demonstrates exceptional ability in treatment planning and fostering positive patient experiences.

Overview

9
9
years of professional experience
1
1
year of post-secondary education

Work History

Insurance Coordinator

Expert Dental
02.2022 - Current
  • Verified insurance and communicated coverage to staff and patients for two locations with a total average of 100 patients daily.
  • Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
  • Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
  • Obtained data such as patient, insurance ID, insurance provider and dental codes to properly file insurance claims.
  • Negotiated pre-authorizations for necessary dental procedures, securing coverage for vital treatments otherwise not covered.
  • Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
  • Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
  • Served as a liaison between patients, dental providers, and insurance companies to resolve any discrepancies or misunderstandings regarding coverage or billing issues.
  • Reduced billing errors by consistently verifying insurance eligibility prior to service delivery.
  • Maintained accurate records of patient treatments, billing information, and insurance details to ensure seamless communication between patients, providers, and insurers.
  • Managed accounts receivable, decreasing outstanding balances through diligent follow-up with both patients and insurers.
  • Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
  • Handled account payments and provided information regarding outstanding balances.
  • Minimized missed appointments through consistent reminder calls or emails to confirm upcoming visits or reschedule if necessary.
  • Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
  • Scheduled, rescheduled, and cancelled appointments for dental patients.

Dental Treatment Coordinator

Thyme Dental Care
05.2019 - 01.2022
  • Collaborated closely with dentists to develop customized treatment plans tailored specifically to each individual''s needs.
  • Enhanced patient satisfaction by effectively managing treatment plans and addressing concerns.
  • Increased case acceptance rates by presenting comprehensive treatment options and financial arrangements to patients.
  • Assisted dentists in delivering optimal care through thorough documentation of patient histories and treatment progress.
  • Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
  • Understood dental terminology and insurance breakdowns to communicate with external stakeholders.
  • Provided excellent customer service to create positive experiences and build patient trust.
  • Managed patient billing processes for timely, accurate payments.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Greeted visitors and patients to determine needs, check appointments, and direct accordingly.
  • Scheduled, rescheduled, and cancelled appointments for dental patients.
  • Improved cash flow for the dental practice by expediting submission of clean claims to insurance carriers.
  • Ensured timely reimbursements with diligent follow-up on outstanding claims and prompt resolution of discrepancies.
  • Handled account payments and provided information regarding outstanding balances.
  • Utilized various software programs to process customer payments.
  • Generated monthly billing and posting reports for management review.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.

Dental Treatment Coordinator

Davenport Dental Group
05.2015 - 05.2019
  • Collaborated closely with dentists to develop customized treatment plans tailored specifically to each individual''s needs.
  • Enhanced patient satisfaction by effectively managing treatment plans and addressing concerns.
  • Increased case acceptance rates by presenting comprehensive treatment options and financial arrangements to patients.
  • Assisted dentists in delivering optimal care through thorough documentation of patient histories and treatment progress.
  • Collaborated with insurance providers to ensure prompt claim processing for patients, resulting in improved cash flow for the practice.
  • Streamlined dental office operations through efficient scheduling and coordinating appointments.
  • Nurtured a positive and supportive work environment for staff members by fostering open communication and teamwork within the office.
  • Understood dental terminology and insurance breakdowns to communicate with external stakeholders.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Greeted visitors and patients to determine needs, check appointments, and direct accordingly.
  • 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.
  • Reduced billing errors by consistently verifying insurance eligibility prior to service delivery.

Education

New York University
New York, NY
08.2021 - 05.2022

Skills

  • Treatment Planning
  • Insurance processes
  • Insurance claims processing
  • Insurance Verification
  • Customer service and assistance
  • Billing and Invoicing
  • Payment Processing

Languages

Spanish
Native or Bilingual

Timeline

Insurance Coordinator

Expert Dental
02.2022 - Current

New York University
08.2021 - 05.2022

Dental Treatment Coordinator

Thyme Dental Care
05.2019 - 01.2022

Dental Treatment Coordinator

Davenport Dental Group
05.2015 - 05.2019
Elizabeth Castaneda