Chelsea Lane
Ashland City ,TN
Summary
Healthcare professional with 10+ years of experience in dental and medical settings, offering a strong blend of front desk, RCM, and clinical expertise. Skilled in-patient scheduling, insurance verification, prior authorizations, appeals, and claims billing. Proficient in EHR/EMR systems for accurate documentation and efficient workflow. Known for strong communication, attention to detail, and delivering a smooth, compassionate patient experience in fast-paced environments.
Overview
15
15
years of professional experience
Work History
RCM Specialist-Eligibility & Authorizations
CleanSlate Centers
Nashville , TN
11.2022 - Current
- Verify patient insurance eligibility and benefits to ensure accurate coverage and minimize claim denials.
- Obtain and manage prior authorizations services and procedures.
- Analyze patient accounts to identify billing discrepancies and resolve issues.
- Review and submit appeals for denied claims, ensuring timely follow-up and resolution.
- Support claims billing processes by verifying accuracy of patient personal and insurance information.
- Utilize EHR/EMR Systems to document patient data, insurance details, and authorizations status.
- Collaborate with clinical and other billing teams to ensure efficient revenue cycle workflow.
- Communicate with insurance companies to resolve eligibility, authorization, and all claim issues.
Patient Service Representative
Premier Radiology
Nashville, TN
06.2022 - 11.2022
- Greeted and registered patients, ensuring accurate demographic information, and insurance information was correct.
- Scheduled imaging appointments, and coordinated with clinical staff to optimize patient care.
- Verified insurance coverage and collaborated with the prior authorization team for auth's to be obtained.
- Collected co-pays and provide clear expectations of procedures and billing processes.
- Utilized EHR/EMR systems to maintain accurate patient records and documentation.
- Communicated with patients and providers to ensure timely and efficient service delivery.
- Support front desk operations while maintaining HIPAA Compliance and patient confidentiality.
Front Desk Receptionist/Insurance Coordinator
5 Star Dental
Pleasant View, TN
03.2021 - 05.2022
- Managed patient scheduling, check-in/check-out, and daily front desk operations.
- Verified insurance coverage, submit claims, and coordination of benefits to ensure accurate billing and reimbursement.
- Entered insurance payments and reviewed EOB's for accuracy and proper reimbursement.
- Reviewed procedure codes and diagnostic codes to support accurate billing and minimize claim issues.
- Posted patient and insurance payments, tracked outstanding claims and follow up on insurance accounts.
- Utilized dental software and EHR systems to maintain accurate patient and billing records.
- Provided exceptional customer service while addressing patient questions and concerns.
- Assisted clinical team with chairside support and dental assistant duties as needed.
- Trained in dental assisting, including patient prep, instrument sterilization and procedure setup
PSR-Charge Entry/Physician Billing Specialist
Ascension Medical Group
Nashville , TN
10.2016 - 03.2021
- Promoted from PSR to Charge Entry/Physician Billing Coordinator based on performance and accuracy.
- Greeted and registered patients verified patient demographic and insurance information.
- Scheduled follow up appointments and provided front desk support in a fast-paced setting.
- Entered physician charges and reviewed documentation for accuracy and completeness.
- Processed claims and supported billing workflows to ensure timely filing reimbursement.
- Reviewed procedure and diagnostic codes for accuracy prior to claim submission.
- Utilized Athenahealth to manage patient accounts, charge entry and billing process.
- Resolved claim issues and worked with insurance companies to address denials and discrepancies.
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Receptionist
J. Michael Cisneros DDS
Nashville , TN
05.2015 - 09.2016
- Greeted and checked in patients while ensuring accurate demographic and insurance information.
- Scheduled and confirmed appointment to maintain an efficient daily schedule.
- Verify insurance coverage and communicate basic benefit information.
- Traditional Alphabetical filing.
- Managed incoming calls, patient inquiries, and front office workflow.
- Cash management and copay collections.
- Managed appointment scheduling for optimal patient flow.
- Answered phone calls and addressed patient inquiries promptly.
Administrative Assistant
Embassy Dental
Nashville , TN
06.2012 - 11.2014
- Provide administrative support in a high-volume dental office, ensuring smooth daily operations.
- Managed scheduling, phone, communications, and patient correspondence.
- Maintained organized patient records and office documentation systems.
- Assist with insurance verification and general front office tasks as needed.
- Coordinated with clinical and other front desk teams to support efficient workflow.
- Handle incoming calls, emails, and patient inquiries in a professional manner.
- Support office organization, including filing, data entry and supply coordination.
Dental Assistant
Clifton Simmons DDS
Nashville, Tennessee
12.2010 - 06.2012
- Assist dentist with chairside procedures, ensuring efficiency and patient comfort.
- Prepare treatment rooms, instruments, and materials for procedures.
- Sterilized and maintained instruments in accordance with infection control and safety protocols.
- Take and record patient medical histories and assist with patient intake.
- Provide patient education on oral hygiene and post-procedure care.
- Expose and process dental x-rays as permitted.
- Maintained accurate clinical documentation using dental software and EHR systems.
- Support overall clinical workflow and ensure a positive patient experience.
Education
Dental Assistant Certification - Dental Assisting
Kaplan Career Institute
Nashville, TN08.2010
High School Diploma -
Sycamore High School
Pleasant View, TN05.2009
Skills
- Patient Scheduling & Coordination
- Insurance verification
- Prior Authorizations & Appeals
- Medical & Dental Claims billing (eg Athena, some Epic exposure, Eaglesoft, Open Dental)
- EHR/EMR Systems
- Patient intake & Documentation
- Front Desk Operations
- Customer Service & Patient Relations
- Medical Terminology
- HIPAA & OSHAA Compliance
- Multitasking & Time Management
- Attention to Detail
- Team Collaboration
- Problem Solving
- Microsoft Office Suite (Teams Outlook Excel & Word)
- SharePoint Collaboration and Document Management
- CPR Certification
Timeline
RCM Specialist-Eligibility & Authorizations
CleanSlate Centers
11.2022 - Current
Patient Service Representative
Premier Radiology
06.2022 - 11.2022
Front Desk Receptionist/Insurance Coordinator
5 Star Dental
03.2021 - 05.2022
PSR-Charge Entry/Physician Billing Specialist
Ascension Medical Group
10.2016 - 03.2021
Receptionist
J. Michael Cisneros DDS
05.2015 - 09.2016
Administrative Assistant
Embassy Dental
06.2012 - 11.2014
Dental Assistant
Clifton Simmons DDS
12.2010 - 06.2012
Dental Assistant Certification - Dental Assisting
Kaplan Career Institute
High School Diploma -
Sycamore High School