Courtney Robledo
Katy,TX
Summary
Seasoned Claims Specialist with comprehensive background in insurance claim processing, policy interpretation, and dispute resolution. Have successfully managed high-volume claims environments, demonstrating keen ability to stay organized under pressure. Known for strong analytical skills, adept at reviewing documentation and validating coverage decisions. Consistently ensure prompt, fair settlements while maintaining compliance with industry regulations.
Overview
21
21
years of professional experience
Work History
Dental Claims Specialist
Welch Dental Group
Katy, TX
06.2004 - Current
- Reviewed insurance claims for accuracy and completeness.
- Communicated with clients to gather necessary documentation.
- Processed dental claims using practice management software.
- Maintained detailed records of claim statuses and correspondence.
- Coordinated with dental professionals to resolve claim disputes.
- Assisted in training new staff on claims processing procedures.
- Maintained detailed records of all claim activities including notes about conversations with claimants or representatives.
- Collaborated with other departments within the organization to resolve issues related to claims processing.
- Processed payments for valid claims according to established procedures.
- Assisted with filing appeals on denied claims with insurance companies.
- Developed training materials for staff members on best practices for handling different types of claims.
- Generated weekly reports summarizing progress made on active cases.
Education
Registered Dental Assistant - Dental Assistant
Texas State University
San Marcos, TX 01.2001 - 06.2001
Skills
- Claims processing
- Insurance regulations
- Practice management software
- Documentation review
- Customer relationship management
- Payment processing
- Staff training
- Problem solving
- Effective communication
- Claims
- Microsoft office
Dentrix software
Timeline
Dental Claims Specialist
Welch Dental Group
06.2004 - Current
Registered Dental Assistant - Dental Assistant
Texas State University
01.2001 - 06.2001