Crystal Frank
Shafer,USA
Summary
Self-motivated dental office professional with comprehensive expertise in dental billing, insurance verification, claims adjudication, EOB posting, and CDT coding. Proven track record of reducing claim denials, streamlining accounts receivable, and delivering exceptional patient experiences. Adept at managing payroll, benefits administration, and multi-department communication. Enthusiastic team player with keen attention to detail, excellent multi-tasking skills, and a commitment to operational efficiency. Seeking a remote or local opportunity in dental, dental insurance, or related insurance fields.
Overview
16
16
years of professional experience
Work History
Office Manager
Lifesmiles Family Dentistry
05.2024 - Current
- Oversee day-to-day office operations, ensuring smooth workflow across clinical and administrative teams.
- Process bi-weekly payroll and maintain accurate payroll records for all staff.
- Manage accounts receivable, including entering insurance checks and reconciling payments to patient accounts.
- Administer health insurance benefits for staff, including enrollment, changes, and renewals.
- Process patient payments and post transactions accurately in practice management software.
- Coordinate scheduling to optimize appointment flow and minimize patient wait times.
- Follow up on denials, late payments, extensions and other special insurance circumstances.
- Process eligibility and benefits verification and authorization requests.
- Track pending authorizations to resolve discrepancies and avoid revenue loss.
- Acted as subject matter expert for internal and external insurance inquiries.
- Maintain high standards of customer service by building relationships with patients and insurance carriers.
- Trained and mentored administrative staff, fostering a collaborative and high-performing team environment.
Insurance Specialist / Patient Care Coordinator
Lifesmiles Family Dentistry
05.2024 - Current
- Performed comprehensive insurance verification and communicated benefit breakdowns to patients and clinical staff.
- Applied accurate CDT coding to claims, reducing rejections and accelerating reimbursement timelines.
- Conducted EOB posting, reconciling explanation of benefits documents against patient accounts and resolving discrepancies.
- Managed full claims adjudication process including submission, follow-up, denial management, and appeals.
- Reduced dental billing processing time through effective collaboration with adjusters, claimants, and internal departments.
- Streamlined policy management by regularly updating client information and tracking policy changes.
Patient Care Coordinator
Oak Cliff Dental Care
06.2020 - 05.2024
- Acted as main point of contact for patients, doctors, and staff, maintaining high levels of communication.
- Performed insurance verification and communicated coverage details to patients and clinical staff.
- Applied CDT coding standards during claims preparation, reducing denials through accurate documentation.
- Executed EOB posting and reconciled insurance payments against patient ledgers to ensure accuracy.
- Managed claims adjudication including denial follow-up, appeals, and resolution with carriers.
- Prevented revenue loss by meticulously tracking accounts and ensuring timely submission of accurate dental billing claims.
- Streamlined accounts receivable processes by implementing efficient tracking and reporting systems.
- Prepared itemized statements, bills, and invoices; recorded amounts due for services rendered.
- Reduced outstanding debts through consistent follow-up on overdue invoices and negotiating payment plans.
- Maintained confidentiality of patient data in strict adherence to HIPAA guidelines.
Patient Care Coordinator / Dental Assistant
True North Community Dental
10.2018 - 10.2019
- Prepared and submitted dental billing claims to clearinghouses and insurance companies with accurate CDT coding.
- Conducted insurance verification and obtained prior authorization and precertification for outpatient procedures.
- Performed EOB posting and reviewed explanation of benefits for accuracy; resolved payment discrepancies.
- Managed claims adjudication cycle including submission, follow-up on unpaid claims, and appeals via monthly aging reports.
- Managed collections and accounts receivable to achieve revenue goals.
- Calculated adjustments, premiums, and refunds; posted payments to accounts.
- Provided chairside assistance during examinations, including general dentistry, endo, and oral surgery procedures.
- Managed sensitive patient information with strict HIPAA compliance.
Child Care Provider
Inspiring Minds Child Care
12.2015 - 09.2018
- Supervised children, maintained safety standards, and provided individualized developmental support.
- Maintained records of academic, social, and emotional progress; communicated with parents regularly.
Assistant Teacher
Mahube Community Council
10.2010 - 10.2015
- Collaborated with teachers to design lesson plans and coordinate classroom activities.
- Provided one-on-one and group learning support; managed behavior with positive reinforcement.
- Conducted home visits to assess family needs and connect families with community resources.
- Maintained accurate case records, attendance logs, and daily reports.
Education
Associate of Science - Child Development Associates (CDA)
Bemidji State University
Bemidji, MN01.2011
Child Development Associates (CDA) - Child Development
Multimedia Graphic Design
Minnesota School of Business
Minneapolis, MN01.2003
Skills
- Dental Billing
- Insurance Verification
- Claims Adjudication
- EOB Posting
- CDT Coding
- Claims Processing & Management
- Accounts Receivable
- Payroll Administration
- Benefits Administration
- Patient Care Coordination
- Office Management
- Payment Tracking
- Invoice Processing
- Collections
- Aging Reports
- HIPAA Compliance
- Database & Records Management
- Windows & macOS
- Phone & Email Etiquette
- Organizational skills
- Customer service
- Data entry
- Clear oral/written communication
- Scheduling
- Training and coaching
Timeline
Office Manager
Lifesmiles Family Dentistry
05.2024 - Current
Insurance Specialist / Patient Care Coordinator
Lifesmiles Family Dentistry
05.2024 - Current
Patient Care Coordinator
Oak Cliff Dental Care
06.2020 - 05.2024
Patient Care Coordinator / Dental Assistant
True North Community Dental
10.2018 - 10.2019
Child Care Provider
Inspiring Minds Child Care
12.2015 - 09.2018
Assistant Teacher
Mahube Community Council
10.2010 - 10.2015
Multimedia Graphic Design
Minnesota School of Business
Associate of Science - Child Development Associates (CDA)
Bemidji State University