DANIELE MAINES
Odessa,FL
Summary
Accomplished Dental Insurance Coordinator with expertise in claim processing and patient communication at Baker Family and Cosmetic Dentistry. Utilized benefits verification tools to optimize reimbursement rates by 15%Demonstrated exceptional attention to detail and financial recordkeeping, ensuring compliance with HIPAA standards. Proficient in resolving billing issues and maintaining accurate records.
Overview
14
14
years of professional experience
Work History
Dental Insurance Coordinator / Billing Specialist
Baker Family and Cosmetic Dentistry
Safety Harbor, FL
05.2020 - Current
- Verified patient dental benefits and eligibility through insurance portals and direct carrier contact, facilitating accurate billing and patient care.
- Submitted dental insurance claims for two providers, ensuring compliance with payer guidelines, resulting in timely reimbursements.
- Investigated claim denials, resubmitting corrected claims to maximize reimbursement.
- Communicated with patients and insurers to resolve billing issues and clarify coverage details, enhancing patient satisfaction and minimizing payment delays.
- Posted insurance and patient payments to ledgers, maintaining accurate financial records.
Insurance Verification Specialist
Mt. Vernon Dental
Mt. Vernon, OH
07.2012 - 06.2019
- Evaluated insurance claims for accuracy and compliance with company policies, contributing to overall claims processing integrity.
- Conducted follow-ups on outstanding claims to ensure timely processing.
- Managed denials, late payments, extensions, and other special circumstances through proactive follow-ups with relevant parties to facilitate resolution.
- Processed customer billing inquiries and resolved discrepancies to enhance customer satisfaction and ensure accurate billing.
- Maintained accurate billing records using specialized software systems.
Education
Associate of Applied Science - Medical Billing and Coding
DeVry University
Online04.2026
Skills
- Medical Terminology
- Benefits & Eligibility Verification Tools
- HIPAA Compliance Tools & Procedures
- Clearinghouses
- Insurance verification
- Claim processing
- Patient communication
- Financial recordkeeping
- Attention to detail
- Data entry
References
Available upon request
Timeline
Dental Insurance Coordinator / Billing Specialist
Baker Family and Cosmetic Dentistry
05.2020 - Current
Insurance Verification Specialist
Mt. Vernon Dental
07.2012 - 06.2019
Associate of Applied Science - Medical Billing and Coding
DeVry University