Dawn Antunes
Rosen Summit Dental Advisors
Taunton
10
years of professional experience
Experienced account management and insurance professional with over 40 years in dental billing, known for client relations, claim resolution, and accurate account reconciliation.
Work History
Account Manager
6 Years 3 Months- Reviewed account details, resolving service issues and preventing workflow disruptions.
- Resolved denied claims by analyzing explanations of benefits and correcting billing errors promptly.
- Reconciled patient accounts, applying payments, adjustments, and contractual write-offs with precision.
- Followed up on unpaid claims with insurers to accelerate reimbursement and reduce aging balances.
- Assisted in the preparation of monthly financial reports for dental office management, providing accurate data on billing performance and revenue trends.
- Developed efficient billing processes for faster insurance claim submissions, reducing errors and speeding up reimbursement times.
Insurance Coordinator
3 Years 8 Months- Reviewed claims submissions for accuracy, completeness, and compliance with carrier requirements.
- Resolved insurance denials by correcting documentation and submitting appeals promptly.
- Coordinated dental insurance verification and eligibility checks for patient treatment plans.
- Communicated coverage details and patient financial responsibility before scheduled procedures.
- Tracked outstanding claims, follow-ups, and payment postings to maintain accurate account records.
- Interpreted plan benefits, limitations, and preauthorization requirements for clinical and front office teams.
- Streamlined insurance workflows to reduce processing errors and improve case turnaround.
- Trained staff on insurance procedures, payer updates, and claim documentation standards.
- Verified insurance and communicated coverage to staff and patients.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Filed and tracked insurance claims and communicated claims status to patients.
- Obtained prior authorization and precertification for outpatient procedures.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Increased team efficiency with the development of comprehensive training materials on insurance protocols.
- Reduced errors in policy documentation, meticulously reviewing and updating insurance records.
- Posted payments to accounts and maintained records.
- Generated, posted and attached information to claim files.
- Calculated adjustments, premiums and refunds.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Education
High School Diploma
Skills
Account management
Client relations
Customer service
Billing accuracy
Client management
Goal-oriented mindset
Goal oriented
Timeline
Account Manager
Rosen Summit Dental Advisors
07.2020 - CurrentRead More
Insurance Coordinator
Arcadia Dental
11.2016 - 07.2020Read More
Norton High School
High School Diploma
Read More