I am an efficient billing professional with 20 years of experience. I am productive and diligent with passion for resolving discrepancies through attention to detail and creative problem-solving. I am passionate about perpetuating company values through impeccable work ethic and drive. I am detail-oriented with a strong understanding of bookkeeping principles and customer service. I am experienced in developing and managing efficient billing and posting processes. I am considered focused and an organized team player. I am a dependable candidate successful at managing multiple priorities with a positive attitude. I have the willingness to take on added responsibilities to meet team goals.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Dental Insurance Coordinator
Oral Surgery Center Of Texoma
05.2004 - Current
Improved patient satisfaction by efficiently managing dental insurance claims and coordinating with providers.
Streamlined claim submission process for faster reimbursement and reduced claim denials.
Maintained accurate records of patient treatments, billing information, and insurance details to ensure seamless communication between patients, providers, and insurers.
Enhanced office productivity by effectively scheduling appointments according to provider availability and patient needs.
Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
Ensured timely payment collection from both patients and insurance companies by diligently tracking outstanding balances.
Educated dental team members on insurance policies and procedures to promote a cohesive office environment focused on quality patient care.
Managed accounts receivable, decreasing outstanding balances through diligent follow-up with both patients and insurers.
Increased revenue by identifying underbilling trends and implementing corrective measures in the claims submission process.
Served as a liaison between patients, dental providers, and insurance companies to resolve any discrepancies or misunderstandings regarding coverage or billing issues.
Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
Monitored changes in dental insurance policies and communicated updates to staff, enabling the team to stay informed about the latest industry standards.
Handled account payments and provided information regarding outstanding balances.
Audited and corrected billing and posting documents for accuracy.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Responded to customer concerns and questions on daily basis.
Medical Claim Analyst
Cigna Healthcare
08.1997 - 05.2004
Reduced claim errors by providing thorough training for team members on policy changes and regulations.
Streamlined communication between departments, ensuring timely resolution of complex claims.
Identified fraudulent activities through meticulous review of claim submissions, saving company resources from potential losses.
Expedited urgent claims, ensuring swift processing and payment to clients during critical situations.
Assisted colleagues with complex cases, sharing expertise and knowledge to achieve favorable outcomes for clients and the company.
Ensured rigorous adherence to privacy regulations when handling sensitive client information during claim reviews.
Mentored junior claim processing specialists, sharing valuable expertise and guidance on career growth within the industry.
Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
Monitored compliance with regulations and industry best practices to promote fair and proper treatment for insured customers.
Maintained confidentiality of patient finances, records, and health statuses.
Maintained strong knowledge of basic medical terminology to better understand services and procedures.
Education
High School Diploma -
Seaside High School
Seaside
06.1995
Skills
Data Analysis
Cost Reporting
Word Processing
General Accounting
Dispute Negotiation
Payment Processing
Bulk Filing
Discrepancy Resolution
Customer Service
Administrative Support
Collections Processing
Statement Preparation
Team Collaboration
Customer Contact
Payment Transactions
Microsoft Office
Billing Data Verification
Collections Duties
Correspondence
Payment Collection
10-Key Data Entry
Office Equipment Operation
Certification
CPR Certified
HIPAA Certified
Timeline
Dental Insurance Coordinator
Oral Surgery Center Of Texoma
05.2004 - Current
Medical Claim Analyst
Cigna Healthcare
08.1997 - 05.2004
High School Diploma -
Seaside High School
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