Experienced Dental Office Insurance Coordinator-admin/ Office Manager with over 40 years of experience in Dentistry. Excellent reputation for resolving problems and improving customer satisfaction. Hardworking and willing to go extra mile to complete tasks. Loves technology and learning something new everyday.
Overview
40
40
years of professional experience
Work History
Insurance Coordinator
Comfort Dental Care & Orthodontics
Crestview
06.2022 - Current
Communicate with insurance providers to verify patient coverage details.
Assist patients in understanding their insurance benefits and responsibilities.
Validate insurance and advise patients of benefits and coverage.
Process pre-authorization requests for various dental procedures efficiently.
Coordinate insurance claims processing for patient treatments and services.
Educate staff on insurance policies and claim procedures regularly.
Resolve discrepancies in claims through effective communication with insurers.
Collaborate with dental teams to ensure proper documentation for billing purposes. Making sure we have proper X-rays, images & narratives to get claims paid faster.
File insurance claims by obtaining and entering data related to patient, insurance provider, and dental codes for procedures and services provided.
Analyze weekly and monthly financial reports and reviewed accounts receivable reports for outstanding claims.
Respond promptly to customer inquiries regarding billing issues.
Obtain maximum reimbursement by following up on unpaid claims and reviewing monthly aging reports
Utilize insurance billing software to submit claims and track their status efficiently.
Ensure timely filing of insurance claims to avoid denials.
Manage the appeal process for denied claims, providing necessary documentation and follow-up.
HEAD CASHIER
Lowe's
DeFuniak Springs
11.2021 - 05.2022
Managed staffing levels to provide optimal support for cash register operations.
Alleviated customer service needs with policy-appropriate solutions.
Processed both cash and card purchases and returns.
Maintained stock to meet expected customer demand.
Reconciled cash drawer at start and end of each shift, accounting for errors and resolving discrepancies.
Evaluated presentation of checkout lanes and kept team members on top of cleaning tasks when necessary.
Set and updated employee schedules to fulfill gaps based on expected customer demands.
Helped customers complete purchases, locate items and join reward programs.
Facilitated and logged store opening, closing and shift changes.
DENTAL OFFICE MANAGER
Soquel Dental Office
Soquel
03.1986 - 02.2018
Set and maintained production goals for a thriving Dental Office with 2 Doctors and 14 team members.
Maintained patient data with required regulatory chart documents, personal information and treatment consultation documentation.
Maintained professional demeanor by staying calm when addressing unhappy, scared or angry customers.
Scheduled, rescheduled and cancelled appointments for dental patients.
Helped patients complete necessary medical forms and documentation.
Contacted insurance companies to verify benefits.
Prepared insurance claim forms, explained benefits and outlined pricing details for procedures and services.
Completed patient referrals to other medical specialists.
Managed office bookkeeping with insurance billing and patient payments.
Software utilized was Eaglesoft and some Dentrix. Formerly used Patient Base for 10 yrs.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Accounts receivable and payable.
Payroll through Quickbooks.
Daily closing and daily bank deposits.
Handled all paperwork for team members medical insurance and 401k.
Worked closely with Dr to set daily, weekly, monthly and yearly goals.
Responsible for updating website and social media.
Updated server and work stations (11) on software, maintenance and updates, troubleshot IT issues, maintained office supplies.
REGISTERED DENTAL ASSISTANT
Soquel Dental Office
Soquel
03.1986 - 03.1989
Performed general chair-side duties for general dentistry, endo procedures and oral surgery.
Educated patients by giving oral hygiene, plaque control and postoperative instructions.
Used Eaglesoft to document and maintain patient information and health background.
Prepared comprehensive radiological images, allowing supervisory dental staff to spot cavities, tooth decay and areas needing treatment.
Explained treatment procedures and instructed patients on home care guidelines.
Education
R.D.A. - Dental Assisting
Bryman
San Jose, CA
Skills
All aspects of dental insurance, some medical billing for sleep apnea