Donna Montelongo
Huntsville,Alabama
Summary
Proven Insurance Coordinator with a track record of enhancing customer satisfaction and streamlining claims processes at Flint River Dental. Excelled in insurance verification and strategic thinking, significantly reducing billing errors. Skilled in fostering teamwork and collaboration, ensuring optimal coverage and revenue cycle management. Demonstrated ability to improve patient satisfaction and financial outcomes through effective communication and detailed attention.
Overview
13
13
years of professional experience
Work History
Insurance Coordinator
Flint River Dental
09.2019 - Current
- Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
- Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Negotiated favorable terms with underwriters, ensuring optimal coverage at competitive rates for clients.
- Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
- Enhanced customer satisfaction by efficiently handling insurance claims and processing policy updates.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Posted payments to accounts and maintained records.
- Generated, posted and attached information to claim files.
- Calculated adjustments, premiums and refunds.
- Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
- Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
- Served as a liaison between patients, dental providers, and insurance companies to resolve any discrepancies or misunderstandings regarding coverage or billing issues.
- Educated dental team members on insurance policies and procedures to promote a cohesive office environment focused on quality patient care.
- Reduced billing errors by consistently verifying insurance eligibility prior to service delivery.
- Maintained accurate records of patient treatments, billing information, and insurance details to ensure seamless communication between patients, providers, and insurers.
- Monitored changes in dental insurance policies and communicated updates to staff, enabling the team to stay informed about the latest industry standards.
- Managed accounts receivable, decreasing outstanding balances through diligent follow-up with both patients and insurers.
- Streamlined claim submission process for faster reimbursement and reduced claim denials.
- Improved patient satisfaction by efficiently managing dental insurance claims and coordinating with providers.
- Negotiated pre-authorizations for necessary dental procedures, securing coverage for vital treatments otherwise not covered.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Audited and corrected billing and posting documents for accuracy.
- Developed comprehensive training materials for new employees on dental insurance coordination processes, fostering a smoother onboarding experience.
Dental Insurance Coordinator/Dental Office Manager
Griffin Family and Cosmetic Dentistry
03.2012 - 09.2019
- Negotiated pre-authorizations for necessary dental procedures, securing coverage for vital treatments otherwise not covered.
- Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
- Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
- Served as a liaison between patients, dental providers, and insurance companies to resolve any discrepancies or misunderstandings regarding coverage or billing issues.
- Streamlined workflows by identifying bottlenecks in existing systems and implementing appropriate solutions.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Established team priorities, maintained schedules and monitored performance.
- Reduced billing errors by consistently verifying insurance eligibility prior to service delivery.
- 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.
- Monitored changes in dental insurance policies and communicated updates to staff, enabling the team to stay informed about the latest industry standards.
- 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.
- Streamlined claim submission process for faster reimbursement and reduced claim denials.
- Ensured timely payment collection from both patients and insurance companies by diligently tracking outstanding balances.
- Implemented an electronic filing system for improved organization of patient records, resulting in increased efficiency during audits or inquiries from insurers.
- Conducted regular reviews of billed services against actual treatment rendered to ensure accuracy in coding practices leading to optimal reimbursement rates from insurers.
- Filed and tracked insurance claims and communicated claims status to patients.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Obtained prior authorization and precertification for outpatient procedures.
- Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
Education
Associate of Applied Science - Medical Studies
Amarillo College
Amarillo, TX05.1992
Certificate - Dental Assisting Program
Amarillo College
Amarillo, TX05.1989
Skills
- Insurance claims processing
- Insurance processes
- Insurance Verification
- Customer service and assistance
- Claims
- Accounts Receivable
- Strategic thinking skills
- Revenue Cycle Management
- Attention to Detail
- Organizing and Prioritizing Work
- Records Management
- Teamwork and Collaboration
- Appointment Scheduling
Timeline
Insurance Coordinator
Flint River Dental
09.2019 - Current
Dental Insurance Coordinator/Dental Office Manager
Griffin Family and Cosmetic Dentistry
03.2012 - 09.2019
Associate of Applied Science - Medical Studies
Amarillo College
Certificate - Dental Assisting Program
Amarillo College
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