Enid Encarnacion
Carl Junction,MO
Summary
To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills.
Overview
10
10
years of professional experience
Work History
Dental Insurance Specialist
Joplin Oral Surgery
06.2022 - Current
- Maintained high standards of customer service by building relationships with clients.
- Processed eligibility and benefits verification and authorization requests.
- Maintained confidentiality of patient finances, records, and health statuses.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Followed up on denials, late payments, extensions and other special circumstances.
Business Assistant
Smiles In Joplin
05.2020 - 06.2022
- Schedule and confirm appointments for multiple providers in office
- File patient claims and follow up on outstanding claims, verification of benefits and explanation of coverage
- Post insurance and patient payments and process accounts receivables
- Manage front office duties, including answering phones, checking office mail and email as well as communicating with patients and insurance companies
- Review treatment plans and financing options with patients
Buisness Assistant/Dental Assistant
Heartland Dental Care
02.2014 - 06.2022
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Communicated with insurance companies to dispute unpaid claims and verify patient coverages.
- Managed patient billing processes for timely, accurate payments.
- Understood dental terminology and insurance breakdowns to communicate with external stakeholders.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Assisted with medical coding and billing tasks.
- Maintained dental supply inventory by checking stock to determine inventory levels and placing and expediting orders for supplies.
- Took dental images following strict patient protection rules, applying lead aprons.
Education
68 Credit Hours - Business in Health Administration
Missouri Southern State University
Joplin, MOHigh School Diploma -
Webb City High School
Webb City05.2012
Skills
- Billing Procedures
- Documentation Skills
- Insurance Knowledge
- Critical Thinking
- Patient Account Reviews
- Interpersonal Communication Skills
- Adaptable and Flexible
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Dental Insurance Specialist
Joplin Oral Surgery
06.2022 - Current
Business Assistant
Smiles In Joplin
05.2020 - 06.2022
Buisness Assistant/Dental Assistant
Heartland Dental Care
02.2014 - 06.2022
68 Credit Hours - Business in Health Administration
Missouri Southern State University
High School Diploma -
Webb City High School
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