Results-driven and independent Dental Professional with strong background in data analyses processes, striving for continued growth and advancement within the Dental industry.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Senior Claims Analyst, Payer Relations
Great Expressions Dental Centers
Southfield, MI
04.2022 - Current
Performing data analysis through large reports to identify and review trends in claim payments.
Assess and analyze claims to ensure they are paid in accordance to respective negotiations, contracts, and fee schedules.
Continuance in developing project management skills.
Resolved complex claim issues by examining evidence, analyzing documents, and conducting claim investigations.
Maintenance of accurate records and all claims activities for audit purposes.
Analyzed trends in claim payment patterns to identify potential issues that may lead to litigation or financial losses.
Attended meetings relating to identified claim issues in order to coordinate resolutions with Payers.
Research and resolve various payer relations issues, as assigned.
Strong investigative skills to identify financial losses from payer error. Recouped lost funds through demonstrated knowledge in coordinating resolutions with Payers.
Knowledge of Network strategy.
Multi-Practice Office Manager
Brush. Rinse. Floss
Franklin, MI
06.2021 - 04.2022
Analyzing collection and production reports. Entering day sheet information into designated software, daily.
Preparing financial arrangements and treatment plans, insurance adjustments, submitting and processing claim payments.
Verifying insurances, plan building into dental software, and inquiring claim payment statuses with payers.
Supervising, recruiting, hiring, terminating, and conducting employee reviews, as well as any necessary employee evaluations.
Leading staff, aiding in conflict resolution, as well as team building and bonding activities.
Ad-Hoc business operations.
Monitoring accounts receivables and updating all software.
Ensured compliance with applicable laws pertaining to employment practices.
Dental Assistant
Olde Orchard Pediatric Dentistry
Novi, MI
09.2019 - 06.2021
Assisted all dentists in providing pediatric dental treatment to patients, including review of medical histories and taking vitals, as needed.
Provided chair-side assistance throughout dental procedures, including but not limited to four-handed passing of instruments to D.D.S.
Educated patients on oral hygiene techniques for optimal hygienic at-home care.
Performing Digital X-rays of teeth.
Sterilized instruments in accordance to guidelines and compliance protocols.
Entered treatment data into dental software.
Established clean and sterile environment for patients.
Pharmacy Technician
CVS Healthcare
Brighton, MI
04.2018 - 01.2020
Working closing with physicians in getting patients prescriptions called in and processed in a timely manner.
Process insurance changes, process new medications, checking in and stocking the inventory.
Maintenance of daily inventory on pharmaceutical drugs and ensuring proper storage conditions.
Prepare medications for dispensing. Counting, labeling, and verifying doses.
Provide prompt customer service to patients with answering any questions about medications or directing questions to PharmD.
Managed filing of prescriptions, both electronically and manually.
Verified accuracy of medication labels before being dispensed to patients.
Monitored inventory of drugs and placed orders as necessary.
Assisted pharmacist with clearing high volume of prescriptions in software.
Changing stations throughout the day: Production line, drop off station, counter and drive-thru.
Dental Assistant
Various
Brighton, MI
02.2010 - 05.2018
Condensed history of my Dental Assisting jobs from November 2010-2018.
New Orchard Dentistry in W. Bloomfield, MI
Richard Doney, DDS in Brighton, MI
Root Canal Specialty Associates in Brighton, W. Bloomfield, Livonia and Ann Arbor MI
Assisted all dentists in providing excellent dental treatment to patients, including review of medical histories and taking vitals, as needed.
Provided chair-side assistance throughout dental procedures, including but not limited to four-handed passing of instruments to D.D.S.
Educated patients on oral hygiene techniques for optimal hygienic at-home care.
Performing Digital X-rays of teeth.
Sterilized instruments in accordance to guidelines and compliance protocols.
Entered treatment data into dental software.
Established clean and sterile environment and operatories for patients.
Education
Bachelor's - Psychology, Biology
Oakland University
Rochester Hills, MI
08.2019
Associate - Business
Lansing Community College
Lansing, MI
03.2012
High school diploma -
Howell High School
01.2008
Skills
Strong Dental background
Provider Relations
Strategic Decision-Making
Claims process, review and evaluation
Document workflow
Proficient in Excel (intermediate skills)
Data Interpretation
Insurance knowledge
Claims Processing
Investigation, identification of payer issues
Analytical skills
Attention to Detail
Certification
BLS for Healthcare Providers
ADA X-ray certification
Pharmacy Technician Certification
PTCB Certification
Certified Dental Assistant
CPR Certification
Additional Information
Various Dental Software and Intermediate Excel skills.