Summary
Overview
Work History
Education
Skills
Certification
Additional Information
Assessments
Personal Information
Timeline
Generic

Erica Muir

Howell,MI

Summary

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.

Assessments

  • Work Style: Conscientiousness, Expert, 06/01/19
  • Verbal Communication, Highly Proficient, 05/01/19
  • Attention to Detail, Highly Proficient, 12/01/20
  • Dental receptionist skills, Highly Proficient, 01/01/21
  • Office manager, Proficient, 01/01/21
  • Advanced attention to detail, Proficient, 07/01/21
  • Management & leadership skills: Planning & execution, Proficient, 05/01/21
  • Recruiting, Proficient, 07/01/21
  • Basic attention to detail, Highly Proficient, 07/01/21
  • Protecting patient privacy, Highly Proficient, 03/01/22
  • Sales skills, Highly Proficient, 12/01/21
  • Data entry: Attention to detail, Highly Proficient, 09/01/22

Personal Information

Willing To Relocate: Anywhere

Timeline

Senior Claims Analyst, Payer Relations

Great Expressions Dental Centers
04.2022 - Current

Multi-Practice Office Manager

Brush. Rinse. Floss
06.2021 - 04.2022

Dental Assistant

Olde Orchard Pediatric Dentistry
09.2019 - 06.2021

Pharmacy Technician

CVS Healthcare
04.2018 - 01.2020

Dental Assistant

Various
02.2010 - 05.2018

Bachelor's - Psychology, Biology

Oakland University

Associate - Business

Lansing Community College

High school diploma -

Howell High School
  • BLS for Healthcare Providers
  • ADA X-ray certification
  • Pharmacy Technician Certification
  • PTCB Certification
  • Certified Dental Assistant
  • CPR Certification
Erica Muir