Heather P Gomez
Coos Bay,OR
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Highly competent in efficiently verifying, coordinating and processing insurance payments. Skilled in quickly resolving issues and liaising between insurance providers, companies and policyholders.
Overview
27
27
years of professional experience
Work History
Dental Insurance Coordinator
Open Door Dental Group
Central Point, OR
04.2000 - 04.2022
- Used data entry skills to accurately document and input statements.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
- Disbursed petty cash by recording entries and verifying documentation.
- Verified insurance and communicated coverage to staff and patients.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Maintained confidentiality of patient finances, records and health statuses.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Calculated adjustments, deductibles, and refunds.
- Facilitated communication between patients and various departments and staff.
- Carried out day-day-day duties accurately and efficiently.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
Collections Agent
Pacific Coast Credit
North Bend, OR
02.1995 - 04.2000
- Persistently reached out to customers with extremely past due accounts to recover lost revenue.
- Negotiated with account holders to devise repayment plans and minimize collections receivables.
- Complied with fair debt practices and regulatory guidelines and kept current with changing regulations.
- Directed day-to-day collections functions.
- Managed past due collection calls, skip tracing, outside collections agency coordination and litigation activities.
- Maintained high volume of calls and met demands of busy and productive group.
- Recorded all information regarding financial status of customers.
- Discussed options with delinquent clients in terms of proposed solutions.
Education
No Degree - Prerequisites
Southwestern Oregon Community College
Coos Bay, ORHigh School Diploma -
Placer High School
Auburn, CA06.1993
Skills
- Credit and Cash Transactions
- Itemized Statement Preparation
- Insurance Claim Forms Review
- Explaining Patient Benefits
- Account Posting
- Financial Transactions
- Insurance Coordination
- Treatment Plans
- Claims Investigation and Research
- Past Due Balance Management
- Eligibility Determinations
- Revenue Cycle Management
- Insurance Claims Management
- Statement Billings
- Benefits Verifications
Timeline
Dental Insurance Coordinator
Open Door Dental Group
04.2000 - 04.2022
Collections Agent
Pacific Coast Credit
02.1995 - 04.2000
No Degree - Prerequisites
Southwestern Oregon Community College
High School Diploma -
Placer High School
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