Irene Frias
Dallas
Summary
Dental Billing & Claims Specialist with over 5 years of experience in dental revenue cycle management, credentialing, and accounts payable. Proficient in Eaglesoft, insurance payment posting, and EOB interpretation. Skilled in dental coding (CPT, ICD-10), appeals processing, and compliance with HIPAA, and billing regulations. Adept at remote workflows, with a proven track record of resolving denials, optimizing reimbursement, and ensuring accurate and timely claim submissions.
Overview
7
7
years of professional experience
Work History
INSURANCE/BILLING SPECIALIST
DECA Dental
REMOTE
12.2022 - 08.2025
- Posted insurance payments within 24 hours of receipt, ensuring accuracy in patient ledgers.
- Interpreted and applied EOB details to resolve billing discrepancies.
- Managed denied claims and submitted appeals with supporting documentation.
- Corrected and resubmitted claims with additional required information.
- Collaborated with dental staff to resolve complex billing issues and maintain compliance.
- Maintained current knowledge of dental billing regulations and compliance standards.
CREDENTIALING SPECIALIST
Prime Dental
08.2020 - 01.2023
- Managed the end-to-end credentialing process for dental providers, ensuring compliance with regulatory requirements.
- Received credentialing verifications, including education, licensure, and work history.
- Collaborated with medical staff to gather necessary documentation and resolve any credentialing issues.
- Maintained accurate and up-to-date provider files and databases.
- Provided administrative support to the credentialing department, handling data entry and file maintenance.
- Assisted in the preparation of credentialing applications and verification of provider information.
- Coordinated communication between the credentialing team and various healthcare professionals.
ACCOUNTS PAYABLE
Trident Dentistry
07.2018 - 08.2020
- Verified and processed invoices for dental supplies, equipment, and services, ensuring accuracy and adherence to purchase orders.
- Accurately coded and entered invoice details into the accounting system, specifying relevant account codes for dental-related expenses.
- Matched invoices with corresponding purchase orders and delivery receipts, maintaining a precise record of dental office transactions.
- Communicated effectively with dental suppliers to resolve discrepancies and ensure timely payments.
- Reconciled vendor statements promptly, addressing any issues related to dental office accounts payable.
- Collaborated with dental staff to obtain necessary approvals for payments and maintain smooth workflow.
Education
El Paso Community - Business
El Paso Community
01.2018
University of Texas at El Paso - Basic Studies
University of Texas at El Paso
01.2016
High School -
Canutillo High School
01.2015
Skills
- Dental Billing & Coding
- Eaglesoft, Dentrix, Open Dental proficiency
- EOB interpretation & payment posting (within 24 hours)
- Claim denial management & appeals
- Fee schedule & coverage table management
- HIPAA/PHI compliance
- Microsoft Office Suite
- Revenue Cycle Management
- Strong problem & analytical skills
- Remote work productivity & time management
- Effective communication
- Attention to detail
- Claims processing
- Records research
References
- Melissa Lopez, Supervisor, 469-468-4066
- Maria Trevino, Owner, 469-583-6173
- Rueshocka Phillips, OM, 817-307-4665
Timeline
INSURANCE/BILLING SPECIALIST
DECA Dental
12.2022 - 08.2025
CREDENTIALING SPECIALIST
Prime Dental
08.2020 - 01.2023
ACCOUNTS PAYABLE
Trident Dentistry
07.2018 - 08.2020
El Paso Community - Business
El Paso Community
University of Texas at El Paso - Basic Studies
University of Texas at El Paso
High School -
Canutillo High School
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