Dedicated and motivated professional with over 21 years of pediatric dental experience, seeking to transition to a remote billing position. A strong clinical background, combined with five years of experience managing a busy, fast-paced office environment, provides a solid foundation for success in this new role. Knowledgeable in PPO insurances and possessing expertise in Texas Medicaid and TX CHIP, ready to leverage skills and adaptability to contribute effectively to a dynamic team. Eager to make a meaningful impact through dedication and a positive attitude.
Overview
21
21
years of professional experience
1
1
Certification
Work History
Dental Billing Specialist
Bunker Hill Pediatric Dentistry/ Greater Houston
Houston, Tx
06.2024 - Current
Managed two offices AR. Remote in to second location.
Coordinated the generation and dispatch of patient statements to support financial operations.
Managed accounts receivable processes to ensure timely collection of outstanding payments.
PPO /Medicaid knowledge
Engaged with patients to clarify account balances and resolve payment issues.
Processed payments accurately and efficiently. Assisted in maintaining financial records. Supported team in resolving payment discrepancies.
Facilitated appeals process to ensure fair resolution of disputes.
Processed dental claims using advanced billing software, ensuring compliance with insurance policies.
Analyzed denied claims for root causes, implementing corrective measures to reduce future denials.
Contributed positively to patient satisfaction scores by addressing billing-related inquiries promptly and professionally over phone calls or emails.
Enhanced revenue collection rates by diligently monitoring outstanding accounts, initiating timely follow-ups, and negotiating payment plans with patients.
Medical Office Manager
North Houston Internal Medicine & Pediatrics
Tomball, Tx
01.2024 - 05.2024
Led monthly meetings with healthcare professionals to evaluate operational efficiency. Coordinated morning huddles to foster team collaboration and address daily priorities.
Coordinated vaccine orders to support public health initiatives and maintain inventory levels.
Updated electronic health records with vaccine information to maintain compliance and support patient care.
Achieved timely project delivery through effective management of team dynamics. Enhanced project outcomes by implementing streamlined processes. Drove successful collaboration across departments to meet project goals.
Oversaw the ordering process for monthly supplies, maintaining inventory levels and availability.
Directed staff members to ensure operational efficiency and high-quality service delivery.
Reviewed and processed invoices to facilitate accurate and prompt payment of outstanding bills.
Facilitated hiring processes to enhance team capabilities and organizational growth.
Engaged with medical billing teams to address inquiries and enhance service delivery.
Addressed and remedied all patient or team member issues.
Consulted with healthcare professionals on business decisions.
Dental Office Manager
Northwest Pediatric Dental- Lone Peak Dental Group
Houston, Tx
05.2018 - 11.2023
Managed the operations workflow daily, weekly, and monthly to create a profitable practice.
Ensure office is scheduled with confirmed patients to achieve an establish show rate to reach goals.
Ensure monthly systems are in place to achieve collections goals. Always kept office in the top 5 for Aging reports out of 75 offices with over 98%. High collections.
Maintain appropriate staffing levels in conjunction to patient schedule while balancing labor cost.
Coordinate marketing efforts, budget office expenses, manage cash, review, and approve timecards, and process payroll.
Responsible for the appearance and functionality of the office. Ensure facilities and equipment are maintained in accordance with hygiene and safety regulations including OSHA.
Develop coach and inspire Team members to grow and advance in their careers.
Delegate responsibilities to team members effectively.
Won Operations Manager award.
Held monthly meetings with doctor, staff, and morning huddles.
In partnership with HR team, professionally coach, develop, and deliver disciplinary actions as needed to manage performance.
Provide training to newly hired.
Answered five-line phones, scheduled, and confirmed appointments, explained treatment plans.
Verified PPO, Medicaid, and Chip (TMHP, DentaQuest, MCNA,UHC)
Provider changes
Prior authorizations
Front Desk and RDA
Northwest Pediatric Dental- Maria Green D.D.S
Houston, Tx
08.2014 - 05.2018
Managed phone communications across five lines. Coordinated appointment scheduling and confirmations. Provided detailed explanations of treatment plans to clients.
Oversaw patient payment collections to maintain financial accuracy and efficiency.
Validated PPO Medicaid and CHIP eligibility through TMHP, DentaQuest, and MCNA networks.
Provider changes
Assisted in processing prior authorizations for patient care. Supported healthcare teams in obtaining necessary approvals. Facilitated communication between providers and insurance companies.
Took x-rays
Demonstrated respect, friendliness, and willingness to help wherever needed.
Worked well in a team setting, providing support and guidance.
Excellent communication skills, both verbal and written.
Skilled at working independently and collaboratively in a team environment.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Victor M. Zurita D.D.S PC
01.2006 - 01.2014
Complete cursory in exams, charting, digital radiographs, oral sedations, and clinical treatment.
Answered five-line phones, scheduled and confirmed appointments, explained treatment plans.
Made daily bank deposits.
In charge when owners were out of town.
Manager’s assistant.
Billed out Medicaid, TX Chip and PPO insurance for both general/pediatric and orthodontic departments.
Handled patient payments.
Front Desk/ RDA
Long Point Dental
Houston, TX
01.2005 - 01.2006
Coordinated appointment logistics by answering calls and ensuring timely confirmations.
Prepared necessary instruments and assisted in various dental procedures to enhance operational efficiency.
Achieved high-quality manual radiographs that facilitated accurate diagnoses.
Resolved problems, improved operations, and provided exceptional service.
Completed paperwork, recognizing discrepancies, and promptly addressing for resolution.
Education
Registered Dental Assistant -
Astrodome Dental Career Center
Houston, TX
05-2004
High School Diploma -
Klein Forest High School
Houston, TX
05.2004
Skills
Management
Fluent in two languages
Maintaining patient confidentiality
Patient appointment oversight
Easy Dental software proficiency
Eaglesoft software proficiency
Denticon software proficiency
Payroll processing
Proficient in verifying insurance coverage
Aging report management
Registered dental assistant
ECW
MacPractice software proficiency
Certification
registered dental assistant
cpr certified
Languages
Spanish
Native or Bilingual
English
Native or Bilingual
Timeline
Dental Billing Specialist
Bunker Hill Pediatric Dentistry/ Greater Houston
06.2024 - Current
Medical Office Manager
North Houston Internal Medicine & Pediatrics
01.2024 - 05.2024
Dental Office Manager
Northwest Pediatric Dental- Lone Peak Dental Group