Jahida Gutierrez
Balch Springs,TX
Summary
Results-driven Dental Claims Specialist with extensive experience at Pearl Street Dental Partners, excelling in claims processing and insurance appeals. Demonstrated attention to detail and organizational skills, ensuring compliance and resolving discrepancies efficiently. Proven ability to enhance patient care through effective communication and proactive account management.
Overview
9
9
years of professional experience
1
1
Certification
4
4
years of post-secondary education
Work History
DENTAL CLAIMS SPECIALIST
Pearl Street Dental Partners
Dallas
04.2023 - Current
- Processed dental insurance claims efficiently for various procedures and treatments.
- Reviewed patient accounts to ensure accurate billing and coding compliance.
- Collaborated with insurance companies to resolve claim disputes and discrepancies.
- Submitted appeals for denied claims as needed and followed up on status updates from payers.
- Communicated with dental offices to gather necessary documentation and resolve discrepancies.
QUALITY ASSURANCE SPECIALIST
FNA Group
Mesquite
02.2021 - 04.2023
- Maintained documentation of quality control procedures and inspection results accurately.
- Verified accuracy of product documentation such as labels, instructions, warnings.
- Utilized database management systems to track and log audit findings.
PATIENT CARE COORDINATOR
DDS Dentures + Implant Solutions
Mesquite
05.2017 - 01.2021
- Processed insurance claims and verified patient eligibility accurately.
- Assisted patients in understanding treatment options and insurance benefits.
- Provided administrative support for patient care staff.
- Monitored accounts to proactively identify aging balances and insurance payment problems in need of attention.
- Communicated with patients to ensure quality of care and develop care plans.
Education
HIGH SCHOOL DIPLOMA -
Seagoville High School
Dallas, TX 08.2009 - 06.2013
REGISTERED DENTAL ASSISTANT -
Dallas Dental Assitant School
Dallas, TX, US 04.2017 - 09.2017
Skills
- HIPAA Compliance
- Attention to detail
- Claims processing
- Insurance appeals
- Microsoft Office
- Organizational skills
- Multitasking Abilities
Certification
Registered Dental Assistant, Present
References
References available upon request
Timeline
DENTAL CLAIMS SPECIALIST
Pearl Street Dental Partners
04.2023 - Current
QUALITY ASSURANCE SPECIALIST
FNA Group
02.2021 - 04.2023
PATIENT CARE COORDINATOR
DDS Dentures + Implant Solutions
05.2017 - 01.2021
REGISTERED DENTAL ASSISTANT -
Dallas Dental Assitant School
04.2017 - 09.2017
HIGH SCHOOL DIPLOMA -
Seagoville High School
08.2009 - 06.2013