Experienced Dental Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 10+ years of experience and willingness to take on any challenge.
Hi, I’m
Jenna Saunders
New Castle,PA
Summary
Overview
10
years of professional experience
Work History
Simply Beautiful Smiles
Insurance Claims Specialist
2021.09 - 2024.07 (2 years & 10 months)
Job overview
- Review and process claims for accurate patient information, billing information and necessary required medical documents for 18 dental offices.
- Posted payments to accounts and maintained records.
- Generated, posted and attached information to claim files.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Checked documentation for accuracy and validity on updated systems.
- Provided support to achieve operational metrics & measurements (like small/residual AR)
- Review EOBs for accurate contract/non contracted payments
- Review all insurance correspondence daily to arrive at appropriate claim resolutions
- Prepare and send written appeals with appropriate documentation
- Update the patient account record to identify actions taken on the account.
- Strengthened client relationships by providing clear communication throughout the claims process, ensuring all parties were well-informed of progress and outcomes.
- Enhanced customer satisfaction by efficiently managing insurance claims processes and providing timely resolutions.
- Evaluated and settled complex insurance claims in strict timeframes.
- Increased productivity by streamlining claim processing procedures and implementing time-saving technologies.
North American Dental Group
Office Manager
2021.05 - 2021.12 (7 months)
Job overview
- Operate office equipment, such as voice mail messaging systems, and use word processing, spreadsheet, or other software applications to prepare reports, invoices, financial statements, letters, case histories, or medical records
- Complete insurance or other claim forms
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
North American Dental Group
Credentialing Specialist
2019.01 - 2021.05 (2 years & 4 months)
Job overview
- Processing initial credentialing and re-credentialing applications for 8 states
- Screening practitioners' applications and supporting documentation to ascertain their eligibility
- Collecting information from the National Practitioner Data Bank (NPDB), the applicant and their malpractice insurer, and other relevant sources
- Presenting applications to the insurance payer's Credentialing Committee
- Ensuring compliance with applicable laws, regulations, procedures, and policies.
- Managed multiple priorities effectively, resulting in the on-time completion of credentialing tasks for numerous providers simultaneously.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Conducted primary source verifications such as background checks and board certifications.
- Safeguarded confidential provider information by adhering to strict data privacy regulations and company policies.
- Facilitated communication between departments, resulting in improved collaboration during the credentialing process.
North American Dental Group, Inc
Training and Support Coordinator
2017.12 - 2019.01 (1 year & 1 month)
Job overview
- Convert newly acquired dental practice software to the DSO's current software
- Travel to practices to train and provide live support on their new dental software
- Travel 50% of the time, while working remotely to provide live support via inbound calls and ticketing que systems
- Review all dental claims for accuracy and rebuild from old dental software to the new dental software.
North American Dental Group
Traveling Dental Assistant/Orthodontic Assistant/Lead Front Desk Coordinator
2014.04 - 2017.12 (3 years & 8 months)
Job overview
- Travel to all offices within my region to provide support to existing dental assistant/front management staff.
- Created dental impressions used for diagnostics, opposing models and study casts to make crowns, bridges, and other dental prosthetics.
- Managed inventory of dental supplies, reducing waste and optimizing resource allocation.
- Increased patient retention by building rapport through excellent communication skills and a friendly demeanor.
- Handled administrative tasks such as billing, insurance claims processing, and appointment confirmation calls to support office operations efficiently.
- Assisted in dental radiography, ensuring safety and accuracy for diagnostic purposes.
Education
Ross Medical Education Center New Castle, PA
Dental Assisting/Dental Billing/Front Office
03.2014
University Overview
Skills
- Dental Billing and Coding
- Medical Billing and Coding
- Claims analysis
- Policy Interpretation
- Attention to Detail
- Customer Service
- Claims Processing
- Data Entry
- Insurance Coverage Verification
- Claims adjustment
- Billing Software
- Coverage Determination
- Denied claims identification
- Medicaid knowledge
- Microsoft Office
- Prior authorization processing
- Critical Thinking
- Excellent administrative abilities
- Reliability
References
References
References available upon requestAvailability
See my work availability
Not Available
Available
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Insurance Claims Specialist
Simply Beautiful Smiles
2021.09 - 2024.07 (2 years & 10 months)
Office Manager
North American Dental Group
2021.05 - 2021.12 (7 months)
Credentialing Specialist
North American Dental Group
2019.01 - 2021.05 (2 years & 4 months)
Training and Support Coordinator
North American Dental Group, Inc
2017.12 - 2019.01 (1 year & 1 month)
Traveling Dental Assistant/Orthodontic Assistant/Lead Front Desk Coordinator
North American Dental Group
2014.04 - 2017.12 (3 years & 8 months)
Ross Medical Education Center
Dental Assisting/Dental Billing/Front Office
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