Dental billing professional with extensive experience in managing insurance claims and enhancing operational efficiency. Proven track record of collaborating with dental teams to streamline billing processes and ensure timely reimbursements. Known for adaptability and reliability in addressing evolving needs and maintaining high standards.
Overview
17
17
years of professional experience
Work History
Dental Office Manager
Moresmiles Dental
2019.09 - Current
Oversee daily operations, ensuring seamless workflow across front desk and clinical areas.
Train and mentor staff on best practices for patient interaction and administrative duties.
Effectively resolve patient concerns or complaints, maintaining excellent client relations and promoting ongoing customer loyalty.
Streamline billing processes, improving accuracy in claims submissions and reducing payment delays.
Manage all aspects of billing and insurance claims, ensuring accuracy and compliance with industry standards.
Maintain professional demeanor by staying calm when addressing unhappy or angry customers.
Prepare insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
Boost dental practice revenue by optimizing billing procedures and diligently following up on outstanding payments.
Verify patient insurance information to facilitate seamless billing operations.
Post insurance payments to accounts and make adjustments accordingly.
Assist patients in understanding their financial responsibilities, discussing payment options,and establishing workable payment plans when needed.
Manage the credentialing process for dentists, submitting applications and maintaining provider records with insurance companies.
Expedite appeals process when necessary through comprehensive documentation support, improving likelihood of favorable outcomes.
Maintain a professional and welcoming atmosphere, fostering strong relationships with patients and encouraging referrals.
Monitor outstanding invoices and preform collections duties.
Produce and mail monthly statements to customers and assist with related requests for information and clarification.
Generate monthly billing and posting reports for management review.
Maintain strict confidentiality of all patient records, ensuring compliance with with HIPAA regulations and safeguarding sensitive personal information.
Dental Office Manager
Ricardo Guillen, D.D.S., P.L.L.C.
2016.08 - 2019.09
Oversaw daily operations, ensuring seamless workflow across front desk and clinical areas.
Trained and mentored staff on best practices for patient interaction and administrative duties.
Managed all aspects of billing and insurance claims, ensuring accuracy and compliance with industry standards.
Streamlined billing processes, improving accuracy in claims submissions and reducing payment delays.
Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
Boosted dental practice revenue by optimizing billing procedures and diligently following up on outstanding payments.
Verified patient insurance information to facilitate seamless billing operations.
Expedited appeals process when necessary through comprehensive documentation support, improving likelihood of favorable outcomes.
Posted insurance payments to account ledger and made adjustments accordingly,
Monitored outstanding invoices and preformed collections duties.
Presented treatment plans and explained financing options.
Managed the credentialing process for dentists, submitting applications and maintaining provider records with insurance companies.
Generated monthly billing and posting reports for management review.
Produced and mailed monthly statements to customers and assisted with related request for information and clarification.
Effectively resolved patient concerns or complaints, maintaining excellent client relations and promoting ongoing customer loyalty.
Maintained strict confidentiality of all patient records, ensuring compliance with HIPAA regulations and safeguarding sensitive personal information.
Maintained a professional and welcoming atmosphere, fostering strong relationships with patients and encouraging referrals.
Reviewed flash reports, prepared bank deposits and posted daily revenues to stay on top of administrative demands.
Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
Dental Insurance Biller
Ricardo Guillen, D.D.S., P.L.L.C.
2015.08 - 2016.08
Processed dental insurance claims accurately and efficiently, ensuring timely reimbursements for services rendered.
Verified patient insurance information to facilitate seamless billing operations.
Coordinated with dental providers to resolve discrepancies in insurance submissions and payments.
Implemented best practices for claim submission, improving overall processing time and accuracy.
Managed the credentialing process for dentists, submitting applications and maintaining provider records with insurance companies.
Monitored accounts receivable reports to identify outstanding claims and follow up as necessary.
Streamlined appointment scheduling by accurately assessing necessary pre-authorizations for various dental procedures, minimizing delays in treatment planning stages.
Ensured timely reimbursements with diligent follow-up on outstanding claims and prompt resolution of discrepancies.
Assisted patients in understanding their financial responsibilities, discussing payment options, and establishing workable payment plans when needed.
Expedited appeals process when necessary through comprehensive documentation support, improving likelihood of favorable outcomes.
Audited and corrected billing and posting documents for accuracy.
Monitored outstanding invoices and performed collections duties.
Generated monthly billing and posting reports for management review.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Scheduling Coordinator
Kennedy Dental Center
2015.03 - 2015.09
Coordinated patient scheduling to optimize appointment flow and minimize wait times.
Streamlined appointment confirmation processes to reduce no-show rates and improve attendance.
Worked with manager and supervisor to plan and coordinate production schedules.
Increased patient satisfaction through timely appointment scheduling and proactive management of wait times.
Administrative Clerk
Automated Billing Systems
2013.09 - 2015.04
Processed high volumes of invoices with accuracy and attention to detail.
Managed daily administrative operations, ensuring efficient workflow across departments.
Maintained organized filing systems for easy retrieval of documents and records.
Entered data into system and updated customer contacts with information to keep records current.
Supported auditors by efficiently compiling requested documentation.
Improved customer service with prompt and accurate handling of inquiries, contributing to positive office environment.
Maintained confidentiality of sensitive information, adhered to data protection protocols diligently.
Deputy Director of Income
Harlingen Family Dentistry
2011.06 - 2013.01
Oversaw the billing/collections department, including dental ppo and medicaid billers, insurance verification team, patient balance collectors, treatment plan coordinators and checkout team.
Audited and corrected billing and posting documents for accuracy.
Managed the credentialing process for dentists, submitting applications and maintaining provider records with insurance companies.
Provided necessary documents for Medicaid audits.
Coordinated department staff scheduling.
Dental Insurance Biller
Harlingen Family Dentistry
2009.05 - 2011.06
Processed dental insurance and Medicaid claims accurately and efficiently, ensuring timely reimbursements for services rendered.
Coordinated with dental providers to resolve discrepancies in insurance submissions and payments.
Expedited appeals process when necessary through comprehensive documentation support, improving likelihood of favorable outcomes.
Audited and corrected billing and posting documents for accuracy.
Posted insurance and medicaid payments to account ledgers.
Dental Insurance Verification
Harlingen Family Dentistry
2008.11 - 2009.05
Verified insurance benefits to optimize patient's benefits and accurately estimate coverage'
Worked effectively in fast-paced environment.
Managed time efficiently in order to complete all tasks within deadlines.
Paid attention to detail while completing assignments.
Skilled at working independently and collaboratively in a team environment.
Self-motivated, with a strong sense of personal responsibility.