Jessica Spinks

• Managed all credentialing processes individually for 65 providers and 50 offices.
• Developed departmental systems and procedures to better align workflow processes.
• Monitored credentials and contacted practitioners when expiration dates were nearing.
• Finalized and processed enrollment applications.
• Met or exceeded enrollment and retention goals consistently.
• Answered provider inquiries via email, telephone and written correspondence.
• Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
• Assisted in organizing and overseeing assignments to drive operational excellence.

I was responsible for day to day operations. My main tasks included obtaining and filing all patient's insurance. Networking and aligning insurances with their TPA's to ensure highest level of re-imbursement is something I pride myself on.
Additional daily tasks:

• Achieved revenue goals by managing accounts receivable report, insurance contracts and weekly and monthly financial reports.
• Maintained A/R goals to 3%
• Increased yearly Production by 200,000 by implementing new office protocols and rearranging insurance PPO contracts & TPA's
• Prepared insurance claims for submission to clearinghouses or insurance companies.
• Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Assist in performance reviews
• Implement and train staff on office procedures and protocols
• Hire and train new employees
• Updates Patient Management System
• Reconciled past due accounts achieving 43% reduction in outstanding invoices

• Gauged production progress to inform leaders of performance concerns.
• Presented production schedules to clinical team outlining milestones and deadlines.
• Set up dental appointments with customers.
• Scheduled procedures, surgeries and doctor appointments for average of 70 patients per daily.
• Developed strong working relationships with management and executive team through effective scheduling and communication skills.
• Coordinated front office duties, including customer service, patient scheduling and billing.
• Managed master calendar and scheduled appointments for one provider based on optimal patient loads and clinician availability.
• Coordinated patient scheduling, check-in, check-out and payments for billing.
• Carried out front office duties utilizing data entry skills in framework of medical database.