Jodie Price

• Coordinated insurance verification processes to ensure timely patient coverage and minimize claim denials
• Managed patient insurance claims, ensuring compliance with policy guidelines and timely processing.
• Managed hundreds of patient accounts, maintaining accurate records of insurance eligibility and benefits information
• Coordinated patient treatment plans to ensure seamless communication between providers and patients
• Facilitated insurance verification processes, enhancing billing accuracy and patient satisfaction
• Answered multiple line phones, and scheduled patients

• Gathers and assesses background information to determine risk potential to provide quotes on new lines of business for Dental, Vision, Life, and Disability products
• Developed professional benefits and rates by analyzing complex data including; inforce benefits policy and certificates, schedule of benefits and census data
• Evaluated insurance applications for risk assessment and compliance with underwriting guidelines
• Participate in testing of programs used for Underwriting and Rating
• Worked with Vendor Partners to provide quotes for large groups or for restricted industries
• Supported regulatory reporting requirements by accurately compiling and submitting relevant underwriting data within specified timeframes

• Gathered and assessed background information to determine risk potential and to develop required rate actions on new business for small groups
• Developed professional benefits and rates for prospective accounts by analyzing complex data including; historical claims experience, identifying adverse or favorable trends, project future cost, design benefit alternatives to reduce potential adverse selection and utilization abuse, validate demographics and prepare competitive comparisons
• Participate in conference calls with sales, account management, and/or marketing teams
• Assists in reviewing Certificates, Polices, and Group Approval Sheets for sold cases
• Developed strong relationships with brokers, leading to a higher volume of quality submissions and successful underwritings

• Assisted multiple doctors in performing root canal therapy, Bridge work, same day surgery, crowns, implants, composite and amalgam fillings, along with conscious sedation
• Ran the in-office laboratory to make sure all impressions and lab cases were sent out in a timely manner
• Placed all orders for materials needed to run the office, along with checking and balancing invoices from each dental lab
• Educated patients on oral health care practices and post-operative instructions for effective recovery
• Managed sterilization of instruments and maintenance of clinical supplies to uphold hygiene standards.

• Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures
• Coordinated insurance claims processing, ensuring timely submissions and follow-ups for optimal reimbursement
• Developed and maintained relationships with insurance providers, enhancing communication and resolution of discrepancies
• Reviewed patient insurance information to verify coverage and eligibility prior to treatment, minimizing claim denials
• Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement
• Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing

• Assisted in patient preparation and comfort during endodontic procedures
• Supported the dentist with advanced endodontic techniques and tools, ensuring procedural efficiency
• Coordinated patient scheduling, confirming appointments, and maintaining accurate records
• Facilitated communication between patients and insurance providers to resolve inquiries and discrepancies
• Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses

Completed 58 hours of coursework towards Mathematics Education Degree

• TOPS Scholarship Recipient
• Dean's List Fall 2003
• Dean's List Spring 2004