With over 20 years in working both in Healthcare and Dental fields, I bring a wealth of knowledge and experience. I worked both as a administrator and in the clinical setting. This gives a unique perspective in any medical or dental office setting.
Overview
2026
2026
years of professional experience
Work History
Insurance Verification Specialist
Rosenberg Children’s Dentistry
Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Updated patient records with accurate, current insurance policy information.
Made contact with insurance carriers to discuss policies and individual patient benefits.
Complied with HIPAA guidelines and regulations for confidential patient data.
Insurance Billing Specialist
Rosenberg Children’s Dentistry
06.2022 - Current
Worked effectively in fast-paced environments.
Self-motivated, with a strong sense of personal responsibility.
Proven ability to learn quickly and adapt to new situations.
Demonstrated respect, friendliness and willingness to help wherever needed.
Review and edit claims to insure prompt electronic acceptance
Appealed denied claims for possible reconsideration
Submitted any required pre-authorization
Reviewed electronic filing report to correct unaccepted claims.
Reviewed Claims aging report to resolve any claims not promptly processed.
Dental Assistant
Rosenberg Children’s Dentistry
08.2009 - Current
Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
Maintained a clean and sterile work environment to prevent cross-contamination and infection.
Sanitized trays, instruments, and surfaces for clean dental office setting and patient safety.
Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
Performed x-rays safely while adhering to radiation safety guidelines, ensuring high-quality diagnostic images for dentists'' evaluations.
Reviewed recommended treatment plans and made sure guardian understanding.
If oral conscious sedation was recommended, reviewed process and obtained signed consents.
Able to explain to children in terms that could be understood to help alleviate anxiety and better understanding of the dental procedures.
Chairside assisted both in Hygiene and Operatory rooms
Was New Patient Consultant to welcome patients and parents to practice.
Obtained patient vital signs for the administration of oral sedation medicines after Dentist review.
Observed patient's vital signs before dismissal after conscious sedation procedure completed .
Medical Billing Supervisor
GTEC-Greater TX Emergency Consultants
05.2004 - 09.2008
Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
Analyzed medical records to satisfy insurance company mandates.
Managed a team of medical billers, providing guidance and support for their professional development.
Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
Reviewed outgoing bills for eligibility and accurateness.
Led patient account reconciliations by identifying and rectifying discrepancies within patient accounts, ensuring accurate billing and collection processes.
Collaborated with physicians and other healthcare providers to resolve complex billing issues promptly.
Enhanced accuracy of claims submissions through thorough reviews and staff training.
Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
Maintained current accounts through aged revenue reporting.
Championed efforts to stay current with changes in medical coding standards and requirements, keeping the department up-to-date on industry trends.
Confirmed backup and proper storage of sensitive information in event of data breach or outage.
Reviewed services rendered and completed to reconcile codes.
Assisted patients by determining financial assistance available and setting up payment plans.
Verified proper ICD-9 coding on claims.
Collected payments and applied to patient accounts.
Verified insurance of patients to determine eligibility.
Prepared billing statements for patients and verified correct diagnostic coding.
Communicated with insurance providers to resolve denied claims and resubmitted.
Posted payments and collections on regular basis.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Delivered timely and accurate charge submissions.
Filed and updated patient information and medical records.
Education
Bachelor Of Applied Arts - History
Baylor University
Waco, TX
12.1996
Skills
Attention to detail
Patient confidentiality
HIPAA compliance
Insurance coverage verification
Data entry proficiency
Eligibility determination
Data entry and review
Communication and interpersonal skills
Coverage and authorizations
Coordination and scheduling
Insurance billing
Medical billing
Electronic medical records
Prior authorization processing
Skilled in software
Data security and confidentiality
Medical terminology
Document management
Data verification
Patient communication
Documentation and correspondence
Referral coordination
Analytical thinking
Patient rapport
Follow-up procedures
Claims processing
Process evaluation
Collaborative relationships
Data integrity
Data review
Work monitoring
Financial counseling
Workflow development
Customer database systems
Database management
Statement preparation
Healthcare industry
Medicaid
Insurance benefits verification
Deductible & co-pay calculation
Electronic authorization processing
Secure data practices
Insurance terminology
Insurance plan verification
Private insurance
Insurance verification
Problem-solving
CPT coding
Organization and time management
Computer proficiency
Medical coding
Critical thinking
Patient health information Access
Administrative support
Languages
Spanish
Limited Working
Additional Information
I am a mom of 2 daughters, one who is a junior @ Texas Tech and another who is a junior in high school. I have been married for 26 years. My husband and I have lived here in the Sugar Land area since 2000. Most of out immediate family resides in the Houston Area. Our youngest has been involved in club & high school soccer, so we've been on the go for the last 10 years. We enjoy our time spent on the field watching our girl play.