Katelyn Pender
Waterford,MI
Summary
Dental billing and office operations professional focused on insurance verification, claims resolution, denial management, and billing audits. Supports timely reimbursement by resolving underpaid claims, managing AR, and communicating with carriers on authorizations and payment issues. Brings hands-on experience with Dentrix, Eaglesoft, Curve, and remote billing systems.
Overview
14
14
years of professional experience
Work History
Medical Billing Specialist
United wound care
11.2023 - Current
- Submitted, tracked, and resolved Medical insurance claims.
- Conducted insurance verification, including benefits, eligibility, frequencies, deductibles.
- Managed billing audits to ensure coding accuracy and compliance.
- Prepared and submitted ADRs (Additional Documentation Requests) for insurance carriers.
- Researched and successfully appealed denied and underpaid claims to recover revenue.
- Managed accounts receivable (AR) processes to enhance collections and minimize aging balances.
- Communicated with insurance companies regarding claim status, authorizations, and payment discrepancies.
- Worked audits by collecting supported documentation
Office Manager
Lifetime Dental
06.2021 - 12.2023
- Managed scheduling, billing, collections, and quality control to enhance patient satisfaction and operational efficiency.
- Managed day-to-day dental office operations and scheduling.
- Reviewed financial reports, revenue postings, bank deposits, payroll, and accounts receivable to ensure accuracy and compliance.
- Processed invoices and monitored office financial performance to identify trends and areas for improvement.
- Train and cross-train front office and clinical team members.
- Resolve insurance claim issues and ensure timely reimbursement.
- Review weekly and monthly performance reports.
- Maintain a positive and productive patient-centered work environment.
- Prepared denialswith supporting documents and dental records.
- Tracked overdue payments from insurance companies to ensure prompt reimbursement.
- Prepared detailed financial reports outlining accounts receivable status for each provider and insurer combination.
Lead Dental Assistant/Insurance Billing Specialist
Clarkston Village Dental
01.2013 - 01.2022
- Sterilized instruments and maintained infection control standards throughout treatment rooms.
- Assisted dentists chairside during restorative, preventive, and surgical procedures.
- Supported front office scheduling, patient check-in, and treatment coordination.
- Monitored dental materials, ordered supplies, and organized clinical inventory.
- Trained new dental assistants on workflow, safety, and clinic procedures.
- Prepared operatories with supplies, trays, and equipment for patient appointments.
- Processed dental claims for multi-provider practice using insurance portals and practice software.
- Verified patient coverage, eligibility, and benefits before appointments and treatment planning.
- Posted payments, adjustments, and write-offs in dental billing records.
- Submitted corrected claims and appealed denied claims with supporting documentation.
- Reviewed patient accounts for accuracy and completeness, verifying insurance information and coding procedures.
- Adhered to HIPAA regulations when handling patient information.
- Completed Invisalign training program.
- Maintained OSHA certification (2021).
- Maintained CPR certification (2021).
Skills
- Medical claim processing
- Insurance verification
- Claim denial resolution
- Claims resolution
- Billing audits
- Payment posting
- Accounts receivable
- HIPAA compliance
- Time management
- Dental claims processing
Timeline
Medical Billing Specialist
United wound care
11.2023 - Current
Office Manager
Lifetime Dental
06.2021 - 12.2023
Lead Dental Assistant/Insurance Billing Specialist
Clarkston Village Dental
01.2013 - 01.2022