Katharine Kristen
McKinney,US
Summary
Insurance Coordinator with 8 years of professional experience in insurance claims management, patient billing, and customer service. Adept in verifying eligibility and coverage for patients while maintaining accuracy and compliance with industry standards. Skilled in utilizing multiple software systems to streamline daily operations and ensure timely claim processing. Seeking a position to leverage expertise and drive eciency.
Overview
18
18
years of professional experience
Work History
Dental Insurance Coordinator
Summit Point Dental Implant Center
McKinney, TX
09.2023 - 11.2024
- Negotiated pre-authorizations for necessary dental procedures, securing coverage for vital treatments otherwise not covered.
- Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
- Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
- Served as a liaison between patients, dental providers, and insurance companies to resolve any discrepancies or misunderstandings regarding coverage or billing issues.
- Reduced billing errors by consistently verifying insurance eligibility prior to service delivery.
- Monitored changes in dental insurance policies and communicated updates to staff, enabling the team to stay informed about the latest industry standards.
- Streamlined claim submission process for faster reimbursement and reduced claim denials.
- Ensured timely payment collection from both patients and insurance companies by diligently tracking outstanding balances.
- Filed and tracked insurance claims and communicated claims status to patients.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Obtained prior authorization and precertification for outpatient procedures.
Insurance Coordinator
Stonelake Family Dentistry
Frisco, TX, US
05.2021 - 09.2023
- Coordinated with insurance carriers to update client policy information, verified customer information, and managed policy database accurately
- Verified accuracy of information entered into insurance portals, within an average of 15 minutes, whilst ensuring accuracy of over 98%, leading to improved customer satisfaction and renewals
- Supported enrollment, benefit management and policy changes in a timely and accurate manner to avoid any issues with patient treatment
- Reduced customer support requests by 25% due to the accuracy and timeliness of policy changes
- Resolved complex issues in a timely manner with minimal errors
Treatment Coordinator
Great Expressions Dental Centers
Dallas, TX, US
09.2020 - 05.2021
- Worked as treatment/insurance coordinator for busy corporate office
- Responsibilities included but not limited to handling incoming phone calls and emails, scheduling patients based on scheduling procedures, and verifying various types of insurances to ensure proper patient care
Dental Front Desk Receptionist
Rowlett Family Dental
Rowlett, TX, US
10.2019 - 09.2020
- Performed various front desk duties for small family practice
Customer Service Representative
State Farm Insurance & Financial Service Agency
Richardson, TX, US
05.2019 - 10.2019
- Assisted agents and customers with life insurance policies and claims in busy call center
Front Desk Receptionist
Crystal Creek Dental
Plano, TX, US
03.2019 - 05.2019
- Part-time weekend receptionist at busy dental office
Dental Office Manager
Deca Dental Group
Dallas, TX, US
08.2018 - 02.2019
- Developed and implemented office operations and procedures, resulting in a reduction of operational costs by 20%, increase in patient satisfaction from 50% to 90%, and streamlining of front-desks operations
- Collaborated with team to train staff on workflow processes, analyze data to identify opportunities for improvement, and developed new patient onboarding process and system for improved accuracy and efficiency
- Coordinated and communicated administrative best practices and procedures to ensure compliance with applicable regulations and standards
- Managed daily operations of office, ensuring accurate records keeping, customer service excellence, and proper maintenance of supplies
Executive Assistant
New Life Home Healthcare Services
Forney, TX, US
09.2016 - 05.2017
- Screened applicant resumes and coordinated both phone and in-person interviews
- Answered and managed incoming and outgoing calls while recording accurate messages
- Maintained appropriate filing of personal and professional documentation
- Worked with human resources to develop a streamlined way to track paid time off
- Completed and mailed bills, contracts, policies, invoices and checks
- Prepared and distributed payroll for staff of 37 direct reports
- Frequently used word processing, spreadsheet, database and presentation software
Dental Assistant Apprentice
United States Air Force
Whiteman AFB, MO, US
07.2006 - 08.2008
- Rank: E-3.
Education
Business Administration -
Collin County Community College
Plano, TX01.2019
Skills
- Insurance processes
- Customer service and assistance
- Medicare and Medicaid knowledge
- Insurance claims processing
- Claims Processing
- Microsoft Office
- Insurance Verification
- Insurance knowledge
- Dental insurance experience
- Customer Relations
- Word Processing
Timeline
Dental Insurance Coordinator
Summit Point Dental Implant Center
09.2023 - 11.2024
Insurance Coordinator
Stonelake Family Dentistry
05.2021 - 09.2023
Treatment Coordinator
Great Expressions Dental Centers
09.2020 - 05.2021
Dental Front Desk Receptionist
Rowlett Family Dental
10.2019 - 09.2020
Customer Service Representative
State Farm Insurance & Financial Service Agency
05.2019 - 10.2019
Front Desk Receptionist
Crystal Creek Dental
03.2019 - 05.2019
Dental Office Manager
Deca Dental Group
08.2018 - 02.2019
Executive Assistant
New Life Home Healthcare Services
09.2016 - 05.2017
Dental Assistant Apprentice
United States Air Force
07.2006 - 08.2008
Business Administration -
Collin County Community College