Kathleen Banner
Elyria,OH
Summary
To obtain a position within your company.
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
23
23
years of professional experience
1
1
Certification
Work History
RCM Management Credentialing Specialist
Lightwave Dental
03.2023 - 11.2024
- provided exceptional customer service to both internal and external stakeholders, addressing inquiries promptly and professionally.
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Received and evaluated applications to look for missing and inaccurate information.
- Conducted primary source verifications such as background checks and board certifications.
- Enhanced credentialing processes by streamlining documentation and verification procedures.
- Reduced errors in credentialing files by conducting thorough reviews and consistently maintaining attention to detail.
- Improved turnaround time for credentialing applications by implementing an efficient online system.
- Prepared records for site visits and file audits.
- Maintained a thorough understanding of accreditation standards, enabling accurate interpretation of guidelines for staff members when needed.
- Ensured compliance with industry standards by regularly updating policies and procedures related to credentialing.
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
- Developed strong relationships with external organizations, leading to increased cooperation during verification processes.
- Proven ability to learn quickly and adapt to new situations.
- Worked effectively in fast-paced environments.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Passionate about learning and committed to continual improvement.
Credentialing Supervisor
North American Dental Group
01.2020 - 04.2022
- Partnered with legal counsel in cases involving credentialing disputes, providing necessary documentation and evidence to support organizational decisions.
- Liaised with healthcare providers to address and resolve any credentialing issues promptly, maintaining strong professional relationships.
- Negotiated with insurance companies to expedite credentialing approval, enhancing provider network expansion.
- Coordinated with multiple departments to ensure compliance with healthcare regulations, maintaining accreditation standards.
- Improved provider satisfaction with efficient handling and processing of credentialing applications.
- Worked well in a team setting, providing support and guidance.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Managed time efficiently in order to complete all tasks within deadlines.
- Strengthened communication skills through regular interactions with others.
- Learned and adapted quickly to new technology and software applications.
- Excellent communication skills, both verbal and written.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Proven ability to learn quickly and adapt to new situations.
Credentialing Specialist
North American Dental Group
12.2019 - 04.2020
- Provided exceptional customer service to both internal and external stakeholders, addressing inquiries promptly and professionally.
- Collaborated with healthcare providers to gather necessary information for accurate credentialing decisions.
- Received and evaluated applications to look for missing and inaccurate information.
- Conducted primary source verifications such as background checks and board certifications.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Enhanced credentialing processes by streamlining documentation and verification procedures.
- Reduced errors in credentialing files by conducting thorough reviews and consistently maintaining attention to detail.
- Improved turnaround time for credentialing applications by implementing an efficient online system.
- Prepared records for site visits and file audits.
- Expedited the onboarding process for new providers, ensuring timely completion of all required documentation and verifications.
- Maintained a thorough understanding of accreditation standards, enabling accurate interpretation of guidelines for staff members when needed.
- Ensured compliance with industry standards by regularly updating policies and procedures related to credentialing.
- Contributed positively to team dynamics by fostering a collaborative and supportive work environment.
- Developed strong relationships with external organizations, leading to increased cooperation during verification processes.
- Conducted audits of provider files, ensuring all necessary documents were up-to-date and compliant with regulatory requirements.
Dental Office Manage
Hudec Dental
12.2018 - 12.2019
- Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
- Effectively resolved patient concerns or complaints, maintaining excellent client relations and promoting ongoing customer loyalty.
- Enhanced patient satisfaction by streamlining appointment scheduling and managing insurance claims.
- Streamlined office operations by regularly evaluating workflows, identifying areas for improvement, and implementing necessary changes for increased productivity.
- Coordinated continuing education opportunities for dental staff members to stay updated with industry advancements and maintain licensure requirements.
- Implemented strict infection control protocols to safeguard the health and safety of patients and employees alike.
- Reduced wait times for patients through effective coordination of staff schedules and resource allocation.
- Developed successful marketing strategies to attract new patients while retaining existing clientele base.
- Oversaw facilities and equipment cleanliness and safety for optimal patient protections.
- Organized and participated in community outreach events, promoting dental health awareness and attracting new patients to the practice.
- Maintained strict confidentiality of all patient records, ensuring compliance with HIPAA regulations and safeguarding sensitive personal information.
- Managed financial aspects including budgeting, forecasting, expense tracking, and profit analysis for overall fiscal responsibility.
- Collaborated closely with dentists to create customized treatment plans that best met individual patient needs while maximizing practice profitability.
- Boosted dental practice revenue by optimizing billing procedures and diligently following up on outstanding payments.
- Managed office within budget guidelines for clerical and auxiliary supply purchases, equipment upgrades and labor costs.
- Ensured compliance with all applicable regulations governing dental practices at local, state, and federal levels.
- Achieved revenue goals with successful management of patient scheduling, receivables and miscellaneous operations expenses.
- Maintained a professional and welcoming atmosphere, fostering strong relationships with patients and encouraging referrals.
- Assisted in the recruitment, hiring, and training of high-quality dental staff to ensure exceptional patient care.
- Fostered culture of continuous improvement by encouraging staff feedback and implementing changes to enhance service delivery.
Training & Support Coordinator
North American Dental Group
12.2018 - 12.2019
- Fostered partnerships with local service providers to enhance resource networks available to clients in need of specialized assistance or referrals.
- Managed high-volume caseloads, ensuring timely completion of tasks and effective communication with clients.
- Enhanced team efficiency through facilitating regular meetings, sharing updates, and discussing strategies for improved service delivery.
- Developed tailored support plans for diverse clientele, identifying unique needs and goals.
- Coordinated meetings and events for internal and external groups.
- Worked with other departmental staff to answer questions and resolve problems.
- Maintained detailed documentation of client interactions and progress toward goals, providing a clear record of care provided.
- Performed general administrative duties by mailing and shipping materials, maintaining legal postings and creating and publishing employee communications.
- Collaborated with interdisciplinary teams to provide comprehensive support services for clients, improving outcomes across multiple domains.
- Improved client satisfaction by efficiently addressing and resolving support issues.
- Kept high average of performance evaluations.
- Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Office Manager
Dental Staffing
05.2016 - 04.2018
- I overlooked my staff, as well as the patients that entered the office
- Patient care and safety being the main priority
- Daily office reports needed to be ran, as well as posting insurance payments, and processing payroll for the staff
- I continued to motivate my staff and all while keeping an upbeat and positive working environment
Dental Assistant/Manager
Ohio Department of Corrections
01.2009 - 05.2016
- Having a dual role gave me the opportunity to grow in my career
- Having to oversee 600+ inmates and schedule all dental procedures
- Answered formal complaints, prepared for State Audits, and completed SRT training
- Responsible for all supply ordering and keeping inventory
- Assisted chairside with the doctor during procedures such as fillings, extractions, and dentures/partial
- Performed all x-ray's, autoclaved instruments, spore test weekly, continued education, physical education, chemical logs, tool count for security
Dental Assistant
All Care Dental
12.2005 - 01.2009
- Had the privilege of setting up a brand-new clinic
- Helped map out tools of operation with staff members, as well as assisted the Dentist in everyday procedures including both adults, and children
- Scheduled patient appointments using Dentrix software
- Placed supply orders, sterilized instruments, and performed weekly spore test
Dental Assistant
William Mangano, DDS
01.2002 - 12.2005
- Daily procedures consisted of opening and closing operatories
- Assisting chairside with the doctors during all procedures from comprehensive exams to surgical extractions, root canals, and crown preps
- Placed a monthly supply order so the doctors in the office had all the supplies they needed to work efficiently
- Took patient x-rays, instrument sterilization, conducted weekly spore testing, and scheduled patient appointments
- Provided compassionate, courteous customer service for the patient's utmost comfortability
Education
Some College - Dental Assisting
JVS
Wellington, OH04-2001
Skills
- HIPAA compliance
- Provider enrollment
- Background checks
- Data management
- Credentialing oversight
- Provider relations
- Application coordination
- Insurance procedures
- Report generation
- Application management
- Document review
- Credential Stream expertise
- Open Dental
- Dental Receptionist
- Office Management
- Insurance Verification
- Microsoft office
- Training development
- Pre-employment screening
- Human resources management systems
- New hire onboarding
- Excel
- Microsoft Word
- Teams
- Google Documents
- Edobe
- CAQH
Certification
- CPR Certification
- X-Ray Certification
- Registered Dental Assistant
- Nitrous Oxide Certification
Assessments
- Sales skills, Proficient, 09/01/22
- Workplace safety, Proficient, 01/01/23
- Protecting patient privacy, Proficient, 09/01/22
- Management & leadership skills: Impact & influence, Proficient, 05/01/22
Timeline
RCM Management Credentialing Specialist
Lightwave Dental
03.2023 - 11.2024
Credentialing Supervisor
North American Dental Group
01.2020 - 04.2022
Credentialing Specialist
North American Dental Group
12.2019 - 04.2020
Dental Office Manage
Hudec Dental
12.2018 - 12.2019
Training & Support Coordinator
North American Dental Group
12.2018 - 12.2019
Office Manager
Dental Staffing
05.2016 - 04.2018
Dental Assistant/Manager
Ohio Department of Corrections
01.2009 - 05.2016
Dental Assistant
All Care Dental
12.2005 - 01.2009
Dental Assistant
William Mangano, DDS
01.2002 - 12.2005
- CPR Certification
- X-Ray Certification
- Registered Dental Assistant
- Nitrous Oxide Certification
Some College - Dental Assisting
JVS
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