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Kellie Rosado
Murray,Utah
Summary
Adept at insurance processes and customer service, I significantly enhanced billing efficiency and patient satisfaction at Manhattan Dental Care. Leveraging skills in insurance verification and strategic thinking, I streamlined claims processing and improved revenue cycle management, fostering strong relationships with patients and insurers alike. My multitasking abilities and attention to detail ensured compliance and optimized office operations.
Diligent Dental billing/insurance coordinator with robust background managing dental insurance claims and patient accounts. Successfully facilitated seamless insurance processes, ensuring high patient satisfaction and adherence to policy guidelines. Demonstrated proficiency in patient communication and insurance verification.
Dental insurance professional with solid track record in streamlining insurance claims and optimizing patient account management. Known for fostering collaborative team environment and consistently meeting practice goals. Valued for adaptability and reliability, with strong skills in patient communication and insurance verification.
Overview
27
27
years of professional experience
Work History
Billing/Dental Insurance Coordinator
Dr Jerry F Maymi/ Dr James Nnah
04.2011 - Current
- Negotiated pre-authorizations for necessary dental procedures, securing coverage for vital treatments otherwise not covered.
- Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
- Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
- 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.
- Maintained accurate records of patient treatments, billing information, and insurance details to ensure seamless communication between patients, providers, and insurers.
- Monitored changes in dental insurance policies and communicated updates to staff, enabling the team to stay informed about the latest industry standards.
- Enhanced office productivity by effectively scheduling appointments according to provider availability and patient needs.
- Managed accounts receivable, decreasing outstanding balances through diligent follow-up with both patients and insurers.
- Streamlined claim submission process for faster reimbursement and reduced claim denials.
- Assisted patients in completing necessary paperwork for filing claims, ensuring timely submission of required documentation.
- Improved patient satisfaction by efficiently managing dental insurance claims and coordinating with providers.
- Ensured timely payment collection from both patients and insurance companies by diligently tracking outstanding balances.
- Conducted regular reviews of billed services against actual treatment rendered to ensure accuracy in coding practices leading to optimal reimbursement rates from insurers.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Filed and tracked insurance claims and communicated claims status to patients.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Responded to customer concerns and questions on daily basis.
- Audited and corrected billing and posting documents for accuracy.
- Processed payment via telephone and in person with focus on accuracy and efficiency.
- Used data entry skills to accurately document and input statements.
- Maintained accurate records of customer payments.
- Utilized various software programs to process customer payments.
- Reconciled accounts receivable to general ledger.
- Collaborated with customers to resolve disputes.
- Generated monthly billing and posting reports for management review.
- Handled account payments and provided information regarding outstanding balances.
- Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Office Management
Dr Mark L Mangelson
06.2003 - 11.2012
- Assisted with general facility and office management.
- Supported office management in various administrative tasks such as data entry, filing, and managing correspondence.
- Streamlined appointment scheduling and reduced wait times by implementing efficient office management practices.
- Expedited appointment scheduling through effective utilization of office management software systems.
- Executed various administrative tasks, contributing to well-organized office management.
- Supported office management with timely completion of administrative tasks such as filing, data entry, and scheduling appointments.
- Supported management with administrative tasks, contributing to a well-run front office operation.
Dental Office Manager
Manhattan Dental Care
01.1998 - 08.2003
- Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
- Effectively resolved patient concerns or complaints, maintaining excellent client relations and promoting ongoing customer loyalty.
- Boosted dental practice revenue by optimizing billing procedures and diligently following up on outstanding payments.
- Collaborated closely with dentists to create customized treatment plans that best met individual patient needs while maximizing practice profitability.
- Maintained strict confidentiality of all patient records, ensuring compliance with HIPAA regulations and safeguarding sensitive personal information.
- Maintained a professional and welcoming atmosphere, fostering strong relationships with patients and encouraging referrals.
- Reduced wait times for patients through effective coordination of staff schedules and resource allocation.
- Maintained patient data with required regulatory chart documents, personal information and treatment consultation documentation.
- Reviewed flash reports, prepared bank deposits and posted daily revenues to stay on top of administrative demands.
- Managed office within budget guidelines for clerical and auxiliary supply purchases, equipment upgrades and labor costs.
- Assisted in the recruitment, hiring, and training of high-quality dental staff to ensure exceptional patient care.
- Established clear performance expectations for team members through goal setting sessions, regular performance reviews, feedback meetings, resulting in higher employee engagement levels.
- Ensured compliance with all applicable regulations governing dental practices at local, state, and federal levels.
- Oversaw facilities and equipment cleanliness and safety for optimal patient protections.
- Recruited, hired and developed office teams to offer best-in-class patient care.
- Oversaw inventory management, ensuring timely procurement of supplies while minimizing costs through strategic vendor negotiations.
- Increased efficiency in billing processes, leading to quicker reimbursements and improved cash flow.
- Maintained strict adherence to OSHA and CDC guidelines for infection control, ensuring safe environment for both patients and staff.
- Coordinated with dental professionals to ensure timely and effective patient care, increasing daily patient throughput.
- Managed all aspects of billing and insurance claims, ensuring accuracy and compliance with industry standards.
- Developed and enforced office policies to maintain high standards of patient care and confidentiality.
- Reduced appointment cancellations and no-shows with proactive reminder and follow-up system.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
- Established team priorities, maintained schedules and monitored performance.
- Cultivated positive rapport with fellow employees to boost company morale and promote employee retention.
- Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
- Evaluated employee performance and conveyed constructive feedback to improve skills.
- Identified and communicated customer needs to supply chain capacity and quality teams.
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
Education
High School Diploma -
Davis High School
Kaysville, UT01-1982
Skills
- Insurance processes
- Customer service and assistance
- Insurance claims processing
- Claims
- Accounts receivable
- Claims processing
- Insurance verification
- Strategic thinking skills
- Payment planning
- Sales support
- Negotiation
- Account management
- Revenue cycle management
- Accounting skills
- Medical billing and coding
- Dental insurance experience
- Private insurance
- Collections processing
- Customer relations
- Billing statement review
- Billing data verification
- Correspondence
- Word processing
- Itemized statement preparation
- Invoice documentation management
- Services rendered documentation
- Customer service
- Time management
- Attention to detail
- Problem-solving abilities
- Multitasking
- Multitasking Abilities
- Organizational skills
Interests
Timeline
Billing/Dental Insurance Coordinator
Dr Jerry F Maymi/ Dr James Nnah
04.2011 - Current
Office Management
Dr Mark L Mangelson
06.2003 - 11.2012
Dental Office Manager
Manhattan Dental Care
01.1998 - 08.2003
High School Diploma -
Davis High School
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