Kiera Edwards
Gilmer,TX
Summary
Hello I’m very Skilled with Insurance Verification experience in verifying insurance coverage, understanding policies, and processing claims. Strengths include strong analytical skills, attention to detail, and ability to work under pressure. Proven record of improving efficiency in handling claims and enhancing customer satisfaction through timely resolution of disputes and issues.
Overview
6
6
years of professional experience
Work History
Business Assistant
Smile Studio
Longview, Texas
08.2023 - Current
- Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
- Maintained accurate documentation on all pre-authorization requests, denials and appeals.
- Processed manual claims when necessary due to incorrect or incomplete information from providers or patients.
- Greeted and checked in patients, verifying insurance information and collecting co-pays.
- Prepared treatment plans for patient approval, including cost estimates and payment arrangements.
- Assisted with billing functions such as submitting claims electronically or manually to insurance companies.
- Assisted patients in understanding their insurance coverage and answered questions about referrals, authorizations, and other related issues.
- Coordinated with provider offices to ensure timely completion of referrals prior to scheduled appointments.
Patient Advocate
Hospitality er
Longview
03.2022 - 01.2023
- Explained complex medical terminology to patients and families in an understandable manner.
- Provided emotional support to patients and their families during difficult times.
- Facilitated communication between providers, patients, and family members.
- Conducted research on health insurance policies to ensure compliance with laws and regulations.
- Provided follow-up care instructions to discharged patients or their caregivers.
- Monitored patient progress throughout treatment courses, updating charts accordingly.
Dental Receptionist
Aspen Dental
Longview, TX
01.2019 - 03.2022
- Greeted patients, provided them with necessary paperwork, and verified insurance information.
- Answered incoming calls, scheduled appointments, and confirmed patient visits.
- Maintained accurate records of patient treatment plans, medical histories, and financial transactions.
- Provided chair-side assistance during dental procedures, including passing instruments to the dentist and holding suction devices.
- Prepared dental materials such as amalgam, composite resin, impression material and cements for use by the dentist.
- Assisted dentist in providing dental treatment to patients, including taking patient medical histories and vital signs.
- Took digital X-rays of teeth using radiographic equipment.
- Sterilized instruments according to established guidelines and protocols.
- Reviewed patient charts prior to visits to ensure that all relevant information was available for the doctor's review.
- Handled billing inquiries from insurance companies regarding claims submitted by the office.
- Laid out dental instruments and equipment before procedures.
Education
Dental Assistant License - Dental
Vista College
El Paso, TX06-2017
High School Diploma -
Gilmer High School
Gilmer, TX06-2015
Some College (No Degree) - Dental Hygiene
Tyler Junior College
Troup, TXSkills
- Customer Service
- Coordination and Scheduling
- Insurance Claims Review
- Flexible Schedule
Timeline
Business Assistant
Smile Studio
08.2023 - Current
Patient Advocate
Hospitality er
03.2022 - 01.2023
Dental Receptionist
Aspen Dental
01.2019 - 03.2022
Dental Assistant License - Dental
Vista College
High School Diploma -
Gilmer High School
Some College (No Degree) - Dental Hygiene
Tyler Junior College