Proven track record in enhancing office efficiency and improving claim processing speed by 30% at FIRST BENEFITS INSURANCE MUTUAL WORKERS COMP. Adept in computer proficiency, including MS Office and Dentrix, coupled with exceptional organizational skills. Excelled in roles requiring attention to detail and a strong ability to work with the public, driving significant improvements in client and patient service delivery.
·Schedule appointments
· Verify medical insurance benefits
· File, make copies, answer phones
· Contact clients to remind them about appointments
· Educate new clients on the practice, services provided, and steps to getting treatment.
· Utilize Microsoft office and My Clients Plus EMR to complete daily tasks.
Assist in onboarding new employees, providing training materials, and coordinating orientation schedules to ensure a smooth integration into the team.
· Filed a corrected claim, using payer portals for claim research and claim processing functions.
· Adjusted claim if there is no opportunity for resolution/payment.
· Prepared and submitted documentation to increase likelihood of claims payment.
· Reviewed orders to ensure accuracy of codes, quantity, and pricing.
· Followed-up with insurance company to obtain payment from services rendered.
· Answered questions from providers, patients, and insurance companies.
· Identified and resolved collection issues.
· Performed adjustments and refund requests.
· Organized, printed, and mailed hard copy claims to insurance company.
· Created new claim records.
· Located and verified information.
· Answered and directed phone calls
· Exhibited polite and professional communication via email and phone.
· Answered and directed phone calls.
· Provided employers with loss runs.
· Answered clients’ billing or claims questions.
· Collated and distributed mail.
· Developed and maintained a filing system.
· Maintained supplies inventory by checking stock.
· Assisted adjusters and processors as needed.
· Exposed dental X-rays for dental diagnosis.
· Assisted dentist with daily dental procedures.
· Prepared patients for dental procedures by completing vital checks, reviewing services, answering treatment questions, and assisting in rectifying issues or discrepancies.
· Educated patients on treatment plan and oral care.
· Ordered dental supplies and equipment to ensure providers are adequately prepared for procedures.
· Cleaned and sanitized dental operatories in accordance with OSHA safety regulations.
· Collected and recorded patients medical and dental history.
· Worked with staff to develop protocols applicable to environmental changes to ensure safety measures are followed.