Kisha Fuentes
Temple,TX
Summary
Detail-oriented Dental Billing Specialist with strong understanding of bookkeeping principles and customer service. Experienced in developing and managing efficient billing and posting processes. Considered focused and organized team player.
Overview
20
20
years of professional experience
Work History
Dental Billing Specialist
Insurance Billing Outsourcing
04.2023 - Current
- Audited and corrected billing and posting documents for accuracy.
- Handled account payments and provided information regarding outstanding balances.
- Reconciled accounts receivable to general ledger.
- Monitored outstanding invoices and performed collections duties.
- Responded to customer concerns and questions on daily basis.
- Utilized various software programs to process customer payments.
- Utilized various software programs to process customer payments.
- Collaborated with customers to resolve disputes.
- Generated, posted and attached information to claim files.
- Checked documentation for accuracy and validity on updated systems.
Insurance Coordinator Supervisor
Acre Wood, Dental
10.2021 - 07.2022
- Manage the call center and other insurance coordinators
- Verified insurance and communicated coverage to staff and patients.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Maintained compliance with local, state and federal regulations governing insurance, Medicare and Medicaid requirements.
- Reviewed accounts receivable reports, insurance contracts and weekly and monthly financial reports.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Posted payments to accounts and maintained records.
- 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.
- Filed and tracked insurance claims and communicated claims status to patients.
- Achieved revenue goals by managing collections and accounts receivables, referral process and insurance billing.
Office Manager
Acre Wood Dental
09.2014 - 09.2021
- Plan and manage dental office operations to ensure excellent patient support services
- Oversee daily office activities and provide direction and guidance to staffs as needed
- Ensure that patient appointments, cancellations and last-minute adjustments are handled properly
- Assist in budget preparation and expense management activities
- Develop promotional programs to attract more patients
- Recruit and train new candidates in assigned jobs
- Assist in employee performance evaluation, promotion, termination, and retention activities
- Respond to patient queries and issues and ensure patient satisfaction
- Oversee payment collections from patients and contact insurance office for payment settlements
- Maintain the treatment facility clean, safe and organized
- Follow and enforce office policies and regulations
- Perform timely payroll processing and maintain employee records
- Review and approve vacations, sick leave and unpaid leave for staffs
- Identify areas of improvements and concerns and implement appropriate corrective actions
- Perform inventory control and management to support cost reduction initiatives
- Oversee staff scheduling on shift basis so as to ensure full coverage
Insurance Coordinator
Carus Dental
11.2003 - 11.2013
- Monitoring weekly, monthly and quarterly reports to confirm payment from clients and insurance companies
- Credential or re credential all providers in 27 practices with all PPO dental coverages
- Maintain knowledge of dental insurance and use independent judgment regarding coverage and insurance claims
- Resolve billing disputes with little supervision
- Daily attention to resolving insurance claim issues such as requests for additional information and denials
- Manage outstanding insurance claims and maintain no less than 90% of outstanding claims in the “current” category
- Balance deposits daily
- Ensure timely deposit of funds into bank account
- Process insurance payments and ensure timely collection from patients and insurers
- Attention to detail in posting payments properly considering multi-office environment
- Ensure electronic insurance deposits are posted to patient accounts (and balance) as the funds are in the bank account
- Prepare and present financial arrangements and insurance options that meet both patients’ and practice’sneedsforproposedtreatment plans.Knowandpracticetheappropriateverbalskillstousewith patients when explaining polices, such as cancellation policy, collection practices, insurance coverage, etc
- Be willing and able to coach team members as required
- Backup for the Patient Care Coordinator
- Process Billing Statements according to established office policy
- Follow established office policy with regards to collection calls, letters and bad debt protocol
- Current knowledge of the Fair Credit Standards Act and its application to dental offices
- Work with Practice Manager when necessary to ensure the team’s compliance to the Act
- Excellent computer skills and ability to use Practice Works and Care Stack efficiently
- Extreme attention to exceptional patient care
- Represent the practice in a professional, pleasant, and cooperative manner both at work and outside of work
- Able to comfortably and efficiently handle multiple deadlines and task assignments
- Able to work both independently and cooperatively in team settings
- Occasionally there may be some travel, by car or plane, required in order to participate in continuing education or seminars
- Maintain regular, consistent and punctual attendance in accordance with assigned schedule and time off policies
- Train team members.
Education
Certifications and Licenses - Dental Assisting
ATI Career Training Center
Dallas, Hurst, TXSkills
- EagleSoft (2 year)
- Open Dental (2 year)
- CareStack (2 Years)
- Practice Works ( 8 Years)
- Dental assisting (5 years)
- Insurance Verification (20 years)
- Statement Itemization
- Basic Medical Terminology
Timeline
Dental Billing Specialist
Insurance Billing Outsourcing
04.2023 - Current
Insurance Coordinator Supervisor
Acre Wood, Dental
10.2021 - 07.2022
Office Manager
Acre Wood Dental
09.2014 - 09.2021
Insurance Coordinator
Carus Dental
11.2003 - 11.2013
Certifications and Licenses - Dental Assisting
ATI Career Training Center
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