Laura Alcantar
Carrollton,TX
Summary
Professional in provider data management with strong ability to maintain accurate and up-to-date information. Skilled in database management, data analysis, and compliance with regulatory standards. Known for effective team collaboration and achieving results in dynamic environments. Reliable and adaptable, ensuring seamless operations and high-quality outcomes.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Provider Configuration Analyst
Molina Healthcare
08.2023 - 11.2024
- Responsible for accurate and timely maintenance of critical provider information on all claims and provider databases.
- Maintain critical provider information on all claims and provider databases.
- Synchronize data among multiple claims systems and application of business rules as they apply to each database.
- Validate data to be housed on provider databases and ensure adherence to business and system requirements of customers as it pertains to contracting, network management and credentialing.
- Responsible for assisting with that data cleanup for QNXT for my state and any other projects assigned to me.
- Broad knowledge of state guidelines for providers as required for system updates.
- Excellent time management skills, multi-tasking skills, organizational skills and abroad knowledge of Microsoft products.
- Effective communication skills with team members and all levels of management.
Front Desk Coordinator
Lucky Kids Dental
03.2022 - 08.2023
- Greeted visitors and customers upon arrival, offered assistance, and answered questions to build rapport and retention.
- Maintained strict confidentiality when handling sensitive client information in accordance with company policies.
- Updated client records accurately and efficiently, ensuring data integrity within the system.
- Facilitated effective communication between clients, guests, and internal staff by serving as a central point of contact.
- Scheduled appointments in computer system.
- Maintained a clean, organized reception area, creating a welcoming atmosphere for clients and visitors.
- Collaborated with team members to address guest needs and ensure seamless operations.
- Monitored inventory levels of office supplies, placing orders as needed to prevent shortages or delays.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Front Desk Coordinator/Dental Assistant
Midway Family Dentistry
09.2014 - 08.2020
- Provided exceptional customer service to both new and existing patients, addressing inquiries in a prompt and professional manner.
- Enhanced patient satisfaction by efficiently managing appointment scheduling and confirmation processes.
- Collaborated closely with dentists to coordinate treatment plans that met each individual''s oral health needs while considering insurance constraints or budget limitations when necessary.
- Contributed to a welcoming environment for patients by maintaining a clean, organized reception area with up-to-date reading materials.
- Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
- Maintained a clean and sterile work environment to prevent cross-contamination and infection.
- Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
- Performed x-rays safely while adhering to radiation safety guidelines, ensuring high-quality diagnostic images for dentists'' evaluations.
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Updated patient records with accurate, current insurance policy information.
Supervisor
Souper Salad
07.2012 - 09.2014
- Supervised staff to confirm that all food and beverage orders were promptly and accurately prepared.
- Handled guest complaints professionally, resolving issues to enhance overall satisfaction levels.
- Improved customer satisfaction by ensuring consistent quality of food and service.
- Coordinated team members with focus on productivity, efficiency and enhancing customer experience.
- Supervised daily cash handling procedures, ensuring accurate accounting records and minimizing discrepancies.
- Monitored health and safety standards to maintain a clean, safe working environment.
- Managed inventory control, reducing waste and optimizing resources allocation.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Education
Certified Professional Coder - Medical Coding
AAPC
Remote05-2025
High School Diploma -
LD Bell High School
Hurst, TX05.2010
Skills
- Customer support
- Problem-solving
- Time management
- Multitasking
- Organizational skills
- Data entry
- Scheduling
- HIPAA compliance
- Patient confidentiality
- Insurance coverage verification
- Insurance billing
- Prior authorization processing
- Payment processing
Certification
- Certified Dental Assistant
- First Aid/CPR Certified
Additional Information
References upon request.
Languages
English
Native or Bilingual
Spanish
Native or Bilingual
Timeline
Provider Configuration Analyst
Molina Healthcare
08.2023 - 11.2024
Front Desk Coordinator
Lucky Kids Dental
03.2022 - 08.2023
Front Desk Coordinator/Dental Assistant
Midway Family Dentistry
09.2014 - 08.2020
Supervisor
Souper Salad
07.2012 - 09.2014
High School Diploma -
LD Bell High School
Certified Professional Coder - Medical Coding
AAPC
Similar Profiles
Mayra GarciaMayra Garcia
Claims Auditor at Bright Healthcare Plan & Molina Healthcare PlanClaims Auditor at Bright Healthcare Plan & Molina Healthcare Plan
Katrevia CarrKatrevia Carr
Healthcare Customer Service Representative at Molina HealthcareHealthcare Customer Service Representative at Molina Healthcare
Jenasi VelaJenasi Vela
Member Engagement Representative at Molina HealthcareMember Engagement Representative at Molina Healthcare
Reagan BisaillonReagan Bisaillon
Case Manager Supervisor at Molina HealthcareCase Manager Supervisor at Molina Healthcare
Jeremiah NewmanJeremiah Newman
Laborer at USA ErosionLaborer at USA Erosion