Claims Representative with 18 years of extensive expertise in managing high-volume calls, coordinating surgical and dental treatments, and streamlining office operations. Adept at verifying insurance details and securing pre-certifications, resulting in high approval rates and reduced claim rejections. Known for enhancing patient satisfaction through effective communication and meticulous attention to detail, aiming to leverage skills in a dynamic and collaborative environment.
Overview
17
17
years of professional experience
Work History
Accounts Receivable and Billing Specialist
MB2 Dental
Carrollton, TX
02.2025 - Current
Coordinated with third-party collection agencies as needed for escalated delinquent accounts, ensuring optimal recovery results while protecting company reputation.
Supported audits by delivering accurate accounts receivable transaction records.
Increased efficiency in payment collections by consistently monitoring overdue invoices.
Implemented an automated billing system that streamlined invoice generation and distribution, increasing efficiency and reducing manual workload.
Claims Representative
Grapevine Dental
Plano, TX
03.2021 - 09.2024
Manage high-volume calls, ensuring efficient patient communication and scheduling.
Submit and follow up on insurance claims, achieving a high approval rate.
Verify insurance details, reducing claim rejections and ensuring patient coverage.
Coordinate treatment plans, enhancing patient satisfaction and adherence.
Prepare month-end reports and end-of-day deposits, maintaining financial accuracy.
Streamlined office operations, enhancing patient care and staff efficiency.
Claims Patient Coordinator
Brobst Facial Plastic Surgery
Plano, TX
12.2017 - 03.2021
Coordinated surgeries, ensuring seamless scheduling and patient preparation across multiple hospitals.
Verified insurance, secured pre-certifications, and managed high volume calls for patient inquiries.
Led pre-op consultations, enhancing patient understanding and satisfaction.
Conducted post-op care, including stitch removal and patient follow-ups.
Maintained sterilization standards, ensuring a safe and compliant surgical environment.
Orchestrated complex surgical procedures, managing patient care from pre-op consultations to post-op recovery.
Streamlined operations, enhancing efficiency and patient satisfaction.
Coordinated seamlessly with multiple hospitals, ensuring smooth patient transitions.
Facilitated effective communication between medical staff, improving overall care quality.
Meticulously handled insurance verifications and pre-certifications, minimizing claim rejections.
Managed high-volume calls while maintaining exceptional patient interaction.
R.D.A
Dr. Geiger
Plano, TX
07.2015 - 05.2016
Assisted Dr. Geiger chair side in diverse treatment procedures, ensuring optimal patient care.
Provided comfort and engagement to patients, enhancing their treatment experience.
Collaborated effectively with the team to maintain a smooth workflow.
Managed sterilization processes to ensure a safe and hygienic environment.
Supported hygiene staff with scheduling, improving appointment efficiency.
R.D.A
Gerlach Dental
Plano, TX
01.2008 - 05.2015
Assisted Dr. Gerlach chair side in multiple treatment procedures.
Engaged and provided comfort to patients.
Worked well with team.
Sterilization.
Helped hygiene with scheduling.
Provided scheduling for patient treatment.
Education
HIGH SCHOOL DIPLOMA -
Allen High School
Allen, TX
06.2008
Skills
Payment tracking
Invoice processing
Accounting software proficiency
Cash application
Credit control
Collections management
Dispute resolution
Claims processing
Accounts receivable
Customer service support
Month-end closing
Accounts receivable reporting
Additional Information - Experience
Grapevine Dental, Plano, TX, 75093, Office Coordinator, 03/01/21, High Volume calls, Dental chair side assisting, Lab work, Photo skills, Treatment scheduling, All tech connectivity and set up throughout the office, Sterilization
Brobst Facial Plastic Surgery, Plano, TX, 75093, Surgical Coordinator, 12/01/17 - 03/31/21, Surgery coordination, Photo skills, Insurance verification, High volume calls, Patient interaction, A/R, Pre cert for insurance, Interaction with multiple hospitals at a time, Treatment scheduling for cosmetic procedures, Post op stitch removal and post care, Pre op and consult lead, Sterilization
Dr. Geiger, Plano, TX, 75093, R.D.A, 07/01/15 - 05/31/16, Assisted Dr. Geiger chair side in multiple treatment procedures, Engaged and provided comfort to patients, Worked well with team, Sterilization, Helped hygiene with scheduling, Provided scheduling for patient treatment
Gerlach Dental, Plano, TX, 75093, R.D.A, 01/01/08 - 05/31/15, Assisted Dr. Gerlach chair side in multiple treatment procedures, Engaged and provided comfort to patients, Worked well with team, Sterilization, Helped hygiene with scheduling, Provided scheduling for patient treatment
Accounts Receivable and Billing Specialist at Sheffield Furniture & InteriorsAccounts Receivable and Billing Specialist at Sheffield Furniture & Interiors