Lucy Chavira
Sachse,TX
Summary
Highly motivated Credentialing Analyst with 2 years experience. Offering over 20 years of customer service experience in a fast paced environment, with 10+ years in the dental field. Fast learner, organized, proactive, and punctual with team-oriented mentality.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Office Manager
Tribute Family Dentistry
04.2024 - Current
- Credentialing the doctor with insurance carriers
- Insurance verification & eligibility
- Treatment planning & financial discussions
- Scheduling and calendar coordination
- Processing insurance payments
- Processing claims with attachments
- Reviewing EOBs and resolving discrepancies
- Managing daily office operations
Registered Dental Assistant
KAD Dental Staffing (Temp)
01.2024 - 04.2024
Credentialing Analyst
Focus Staff
12.2021 - 10.2023
- Conducted primary source verifications such as background checks and board certifications
- Process Onboarding - Verify the credentials of healthcare providers, including education, licensure, certifications, and immunizations for healthcare
- Set up medical labs, drug screens, state background checks with fingerprints
- Verify and review all medical documentation to make sure they are current and up to date with facility guidelines
- Input provider information into data base
- Monitor files to ensure completeness and accuracy; reviews all file documentation for quality standards and all other relevant policies
- Prepares and provides information to internal and external clients
Specialty Benefits Coordinator
Woodbridge Dental Group
09.2020 - 12.2021
- Communicate clearly with providers, medical staff, administration to provide daily updates on compliance/credentialing progress
- Works closely with the healthcare client to ensure all documents and files are submitted prior to the document deadline
- Received and evaluated applications to look for missing and inaccurate information
- Maintained up-to-date knowledge of applicable laws and regulations
- Maintained composure in stressful situations, confrontations, interviews and records searches
- Conducted primary source verifications such as background checks and board certifications
- Verify the credentials of healthcare providers, including education, licensure, certifications, and immunizations for healthcare
- Set up medical labs, drug screens, state background checks with fingerprints
- Verify and review all medical documentation to make sure they are current and up to date with facility guidelines
- Input provider information into data base
- Monitor files to ensure completeness and accuracy; reviews all file documentation for quality standards and all other relevant policies
- Prepares and provides information to internal and external clients
Lead Registered Dental Assistant
Monarch Dental
05.2013 - 09.2021
- Scheduled all specialty appointments and coordinated all 7 doctor's schedule according to treatment
- Presenting treatment plans after reviewing patient benefits and helping with financial arrangements
- Prepare charts and patients for treatment
- Coordinate with outside referrals and retrieve records from other offices
- Reviewed EOB's, followed up with insurance regarding unpaid claims and pre authorizations
Installation Coordinator
Lowes Home Improvement
10.2003 - 05.2013
- Confirmed installation dates with customer and installer
- Processed payments
- Confirmed customer satisfaction by utilizing targeted follow-up methods after installs
- Prepared materials and staged items for installer pickup
- Coordinated installations reviews and completion of related paperwork
- Inventoried installation supplies before scheduling installations or ordering more
- Maintained relationships with return customers
- Communicated customer feedback and complaints to team members to promote proper resolution
- Handled customer issues with any defect products and processed rushed orders to make sure install is completed in a timely manner
- Assisted as a head cashier and managed the cashiers with schedules, breaks, and lunch schedules
- Assisted as a cashier at checkout, closed down money drawers, and made sure the deposits were ready for the following morning
- Assisted in Sales with window treatments and the installations
Education
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Collin County Community Colege
Plano, Texas03.2012
Skills
- Credentialing Audits
- Credentialing Requirements
- Medical Staff Credential Verification
- Employee Onboarding
- Microsoft Office
- Teams
- Excel
- Zoom
- Google Spreadsheet
- Writing Emails
- Proof reading
- Open Dental
- Qsi
- Carestack
- GreyFinch
- Background checks
- License Verifications
- Multitasking
- Fluent in Spanish
- Treatment Planning
- Insurance Verification
- Processing claims
- Reviewing EOB's
- Highly organized
- Detail oriented
Certification
- Dental Assistant License, 56992
- Nitrous, 55880
- Texas Cosmetology Operator License, 1209025
- CPR
Personal Information
Title: Credentialing Analyst/Registered Dental Assistant
Timeline
Office Manager
Tribute Family Dentistry
04.2024 - Current
Registered Dental Assistant
KAD Dental Staffing (Temp)
01.2024 - 04.2024
Credentialing Analyst
Focus Staff
12.2021 - 10.2023
Specialty Benefits Coordinator
Woodbridge Dental Group
09.2020 - 12.2021
Lead Registered Dental Assistant
Monarch Dental
05.2013 - 09.2021
Installation Coordinator
Lowes Home Improvement
10.2003 - 05.2013
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Collin County Community Colege