Organized and efficient in office administration, highly skilled insurance benefits verification, and coordinating patient treatment and payments. Fully capable of operating independently or as a dental team. Fluent in English and Spanish, conversant in Portuguese.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Remote Dental Biller Specialist
Greenburgh Kids Dental
Harstdale, NY
05.2019 - Current
Verifies completeness and accuracy of all claims prior to submission.
Timely follow up on insurance claim denials, exceptions or exclusions.
Reading and interpreting insurance explanation of benefits.
Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
Make necessary arrangements for dental records requests, completion of additional information requests, etc. as requested by insurance companies.
Respond to inquiries from insurance companies, patients and providers.
Monitored outstanding invoices and performed collections duties.
Insurance benefits verification.
Coordinating patient treatment and payments.
Dental Assistant, Dental Biller and Office Manager
Family Dental Center, Dr, N. Patel DDS
Port Chester, NY
01.2014 - 05.2019
Performed general chair-side duties for general dentistry, endo procedures and oral surgery.
Cleaned and sanitized dental tools and equipment, straightened treatment rooms and restocked supplies to prep for next patient and maintain health and safety practices.
Managed invoicing and payment processing operations.
Disbursed petty cash by recording entries and verifying documentation.
Scheduled, rescheduled and cancelled appointments for dental patients.
Helped patients complete necessary dental forms and documentation.
Prepared insurance claim forms, explained benefits and outlined pricing details for procedures and services.
Referred patients to dental triage to treat severe or unusual symptoms or complaints.
Greeted visitors and patients to determine needs, check appointments and direct accordingly.
Answered telephone calls to offer office information, answer questions and direct calls to staff.
Verifies completeness and accuracy of all claims prior to submission.
Timely follow up on insurance claim denials, exceptions or exclusions.
Reading and interpreting insurance explanation of benefits.
Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
Make necessary arrangements for dental records requests, completion of additional information requests, etc. as requested by insurance companies.
Respond to inquiries from insurance companies, patients and providers.
Dental Receptionist and Dental Biller
Ellen Jones Community Health Center
Harwich, MA
01.2012 - 01.2014
Scheduled, rescheduled and cancelled appointments for dental patients.
Helped patients complete necessary dental forms and documentation.
Prepared insurance claim forms, explained benefits and outlined pricing details for procedures and services.
Referred patients to dental triage to treat severe or unusual symptoms or complaints.
Greeted visitors and patients to determine needs, check appointments and direct accordingly.
Answered telephone calls to offer office information, answer questions and direct calls to staff.
Verifies completeness and accuracy of all claims prior to submission.
Timely follow up on insurance claim denials, exceptions or exclusions.
Reading and interpreting insurance explanation of benefits.
Utilize monthly aging accounts receivable reports to follow up on unpaid claims aged over 30 days.
Make necessary arrangements for dental records requests, completion of additional information requests, etc. as requested by insurance companies.
Respond to inquiries from insurance companies, patients and providers.
Education
High School Diploma -
Onesimo Jimenez
Santiago, Dominican Republic.
No Degree - Dental Hygiene
Hostos Community College of The City University of New York
Bachelor of Arts - Hospitality Administration And Management
UTESA
Santiago, Dominican Republic.
Skills
Ability to work independently
Costumer Service 9 years of experience
Dependable and Responsible
HIPAA Compliance
Insurance Claim Regulations
Data Entry
Billing Inquiries
Insurance Coverage Verification
Dentrix software proficiency
MS Office
Excellent Communication
Attention to Detail
Certification
Office Manager Training Path, MGE: Management Experts, 2018
Timeline
Remote Dental Biller Specialist
Greenburgh Kids Dental
05.2019 - Current
Dental Assistant, Dental Biller and Office Manager
Family Dental Center, Dr, N. Patel DDS
01.2014 - 05.2019
Dental Receptionist and Dental Biller
Ellen Jones Community Health Center
01.2012 - 01.2014
High School Diploma -
Onesimo Jimenez
No Degree - Dental Hygiene
Hostos Community College of The City University of New York
Bachelor of Arts - Hospitality Administration And Management