Maria Cecero
Eatontown,NJ
Summary
Dynamic Insurance Coordinator with extensive experience at Shore Pediatric Dental Group, adept at streamlining claims processing and enhancing patient satisfaction. Proven track record in insurance verification and customer service, effectively resolving billing discrepancies and expediting reimbursements. Detail-oriented and skilled in teamwork, ensuring efficient operations and optimal patient care.
Overview
19
19
years of professional experience
Work History
Insurance Coordinator
Shore Pediatric Dental Group
Red Bank, NJ
11.2006 - Current
- Coordinated patient insurance verification processes to ensure accurate coverage details.
- Managed claims submissions and follow-ups to expedite reimbursement timelines.
- Assisted in resolving billing discrepancies, enhancing patient satisfaction and trust.
- Utilized practice management software for efficient tracking of insurance claims and payments.
- Verified insurance and communicated coverage to staff and patients.
- Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
- Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
- Filed and tracked insurance claims and communicated claims status to patients.
- Obtained prior authorization and precertification for outpatient procedures.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Posted payments to accounts and maintained records.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
Education
High School Diploma -
Shore Regional High School
West Long Branch, NJSkills
- Insurance claims processing
- Insurance processes
- Insurance verification
- Customer service and assistance
- Accounts receivable
- Dental insurance experience
- Insurance coverage verification
- Attention to detail
- Organizing and prioritizing work
- Data entry
- Teamwork and collaboration
- Appointment scheduling
- Patient rapport
- Eligibility determination
- Claims adjustment
- Critical thinking
- Denied claims identification
- Customer service
Timeline
Insurance Coordinator
Shore Pediatric Dental Group
11.2006 - Current
High School Diploma -
Shore Regional High School