Mariana V. Mederos
Edison,NJ
Summary
Seeking a role that allows me to challenge myself daily, apply and refine my skills, and continually grow and learn. I am dedicated to establishing my presence within a workplace culture that not only values personal and professional development but also shares a strong commitment to giving back to the community
Overview
13
13
years of professional experience
Work History
Office Manager
Da Vinci Dental Arts
Edison, NJ
06.2013 - Current
- Billing and Claims Expertise: Proficient in managing billing processes and electronic claims, ensuring accurate and timely submission to insurance providers, optimizing reimbursement rates for dental services.
- Bookkeeping Proficiency: Well-versed in maintaining financial records, performing reconciliations, and generating financial reports to support informed decision-making.
- Pre-Authorizations and NEA Handling: Skilled at preparing and submitting pre-authorization requests and managing Necessary Expenditure Authorization (NEA) processes to facilitate smooth treatment planning.
- Payment Posting Precision: Experienced in accurately recording and posting payments received, ensuring financial transparency and accountability within the practice.
- Treatment and Payment Plan Communication: Adept at explaining treatment options and payment plans to patients, enhancing their understanding and facilitating informed decisions about their dental care.
- Outstanding Balances and Collections Management: Diligent in reviewing and addressing outstanding balances and collections, employing effective strategies to recover owed payments and maintain positive patient relationships.
- Doctor Credentialing: Proficient in the credentialing process for healthcare providers, ensuring compliance with industry standards and facilitating participation with insurance networks.
- Marketing Expertise: Skilled in various marketing techniques, including postcard campaigns, commercial advertisements, and newspaper promotions, aimed at expanding the practice's patient base and increasing brand visibility.
- Staff Management and Payroll: Effective in managing personnel, including staff supervision and overseeing payroll processes, ensuring a productive and harmonious work environment.
- Completed bi-weekly payroll for 45employees.
Account Executive-REMOTE
Dental ClaimSupport
Savannah, GA
04.2018 - 01.2019
- Claims Submission and Management: Proficiently handle the accurate and timely submission of insurance claims, ensuring compliance with industry standards and regulations.
- Payment Processing: Demonstrate expertise in accurately posting payments, maintaining meticulous financial records, and reconciling accounts to ensure financial accuracy.
- Bookkeeping: Experienced in comprehensive bookkeeping, maintaining detailed financial records, tracking expenses, and managing accounts to ensure fiscal transparency.
- Insurance Accounts Receivable (A/R): Adept at managing insurance accounts receivable, including tracking outstanding payments, reconciling discrepancies, and facilitating prompt collections.
- Patient Collections Appeals: Skilled in efficiently navigating the patient collections process, including appealing denied claims, resolving disputes, and optimizing revenue recovery.
- Tax Preparation Forms: Proficiently handle tax preparation forms, ensuring compliance with tax laws and regulations, and accurately completing all required documentation.
- Office Analysis: Capable of conducting thorough office analyses to identify operational efficiencies, streamline processes, and enhance overall productivity.
- QuickBooks Entries: Competent in using QuickBooks for precise data entry, financial tracking, and reporting, facilitating informed financial decision-making.
- Profit and Loss Analysis: Proficiently analyze profit and loss statements to assess financial performance, identify areas for improvement, and support strategic financial planning.
Account Executive-REMOTE
Eassist
Salt Lake City, UT
01.2015 - 01.2019
- Claims Management: Proficient in effectively processing and managing insurance claims, ensuring accuracy and compliance with industry regulations.
- Payment Posting: Demonstrated expertise in accurately recording and reconciling payments, maintaining financial integrity, and reducing discrepancies.
- Ledger Auditing: Experienced in conducting meticulous ledger audits to identify discrepancies, resolve financial irregularities, and maintain financial transparency.
- Office Onboarding: Skilled in successfully onboarding new offices or branches, streamlining operations, and ensuring a seamless transition process.
- Remote Work Implementation: Proven ability to strategize and execute the seamless integration of remote work options, improving workforce flexibility and productivity.
- Strategic Growth Initiatives: Instrumental in devising and executing strategies to elevate the company to the next level, driving growth and market competitiveness.
Education
High School Diploma -
Harrison High School
06-2009
Skills
- Problem Solver,
- Financial Analysis,
- Client/Patient Focused,
- Adaptability,
- Teamworker,
- Adobe Acrobat
- Financing Banks; Cherry, Care Credit, Lendingclub, Affirm and Sunbit
- PMS: Dentrix, Open Dental, SOEL, Eaglesoft, Practiceworks, Curve, & Softdent
- Microsoft Word, PowerPoint, and Excel
- Eclaims and NEA attachment processing (10 years)
Languages
Spanish: Fluent
Portuguese: Fluent
English: Fluent
Timeline
Account Executive-REMOTE
Dental ClaimSupport
04.2018 - 01.2019
Account Executive-REMOTE
Eassist
01.2015 - 01.2019
Office Manager
Da Vinci Dental Arts
06.2013 - Current
High School Diploma -
Harrison High School