Marlena Garcia

• Developed customized daily, bi-weekly, and monthly production reports for payroll, utilization reports for insurance billing, and aging reports for accounts receivable, collection calls, and correspondence for outstanding balances.
• Coordinated with insurance carriers to verify patient benefits and coverage, minimizing delays in payment processing, and sending requested attachments along with claims electronically or by mail.

• Eliminated billing discrepancies by conducting regular accounting audits of ledgers and insurance denials, rectifying any identified issues swiftly.
• Managing and resolving complaints, grievances, and appeals within the company, ensuring compliance and resolution for both the patient and the billing department.

• Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.

• Reduced errors in policy documentation, meticulously reviewing and updating insurance records.
• Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
• Calculated various adjustments to the ledger, and refund requests for overpayment to the patient or the insurance company.
• Managed time efficiently to complete all tasks within deadlines for payroll.
• Created Excel spreadsheets to average the monthly collection and production statistics for the office manager and CEO.
• In charge of nightly deposit by preparing reports for all tenders and transactions, posting payments accurately to patient ledgers, and finalizing the deposit for bank drop.

• Opened and closed store 5 days per week by counting registers, making deposits, and storing and filing all daily paperwork.
• Exceeded individual and store sales goals while contributing to the overall success of the team.

• Ensured patient privacy and confidentiality, adhering to HIPAA regulations in handling sensitive personal information.
• Enhanced data accuracy by diligently verifying insurance coverage, demographic information, and other essential details.
• Managed high-stress situations calmly and professionally while prioritizing multiple competing demands during peak hours or emergencies.
• Imaged and scanned patient and registration documentation into electronic patient records.
• Supported hospital revenue goals by accurately collecting co-payments and deductible amounts at the time of service.
• Explained financial responsibilities to patients as well as payment options and potential collection procedures.

Part-time Registered Dental Assistant who assisted with specialty dentists in the orthodontic, endodontic, and surgical departments.