Summary
Overview
Work History
Education
Skills
Certification
References
Timeline
Generic

Megha Babaria

Southlake,USA

Summary

Results-driven Billing Lead at Mint Dentistry with 4 years of expertise in insurance billing and patient account management. Proven ability to enhance revenue through successful claim appeals and workflow optimization. Exceptional communication skills foster strong relationships with patients and providers, driving financial growth and operational efficiency in a fast-paced environment.

Overview

12
12
years of professional experience
1
1
Certification

Work History

Billing Lead and Dental Claim Appeal Specialist

Mint Dentistry
Irvine, TX
08.2024 - Current
  • Dedicated Dental Billing Lead with 4 years of experience overseeing billing operations for 60+ dental offices. Proven expertise in managing patient accounts, resolving discrepancies, and ensuring precise and timely claim submissions. Skilled in leveraging in-depth dental knowledge to provide comprehensive documentation to insurance providers, successfully appealing denials, and securing approvals that maximize reimbursements and drive financial growth for the practice.
  • Manage end-to-end dental claim processing, ensuring timely submission, pre-authorization tracking, and follow-up on outstanding claims.
  • Conduct audits on patient accounts to resolve discrepancies, process refunds, and establish necessary payment plans.
  • Prepare and submit electronic and manual billing for multiple dental offices, ensuring complete and accurate documentation.
  • Process and interpret Explanation of Benefits (EOBs), document billing notes, and respond to office inquiries promptly.
  • Identify and correct errors in claim submissions to maintain compliance and minimize denials.
  • Leverage dental expertise and analytical skills to successfully appeal denied claims, increasing reimbursement rates.
  • Develop training materials and streamline onboarding for new billing specialists.
  • Train and mentor team members to improve billing accuracy, workflow efficiency, and overall department performance.
  • Collaborate with dental staff to apply clinical criteria in claim assessments, ensuring proper insurance approvals.
  • Report directly to billing managers on workflow, claim trends, and process improvement recommendations.

Dental Assistant

Endodontist Excellence
Flower Mound, TX
04.2019 - 08.2019
  • Motivated and compassionate Dental Assistant with extensive hands-on experience providing exceptional support during dental examinations and procedures. Proven track record as a Lead Assistant, with 6 months of leadership experience delivering high-quality dental care in a fast-paced clinical environment. Skilled in chairside assistance, patient education, sterilization techniques, and strict adherence to infection control protocols. Dedicated to ensuring optimal patient comfort while fostering a supportive and welcoming atmosphere for all patients. Experienced in collaborating with dentists and the dental team to streamline workflows and enhance overall patient satisfaction.
  • Prepared patients for dental procedures, ensuring comfort and a positive experience throughout their visit.
  • Sterilized dental instruments and maintained a clean, organized, and safe clinical environment.
  • Assisted dentists during examinations and treatment procedures, providing efficient chairside support.
  • Educated patients on proper oral hygiene practices to promote long-term dental health.
  • Accurately recorded patient information in the Electronic Health Records (EHR) system, ensuring up-to-date documentation.
  • Scheduled patient appointments, coordinated follow-ups, and processed insurance claims for timely approvals.
  • Effectively communicated treatment plans and procedural steps to patients, enhancing their understanding and overall experience.

Manager

Bright Savings LLC (EBay Store)
01.2014 - 03.2019
  • Dynamic eBay Seller with 5 years of experience in online retail. Skilled in driving sales growth, enhancing customer satisfaction, and managing end-to-end operations. Proven expertise in inventory management, optimized product listings, and timely order fulfillment. Dedicated to providing exceptional service and building long-term customer relationships.
  • Conducted regular price analyses to maintain competitive pricing, resulting in increased product visibility and higher customer engagement.
  • Achieved a 99% response rate to buyer inquiries by providing timely and helpful communication, significantly enhancing customer satisfaction.
  • Maintained a 98% positive feedback rating over 5 years by consistently delivering exceptional customer service.
  • Analyzed web and social media metrics to refine marketing strategies, leading to a 50% boost in user engagement.
  • Maintained low refund and return rates through effective communication and proactive problem-solving techniques.
  • Led initiatives to improve customer retention, achieving a high rate of repeat buyers.

Education

Master's Of Science - Health care administration

University Of Texas At Arlington
08.2024

Bachelor - dental science B.D.S (Dentist)

Rajiv Gandhi University

Dental Assistant Training -

Online

Skills

  • Patient & Doctor Relationship Building
  • Dental Assisting & Front Office Administration
  • Dental Terminology, Procedures, and Coding
  • Insurance Billing, Dental Coding, and Fee Scheduling
  • HIPAA & OSHA Compliance
  • Healthcare Operations & Appointment Scheduling
  • Microsoft Office Suite (Word, Excel, PowerPoint)
  • Excellent Customer Service & Communication Skills
  • Sales Analysis & Target Tracking
  • Continuous Improvement Mindset
  • Patient account management
  • Revenue cycle management
  • Workflow optimization
  • Dispute resolution

Certification

Six Sigma Certification - Yellow Belt

References

Available upon request

Timeline

Billing Lead and Dental Claim Appeal Specialist

Mint Dentistry
08.2024 - Current

Dental Assistant

Endodontist Excellence
04.2019 - 08.2019

Manager

Bright Savings LLC (EBay Store)
01.2014 - 03.2019

Master's Of Science - Health care administration

University Of Texas At Arlington

Bachelor - dental science B.D.S (Dentist)

Rajiv Gandhi University

Dental Assistant Training -

Online