Monique Sanchez
Marrero,LA
Summary
Talented Insurance Coordinator with 3 years of experience managing insurance claims, maintaining patient accounts, and liaising with insurance companies. Well-versed in Dental Medicaid, HMO, and PPO insurance requirements with notable success in maximizing reimbursements while optimizing revenue cycle management. Knowledgeable in HIPAA compliance and state regulations regarding patient privacy and data safety. Adept at multitasking, being a meticulous worker, and championing team success, especially when creating a patient-first environment.
Overview
7
7
years of professional experience
Work History
Insurance Coordinator
Smile In Style
2023.01 - Current
- Verified insurance and communicated coverage to staff and patients.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Obtained prior authorization and precertification for outpatient procedures.
- Filed and tracked insurance claims and communicated claims status to patients.
- Achieved revenue goals by managing collections and accounts receivables, referral process and insurance billing.
- 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.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Generated, posted and attached information to claim files.
- Posted payments to accounts and maintained records.
New Patient/ Insurance Coordinator
Bippo's Place For Smiles
2020.05 - 2022.12
- Patient care coordinator responsible for arranging telehealth appointments and scheduling
- Responsible for school education programs focusing on dental hygiene in local communities
- Social media initiatives to promote the company's brand in surrounding areas
- Documents, updates, and maintains patients' information via computerized software according to HIPAA compliance
- Implements efficient workflow processes geared towards establishing patient safety, intake form accuracy and completeness, and timely access to patient data
- Strong interpersonal skills with patients, demonstrating an ability to connect on personal levels to ensure clear communication and patient satisfaction
Communications Coordinator
Aurora & Gretna United Methodist Church
2017.03 - 2020.05
- Updated website and social media pages with coordinated communications aimed at disseminating information and generating interest
- Created original digital and print content for church services using various electronic platforms, including Mediashout, Adobe Suite, Facebook, Remind, YouTube channel, and intranet
- Updates communication avenues targeting both existing and new church members to effectively communicate event details
- Planned, produced, and executed email blasts, digital signage boards, special event flyers, and social media campaigns
- Innovative development of marketing and communication strategies
- Managed email marketing encompassing content development, SEO, and distribution using Mail Chimp
- Devised content calendar and created social media content across multiple platforms
Education
Certificate - Insurance Billing And Claims
Dental Billing & Coding
AAPC08.2022
Tax Preparation - Accounting And Finance
Jackson Hewitt
Slidell, LA10.2019
Certificate - Dental Assisting
N.O.D.C.
Harvey11.2018
Certificate - Medical Assisting
American Red Cross
New Orleans06.2018
Certificate - Mass Communication
San Diego State University
San Diego, CA05.1997
Associates - Journalism
St. John's College
Belize City 05.1995
Skills
- Strong communicator
- Excel Spreadsheet and Microsoft Word proficient
- Weave and MConsent Proficient
- Skilled in claims billing and account management software
- Quick learner
- Problem solver
- Benefits verification
- Skillful with phone triage
- Experienced in de-escalating situations
- Outstanding hospitality and customer service relations
- Efficient multi-tasker while having focused attention to detail
- Goal oriented
- Ability to prioritize work assignments with minimal supervision
- Strong decision-making skills
- Organized
- Team player as well as an independent and self-sufficient worker
- Self-motivated
- Partially Bilingual
- Very good at taking and following directions
- Insurance Coordination
- Medical Billing and Coding
- Customer Service and Assistance
- Reviewing Patient Information
- Past Due Balance Management
- Diagnostic Codes
- Insurance Claims and Denial Processes
- Insurance Plan Verification
- Cancellation Notifications
- Insurance Calculation
- Excellent Administrative Abilities
- Billing Software
- Claims Preparation
- Work Organizing and Prioritizing
- Proficient in Dentrix and Curve Software
- Amount Calculation
- Claims
- Policy Update Coordination
Timeline
Insurance Coordinator
Smile In Style
2023.01 - Current
New Patient/ Insurance Coordinator
Bippo's Place For Smiles
2020.05 - 2022.12
Communications Coordinator
Aurora & Gretna United Methodist Church
2017.03 - 2020.05
Certificate - Insurance Billing And Claims
Dental Billing & Coding
Tax Preparation - Accounting And Finance
Jackson Hewitt
Certificate - Dental Assisting
N.O.D.C.
Certificate - Medical Assisting
American Red Cross
Certificate - Mass Communication
San Diego State University
Associates - Journalism
St. John's College
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