Dental Management Software
NICOLE BURNS
Office management, Dental insurance specialist
Frederick,MD
Summary
Experienced dental insurance and office management professional with a proven track record of optimizing payment processes and enhancing practice efficiency. Skilled in streamlining administrative workflows, reducing claim processing times, and increasing revenue recovery. Strong leadership in building high-performing teams and delivering exceptional customer experiences.
Overview
16
16
years of professional experience
Work History
Dental Office Manager
Sherman Smiles
Frederick, MD
04.2018 - 05.2025
- Improved organizational measures to enhance workflow efficiency.
- Managed daily operations, including scheduling and staffing.
- Supported staff in developing strong communication skills for patient education, fostering a collaborative effort in providing excellent patient service.
- Demonstrate professionalism, integrity, and a positive attitude, setting the tone for the practice culture.
- Verified patient insurance plans for coverage and benefits.
- Resolved patient inquiries regarding insurance promptly.
- Accurately submitted claims with correct CDT codes, achieving timely reimbursement within 7 to 14 days.
- Tracked claim processing weekly to identify and resolve discrepancies, reducing stalled claims by 13%.
- Maintained re-credentialing processes in accordance with PPO policies. Maintained an updated insurance bluebook.
Claims Management Specialist
State of the Art Dental Group
Rockville, MD
07.2017 - 03.2018
- Conducted thorough verification of patient benefits to optimize coverage utilization.
- Managed claims through the entire lifecycle, reducing delays and denials by 20%.
- Maintained accurate records of claims and insurance payments within dental practice management software.
- Ensured confidentiality of patient information while adhering to HIPAA guidelines.
- Resolved complex insurance issues with accuracy and efficiency.
- Successfully resolved outstanding dental claims over a year old, improving the practice's revenue cycle management..
- Assisted in achieving monthly production goals by effectively managing collections and receivables.
Dental Insurance Specialist
Amini and Associates
Ellicott City and Frederick, MD
02.2014 - 06.2017
- Managed payments processing, invoicing, and collections tasks efficiently.
- Verified patients' insurance eligibility and benefits prior to appointments and procedures.
- Submitted insurance claims and monitored for denials to ensure prompt payment.
- Obtained maximum reimbursement through diligent follow-up on unpaid claims.
- Performed insurance verification, pre-certification, and pre-authorization processes accurately.
- Complied with all regulations set by local, state, and federal agencies.
- Assisted in developing office policies related to insurance processing and compliance.
- Answered customer inquiries promptly to maintain high satisfaction levels.
Dental Insurance Coordinator
MD Center for Oral Surgery
Owings Mills, MD
01.2009 - 03.2013
- Cultivated positive working relationships with staff and management to enhance teamwork.
- Maintained and organized patient records with a 98% accuracy rating.
- Processed patient payments at the time of service, adhering to established protocols.
- Contacted referring physician offices to gather additional information about patient needs.
- Educated patients on benefits packages, including co-payments and deductibles, enhancing understanding and satisfaction.
- Participated in workshops and training sessions to stay informed on industry updates.
- Executed insurance verification, pre-certification, and pre-authorization processes with accuracy for a large practice.
Skills
- Dental office management
- Electronic payment processing
- Customer service excellence
- Team leadership
- Claims administration
- Dental software expertise
- Regulatory compliance
- Effective communication
- Workflow optimization
- Conflict resolution
Accomplishments
- Implemented a streamlined billing and insurance processing system that led to a consistent 15% increase in exceeding monthly collection targets over an eight-month period, resulting in increased revenue and the creation of a monthly staff performance bonus.
- Professional with a strong record of leadership and delivering exceptional customer experiences, shown by leading an office to become a Best of Frederick award finalist for two consecutive years. Skilled in building high-performing teams, implementing customer-focused strategies, and driving positive business outcomes.
References
References available upon request.
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software
Google Suite
Interests
Wildlife rehabilitation and conservancy
DIY home projects
Performing arts
Additional Information
My diverse work experiences have honed transferrable skills, allowing me to adapt to new industries and roles.
I am always eager to take on new challenges, both personally and professionally, so that I can expand my skill set.
I thrive in roles where there is continuous learning and the opportunity to push my limits.
I am innately driven by a sincere interest in connecting with people on a deeper level.
Timeline
Dental Office Manager
Sherman Smiles
04.2018 - 05.2025
Claims Management Specialist
State of the Art Dental Group
07.2017 - 03.2018
Dental Insurance Specialist
Amini and Associates
02.2014 - 06.2017
Dental Insurance Coordinator
MD Center for Oral Surgery
01.2009 - 03.2013
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