Nora Calhoun
Albany,GA
Summary
Adept at navigating complex insurance processes and delivering exceptional customer service, I secured vital dental treatments at Filling Station Family Dental by negotiating pre-authorizations and reducing billing errors. My expertise in insurance verification and ability to maintain poise under pressure fostered strong patient and team relationships, enhancing office productivity and patient care. Talented Insurance Coordinator with 10-year background in hospital settings. Expert in managing insurance claims process, maintaining patient accounts and liaising with insurance companies. Well-versed in Medicare, Medicaid, HMO and PPO insurance requirements.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Dental Insurance Coordinator
Filling Station Family Dental
2018.11 - Current
- Negotiated pre-authorizations for necessary dental procedures, securing coverage for vital treatments otherwise not covered.
- Assisted patients in understanding their dental insurance benefits, coverage limits, and out-of-pocket expenses.
- Supported patients throughout the treatment process by answering questions about their financial responsibility concerning deductibles, copayments, or coinsurance amounts.
- Served as a liaison between patients, dental providers, and insurance companies to resolve any discrepancies or misunderstandings regarding coverage or billing issues.
- Educated dental team members on insurance policies and procedures to promote a cohesive office environment focused on quality patient care.
- Reduced billing errors by consistently verifying insurance eligibility prior to service delivery.
- Maintained accurate records of patient treatments, billing information, and insurance details to ensure seamless communication between patients, providers, and insurers.
- Enhanced office productivity by effectively scheduling appointments according to provider availability and patient needs.
- Assisted patients in completing necessary paperwork for filing claims, ensuring timely submission of required documentation.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Obtained prior authorization and precertification for outpatient procedures.
- Verified insurance and communicated coverage to staff and patients.
Patient Access Representative
Crisp Regional Hospital
2013.04 - Current
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
- Contributed to a positive work environment by fostering strong relationships among colleagues, promoting teamwork, and sharing best practices.
- Managed challenging situations effectively by remaining calm under pressure while resolving conflicts or addressing dissatisfied patients professionally.
- Maintained accurate patient records, contributing to a well-organized database for seamless information access across departments.
Education
Master of Science - Health Care Administration
University of Phoenix
Tempe, AZ12.2023
Bachelor of Science - Health Care Administration
Albany State University
Albany, GA12.2021
Skills
- Insurance processes
- Customer service and assistance
- Medicare and Medicaid knowledge
- Insurance claims processing
- Insurance Verification
Certification
CPR
Timeline
Dental Insurance Coordinator
Filling Station Family Dental
2018.11 - Current
Patient Access Representative
Crisp Regional Hospital
2013.04 - Current
Master of Science - Health Care Administration
University of Phoenix
Bachelor of Science - Health Care Administration
Albany State University
CPR
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