Summary
Overview
Work History
Education
Skills
Certification
Awards
Timeline
NORICKA SPENCER-GANT

NORICKA SPENCER-GANT

Plymouth,MN

Summary

Experienced financial professional seeking a challenging opportunity at a reputable company to utilize expertise and drive professional and academic growth. Committed to making valuable contributions to team performance while continuously learning from industry experts.

Overview

11
11
years of professional experience
1
1
Certification

Work History

Dental Business Assistant

METRO DENTALCARE
09.2022 - Current
  • Greet and welcome patients as they enter the office to create a great first impression of our team
  • Manage front office duties, including answering phones, checking office mail and email, communicating with patients and insurance companies
  • Utilize Dentrix for patient scheduling and records
  • Apply credits and coupons to patient ledger
  • Correct ledger prior to sending claims
  • Bank deposit
  • Balance deposits, claims and insurance payments at closing
  • Schedule and confirm appointments for multiple providers in the office
  • File patient insurance claims and follow up on outstanding claims, verification of benefits and explanation of coverage
  • Post insurance and patient payments and process accounts receivables
  • Review treatment plan fees and payment options with patients
  • Partner with the providers and team to implement Heartland Dental systems to optimize office potential

Provider Account Center (PAC) Representative

UCare Minnesota
03.2017 - 08.2022
  • Ensured compliance with HIPPA laws and data integrity
  • Educated members on their current health plan
  • Answered questions and resolved any concerns that arose for members including PMAP, MSC+, MNSure, Connect Dual, Connect Non-Dual
  • Review and explain EOB's
  • Provided in exceptional customer experience and averaged a Call Quality Score of over 95%
  • Worked with Management on identifying and resolving issues and trends
  • Booked and cancelled medical rides for active members in an efficient and timely manner
  • Review and Explain how Claim Processed (Paid, Denied, Pending & Rejected)
  • Quote Benefits and Eligibility to Providers and authorized Third Parties
  • Review CPT & Diagnosis codes
  • Work on multiple systems (EXP Macess, Amisys, HealthRules, Internal Portal, Express Scripts)
  • Review and Explain DHS and/or Medicare Guidelines when necessary

Sr. Estates Account Specialist

DCM Services
01.2014 - 09.2021
  • Provide oriented customer service with strong emphasis on critical problem solving, written and oral communication
  • Follow collection law and guidelines i.e
  • FDCPA and CFPB
  • Collect from the assets of ones estate (probate & trust claims)
  • Communicate with Attorney's, Personal Representatives & Trustees
  • Effectively utilize multiple programs on a daily basis including FACS, Filebound, Connect, & AARC
  • Search for potential assets in the estate
  • Average 99.8% (CQT) Call Quality Score Monthly
  • Mentor new hires (since September 2014)
  • Listen to 2 calls per rep
  • Monthly and score them according to the QA grid
  • Collect payments via, EFT (Credit Card, Debit Card, Checking Account, or Wire Transfer)
  • Track monthly goal on a day to day basis

Education

Bachelor - Business Management

Strayer University, Wingina, VA

High School Diploma -

Thornton Township High School, Harvey, IL
06.1997

Skills

  • Strategic Problem Resolution
  • Proficient Time Allocation
  • Calendar and Task Organization
  • Effective Time Management
  • Detailed Account Reconciliation
  • Financial Account Analysis
  • Financial Ledger Management
  • ICD-10 Documentation Skills
  • Epic Management
  • Accurate CPT Documentation
  • Critical Thinking Skills
  • Performance Assessment
  • Calm Decision-Making
  • Employee Training
  • Generate End-of-Day Summaries

Certification

Blue Award, 12/01/19 to Present, Top Performer 1 of 5 chosen from 278 employees for the year company wide.


CPR Certified 2022 -

Awards

  • Happy Camper Award, 12/01/16, 1 employee out of 261 is chosen through monkey survey. This employee demonstrates being a team player, having a positive attitude and keeping the moral going all the time.
  • Great Mentor Award, 02/01/18, Nominated by the New Hire Training Class for Top Mentor of 18 Sr. Representatives and Managers.

Timeline

Dental Business Assistant - METRO DENTALCARE
09.2022 - Current
Provider Account Center (PAC) Representative - UCare Minnesota
03.2017 - 08.2022
Sr. Estates Account Specialist - DCM Services
01.2014 - 09.2021
Strayer University - Bachelor, Business Management
Thornton Township High School - High School Diploma,

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NORICKA SPENCER-GANT