Pamela Hart
Citrus Heights,CA
Summary
Proactive and goal-oriented professional with excellent time management and problem-solving skills. Known for reliability and adaptability, with swift capacity to learn and apply new skills. Committed to leveraging these qualities to drive team success and contribute to organizational and personal growth.
Overview
9
9
years of professional experience
Work History
Claims Adjudicator
Gainwell Technologies
04.2024 - Current
- Executed claims processing, while generating increased revenue for stakeholders.
- Identified Medicaid coverage limitations with thorough examinations of claims documentation and related records.
- Maintained claims data in CDMMIS systems.
- Verified accuracy of patient records to maintain accuracy of records database.
- Verified client information by analyzing existing evidence on file.
- Managed workload and priorities to meet claims processing meet deadlines.
- Maintained HIPAA compliance with patient medical records and personal health information.
- Learned and adapted quickly to new technology and software applications.
Billing and Insurance Coordinator
Blue Tree Practice Services
08.2022 - 12.2023
- 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.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Maintained compliance with local, state and federal regulations governing insurance, Medicare and Medicaid requirements.
- Verified insurance and communicated coverage to staff and patients.
- Reviewed accounts receivable reports, insurance contracts and weekly and monthly financial reports.
- Maintained strong knowledge of basic dental terminology to better understand services and procedures.
- Monitored incoming contracts and service agreements for correct pricing and information.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Registered Dental Assistant
Office Of Dr. JP Henneberry
06.2018 - 06.2020
- Typed patient data into computer system using Dentrix while following privacy laws and maintaining high-level accuracy.
- Managed office schedules and calendars to coordinate administrative planning and execution.
- Scheduled appointments, prepared bills and received payment for dental services by completing insurance forms, verifying insurance information, and maintaining records.
- Filed and tracked insurance claims and communicated claims status to patients.
- Verified insurance and communicated coverage to staff and patients.
- Performed general chair-side duties for general dentistry, endo procedures, and oral surgery.
Registered Dental Assistant
Folsom Family Dental
04.2017 - 03.2018
- Documented patient dental health information, medical history, and vital signs for future reference.
- Managed office schedules and calendars to coordinate administrative planning and execution.
- Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Successfully assisted dentist by performing four-handed dentistry and other chair side duties.
Education
High School Diploma -
John F. Kennedy High School
Sacramento, CATechnical Diploma - Dental Assisting
Western Career College
Sacramento, CASkills
- Microsoft Office
- Google Workspace
- Freshdesk
- Accounting remittances
- A/P and A/R expertise
- Billing statement review
- Database Management
- Insurance billing
- Claims auditing
- Correspondence management
- Records management
- ICD codes
- Electronic claims processing
Timeline
Claims Adjudicator
Gainwell Technologies
04.2024 - Current
Billing and Insurance Coordinator
Blue Tree Practice Services
08.2022 - 12.2023
Registered Dental Assistant
Office Of Dr. JP Henneberry
06.2018 - 06.2020
Registered Dental Assistant
Folsom Family Dental
04.2017 - 03.2018
High School Diploma -
John F. Kennedy High School
Technical Diploma - Dental Assisting
Western Career College
Similar Profiles
Ester PretoriusEster Pretorius
Senior Project Manager at Gainwell TechnologiesSenior Project Manager at Gainwell Technologies
Lamonica GadsonLamonica Gadson
Hybrid Customer Support Senior Assistant. at GAINWELL TECHNOLOGIESHybrid Customer Support Senior Assistant. at GAINWELL TECHNOLOGIES
Avery PatrickAvery Patrick
Senior Infrastructure and Security PMO Project Manager at Gainwell TechnologiesSenior Infrastructure and Security PMO Project Manager at Gainwell Technologies
Robert WeaverRobert Weaver
Senior Vegetation Management Inspector at PG&ESenior Vegetation Management Inspector at PG&E
Casey KnoflerCasey Knofler
Wireless Engineer at Valley Communications Inc.Wireless Engineer at Valley Communications Inc.