Pamela Oles

• Prepared insurance claims for submission to clearinghouses or insurance companies.
• Filed and tracked insurance claims and communicated claims status to patients.
• Obtained data such as patient, insurance ID, insurance provider and dental codes to properly file insurance claims.
• Verified insurance and communicated coverage to staff and patients.
• Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
• Posted payments to accounts and maintained records.
• Calculated adjustments, premiums and refunds.
• Modified, updated and processed existing policies.
• Generated monthly billing.
• Processed payment via telephone and in person with focus on accuracy and efficiency.
• Collaborated with patients to resolve disputes.
• Responded to customer concerns and questions on daily basis.
• Working denials and appeals with a high rate of success in obtaining payment.
• Strong communication skills.

• Answered telephone calls to offer office information, answer questions.
• Adhered to strict HIPAA guidelines to protect patient privacy.
• Understood dental terminology and insurance breakdowns.
• Completed new patient registrations in software to create accurate and comprehensive records.
• Provided excellent customer service to create positive experiences and build patient trust.
• Handled patient complaints quickly and professionally to restore patient confidence and prevent loss of clientele.
• Performed various administrative tasks by filing, copying and faxing documents.
• Prepared and processed patient referrals and transfer requests.
• Obtained payments from patients and scanned identification and insurance cards.
• Verified insurance and documented breakdown prior to appointments.
• Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.

Educated patients on importance of oral hygiene and demonstrated techniques for flossing, brushing.

• Screened patients for signs of oral cancer, lesions, or disease by visually and manually inspecting mouth and gums.
• Applied fluoride varnish.
• Captured patients' dental radiographs and provided to dentist for interpretation and diagnosis.
• Improved and developed knowledge through continuing education courses and seminars.
• Maintained accurate dental records by documenting important patient data in Eaglesoft.
• Performed Scaling and Root planing as needed.
• Administered topical anesthetics to patients' gums to prepare areas being worked on.