Dental Billing SpecialistMedical Biller and Coder/Medical Office ManagerOffice Worker
Work Type
Part Time
Important To Me
Work-life balanceFlexible work hoursWork from home option
14
years of professional experience
Assisted in managing dental and medical billing processes with 20 years of experience. Supported revenue generation and coding tasks effectively. Provided exceptional customer service while multitasking and managing time efficiently.
Work History
Dental Billing Specialist
4 Years 5 Months
Kevin M. Cook, DMD, PC | 01.2022 - 06.2026
Utilized insurance provider websites to confirm insurance coverage and manage claims.
Assisted patients during checkout by scheduling follow-up appointments and collecting payments due at time of service.
Processed charges and submitted electronic insurance claims through DentalXchange.
Conducted insurance pre-authorization before appointments to streamline patient payments and claims submission.
Collected, posted, and managed payments from patients and insurance providers.
Prepared patient statements for services rendered.
Managed accounts receivable by following up on unpaid or denied claims as needed.
Provided customer service support to address patient inquiries regarding account balances and payment history.
Reconciled daily deposits with collections from insurance companies and patient payments.
Expertise in podiatry, wound care billing, DME and diabetic shoe billing/coding.
Updated CPT, HCPCS codes and diagnostic codes
Applied coding rules established by the American Medical Association and Centers for Medicare and Medicaid Services for the assignment of procedural codes.
Coordinated credentialing processes with hospitals, nursing homes, and insurance firms
Assessed medical documents for diagnosis codes, procedures, services, and supplies.
Resolved denied claims by researching payer requirements and preparing appeals.
Collaborated with physicians to gather additional clinical information.
Managed accounts receivable for the practice, ensuring timely payments from insurance companies and patients.
Monitored authorizations required before service delivery and surgery
Validated clinical documentation and patient records for HIPAA compliance
Reviewed account information to confirm patient and insurance information is accurate and complete.
Provided outstanding customer care through effective communication
Eliminated outdated records following protocols
Conducted comprehensive performance evaluations for team members
Assisted in resolving conflicts between staff members and addressing any issues that arose related to patient care or safety concerns.
Reviewed employee time sheets for accuracy before submitting them for payroll processing.
Created and maintained office policies and procedures to ensure smooth operations and compliance with all state regulations.
Ordered and restocked supplies in line with budget limits and office needs.
Education
Certificate - Medical Billing And Insurance Coding
Herzing University | Madison, WI | 12.2005
Skills
Facilitated accurate dental and medical billing processes.
Assisted in the use of Epic
Practice Fusion
Medisoft
MacPractice
and Eaglesoft.
Utilized Microsoft Office and Excel to enhance productivity.
Demonstrated strong attention to detail in all tasks.
Managed time effectively to meet deadlines.
Applied problem-solving skills to address challenges.
Exhibited self-motivation to achieve goals.
Education and Training
other
Timeline
Dental Billing Specialist
Kevin M. Cook, DMD, PC
01.2022 - 06.2026Read More
Medical Biller and Coder/Medical Office Manager
Brittany Jones, DPM & Jeffrey Crowhurst, DPM
09.2012 - 12.2021Read More
Herzing University
Certificate from Medical Billing And Insurance Coding
EOB Payment Analyst/Patient Accounting - Reimbursement/Appeals at Desert Valley Hospital / Medical GroupEOB Payment Analyst/Patient Accounting - Reimbursement/Appeals at Desert Valley Hospital / Medical Group