Summary
Overview
Work History
Education
Skills
Timeline
Generic

RAE GARCIA

San Antonio,TX

Summary

Experienced Dental Insurance Coordinator with expertise in Medicare, Medicaid, HMO, and PPO processing. Demonstrates strong organizational skills in streamlining claims and managing accounts receivable. Committed to enhancing operational efficiency in a dynamic organization.

Overview

4
4
years of professional experience

Work History

Treatment Coordinator

Heritage Dental Associates
04.2024 - Current
  • Coordinated care delivery across multiple departments to enhance patient outcomes.
  • Provided comprehensive administrative support for efficient patient care operations.
  • Managed scheduling of evaluations and procedures, ensuring timely patient services.
  • Handled administrative tasks such as filing insurance claims and preparing reports.
  • Explained facility policies and procedures to patients for improved understanding.
  • Collaborated with healthcare providers to obtain necessary documentation for claims processing.
  • Verified insurance eligibility and benefits for patients using automated systems and databases.
  • Analyzed trends in claim denials to identify areas for process improvement and reduce rework rates.
  • Resolved discrepancies in insurance information through detailed investigation and communication with payers.

Insurance Coordinator

Tots To Teens Pediatric Dentistry
01.2022 - 04.2024
  • Validated insurance and advised patients of benefits and coverage
  • Informed patients of claims status after filing insurance claims
  • Complied with insurance regulations dictated by local, state and federal agencies
  • Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients
  • Handled modification and updating of policies
  • Filed insurance claims by obtaining and entering data related to patient, insurance provider and medical code for procedures and services provided
  • Updated databases with new and modified customer data.

Education

Associate of Arts - Sociology

Palo Alto College
San Antonio, TX
06.2024

Skills

  • Dental Insurance Experience
  • Strategic Thinking Skills
  • Insurance Verification
  • Customer Service and Assistance
  • Insurance Terminology
  • Insurance Coverage Verification
  • Financial counseling
  • Expertise of payment plans

Timeline

Treatment Coordinator

Heritage Dental Associates
04.2024 - Current

Insurance Coordinator

Tots To Teens Pediatric Dentistry
01.2022 - 04.2024

Associate of Arts - Sociology

Palo Alto College

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