Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability and exceptional interpersonal skills. Bilingual in English and Spanish. Adept at working effectively unsupervised and quickly mastering new skills. Excited to be part of a team.
Overview
22
22
years of professional experience
Work History
Dental Insurance Coordinator
Posh Dental
Temecula, California
05.2024 - 02.2025
Collected, posted and managed patient account payments.
Managed the appeal process for denied claims, providing necessary documentation and follow-up.
Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-
Monitored customer account details for non-payments, delayed payments, and other discrepancies.
Maintained accurate and up-to-date patient insurance records in compliance with HIPAA regulations.
Updated patient records when necessary due to changes in coverage or benefit levels.
Prepared detailed financial reports outlining accounts receivable status for each provider and insurer combination.
Filed insurance claims by obtaining and entering data related to patient, insurance provider, and dental code for procedures and services provided.
Assisted patients in understanding their benefits packages, including co-payments, deductibles.
Answered customer questions to maintain high satisfaction levels.
Coordinated communication between insurance providers and patients to ensure clear understanding of coverage.
Trained new staff on insurance procedures and best practices for efficient workflow.
Input statement information, reconciled accounts and resolved discrepancies.
Submitted insurance claims and followed up on denials or discrepancies to ensure prompt payment.
Prepared and submitted detailed reports on insurance billing activities and outcomes.
Corresponded with patients, providers, and insurance companies to ensure timely processing of claims.
Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
Processed requests for pre-authorization of treatments from providers on behalf of patients.
Verified patients' insurance eligibility and benefits prior to appointments and procedures.
Office Manager/Dental Insurance Coordinator
Clark Henderson Dental Corporation
San Diego, CA
03.2003 - 12.2023
Maintained patient records, scheduled appointments, and handled billing inquiries.
Ensured accurate data entry of patient information into the office management system.
Managed all front desk operations, including phone calls and customer service inquiries.
Provided guidance to staff on insurance coverage and payment options for patients.
Coordinated with dental providers regarding patient care and scheduling needs.
Performed financial analysis to identify areas of cost savings or revenue enhancement opportunities.
Created reports detailing daily activities, staff performance metrics, and other relevant information.
Resolved customer complaints in a timely manner by investigating issues thoroughly.
Oversaw ordering process from vendors to ensure that products were delivered on time.
Prepared monthly reports summarizing activity within the dental practice for review by senior management.
Scheduled patient appointments and effectively handled cancellations and last-minute adjustments.
Coordinated execution and improvement of daily dental office practices.
Implemented staff scheduling procedures to provide full coverage, supporting organizational needs.
Hired, trained and monitored new office employees and took corrective action when necessary.