SANDRA BUCCI
MONROE TWP (MIDDLESEX),NJ
Summary
Focused dental Insurance Coordinator with 50 years' background in coordinating and processing insurance payments, facilitating billing and managing patient accounts. Proficient in liaising with patients, staff and insurance providers to maintain accounts and achieve optimal reimbursement.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Dental Insurance Coordinator/ Collections
Monroe Dental Group
Monroe Twp, NJ
01.2020 - 02.2024
- Verified patient insurance coverage and eligibility for dental services.
- Created and maintained accurate electronic records of all insurance claims and payments.
- Corresponded with patients, providers, and insurance companies to ensure timely processing of claims.
- Resolved any discrepancies between patient billing statements and insurance reimbursements.
- Processed requests for pre-authorization of treatments from providers on behalf of patients.
- Generated monthly reports detailing the number of claims processed by provider and insurer.
- Assisted patients in understanding their benefits packages, including co-payments, deductibles.
- Maintained relationships with third party payers in order to obtain timely payment on submitted claims.
- Reviewed the accuracy of data entered into a variety of computer systems and databases.
- Handled correspondence with insurers related to claim denials or other issues that arose during processing.
- Tracked overdue payments from insurance companies to ensure prompt reimbursement.
- Responded promptly to inquiries from patients, providers, and insurers regarding claim status.
- Evaluated different plans offered by various insurers to determine which would best meet the needs of new patients.
- Updated patient records when necessary due to changes in coverage or benefit levels.
- Validated insurance and advised patients of benefits and coverage.
- Filed insurance claims by obtaining and entering data related to patient, insurance provider and medical code for procedures and services provided.
- Efficiently managed collections and receivables, referrals process and billing to meet revenue goals.
- Informed patients of claims status after filing insurance claims.
- Submitted claims to insurance companies and clearinghouses.
- Secured pre-authorizations and pre-certifications for minor surgical procedures performed in office settings.
- Obtained maximum reimbursement by following up on unpaid claims and reviewing monthly aging reports.
- Collected, posted and managed patient account payments.
Education
High School Diploma -
New Brunswick High School
New Brunswick, NJ06-1968
Skills
- Insurance Verification
- Dental Staff Support
- Understanding Of Dental Insurance
Affiliations
I love to travel and have done so in recent years. I also love to fish. I spend a lot of time with my family and friends. There is numerous activities where I live and I try to get involved and enjoy many of them.
Certification
- I am a licensed real estate agent in the state of NJ for over 17 years. I enjoy working with people. This is a part time business.
- I had my dental x-ray license until recently.
Other work experience
- I am capable to assist the receptionist when necessary to make appointments and answer phones when needed.
References
References available upon request.
Timeline
Dental Insurance Coordinator/ Collections
Monroe Dental Group
01.2020 - 02.2024
High School Diploma -
New Brunswick High School
- I am a licensed real estate agent in the state of NJ for over 17 years. I enjoy working with people. This is a part time business.
- I had my dental x-ray license until recently.
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