Sandra White
Beaverton,OR
Summary
At Dental Business Solutions, I leveraged my expertise in claims management and exceptional customer service to enhance operational efficiency and client satisfaction. My proactive approach in regulatory compliance and documentation significantly improved claim processing times, contributing to a notable increase in patient trust and loyalty. Efficient billing and insurance professionalism with over 20 years of experience. Productive and diligent with passion for resolving discrepancies through attention to detail and creative problem solving. Passionate about perpetuation company value through impeccable work ethic and drive.
Overview
22
22
years of professional experience
Work History
Dental Insurance Specialist
Dental Business Solutions
09.2022 - 01.2026
- Enhanced customer satisfaction by addressing insurance-related inquiries and resolving issues promptly.
- Followed up on denials, late payments, extensions and other special circumstances.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Maintained high standards of customer service by building relationships with clients.
- Resolved discrepancies in insurance payments by collaborating with carriers.
- Reduced claims processing time by effectively collaborating with adjusters, claimants, and internal departments.
- Communicated effectively with members of operations, finance, and clinical departments.
- Acted as subject matter expert, answering internal, and external questions and inquiries.
- Researched and resolved routine and complex issues.
- Contributed to team performance by sharing industry knowledge and assisting colleagues in complex cases.
- Improved operational efficiency by developing procedures for processing claims, payments, and endorsements.
- Simplified complex insurance concepts for clients, facilitating informed decision-making regarding policy options.
- Trained new hires on company policies and procedures, ensuring a seamless transition into the Insurance Specialist role.
- Maintained confidentiality of patient finances, records, and health statuses.
- Provided exceptional service to clients by guiding them through the claims process step by step.
- Responded to customer calls swiftly to resolve issues and answer questions.
- Monitored changes in insurance industry to stay compliant with relevant laws and regulations.
- Built relationships with clients using active listening and issue resolution to provide excellent service.
- Educated clients on insurance policies and procedures.
- Managed insurance claims processing and resolution for dental practices, ensuring timely reimbursements.
- Mentored junior staff on best practices for managing patient accounts and insurance inquiries.
Dental Patient Care Coordinator
Beaverton Dental Center
01.2022 - 08.2022
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Provided exceptional customer service by addressing concerns, answering questions, and ensuring patient satisfaction with their care experience at the clinic.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
- Streamlined communication between patients and healthcare providers, ensuring timely responses to inquiries and concerns.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Delivered excellent patient experiences and direct care.
- Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
- Fostered strong relationships with referral sources for increased network connections, benefiting both the clinic and its patients through expanded resources.
- Enhanced patient satisfaction by coordinating timely care and addressing individual needs.
- Managed patient records with strict adherence to confidentiality and accuracy standards.
- Resolved patient concerns and complaints with empathy and professionalism, restoring trust in healthcare services.
- Facilitated communication between patients and healthcare teams, ensuring clarity and understanding of treatment options.
- Coordinated scheduling of appointments to maximize healthcare providers' availability and patient convenience.
- Answered incoming calls, scheduled appointments and filed medical records.
- Verified patient insurance eligibility and entered patient information into system.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Facilitated communication between patients and various departments and staff.
- Greeted and assisted patients with check-in procedures.
- Responded to inquiries by directing calls to appropriate personnel.
- Followed document protocols to safeguard confidentiality of patient records.
- Engaged with patients to provide critical information.
- Delivered support to dental staff in completion of patient paperwork.
- Resolved customer complaints using established follow-up procedures.
Dental Receptionist/Insurance Coordinator
Dr. Cynthia Layport/ Periodontist
02.2017 - 12.2021
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Provided excellent customer service by promptly addressing patient inquiries via phone, email, or in-person interactions.
- Provided excellent customer service to create positive experiences and build patient trust.
- Communicated with insurance companies to dispute unpaid claims and verify patient coverages.
- Maintained a clean and welcoming reception area for patients, contributing to a positive dental visit experience.
- Handled sensitive situations professionally such as discussing treatment costs or past-due account balances with patients to ensure a satisfactory resolution.
- Improved billing accuracy by diligently verifying insurance coverage and updating patient financial records accordingly.
- Enhanced patient satisfaction by efficiently managing appointment scheduling and confirmations.
- Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
- Reduced wait times by quickly greeting patients upon arrival and assisting with the check-in process.
- Facilitated clear communication between dentists, dental assistants, and patients to ensure optimal care coordination.
- Greeted visitors and patients to determine needs, check appointments, and direct accordingly.
- Managed accounts receivable duties by timely invoicing patients for services rendered while tracking payments received or outstanding balances due accurately.
- Increased office efficiency with meticulous record-keeping of patient information, treatment plans, and payment history.
- Managed patient billing processes for timely, accurate payments.
- Handled patient complaints quickly and professionally to restore patient confidence and prevent loss of clientele.
- Completed new patient registrations in software to create accurate and comprehensive records.
- Understood dental terminology and insurance breakdowns to communicate with external stakeholders.
- Supported dentist in maintaining accurate documentation of treatment plans for better continuity of care between visits.
- Ensured patient privacy by adhering to all HIPAA regulations during the collection, storage, and sharing of sensitive information.
- Expedited appointment scheduling through effective utilization of office management software systems.
- Contributed to positive workplace environment by collaborating closely with dental professionals and office staff.
- Improved communication between dental staff and patients, ensuring clarity in treatment plans and procedures.
- Enhanced patient satisfaction by efficiently managing appointment schedules and reducing waiting times.
- Reduced no-show rates through timely and effective appointment reminders and confirmations.
- Facilitated smoother billing process by accurately verifying insurance coverage and processing claims.
- Increased patient retention with personalized follow-up calls to gather feedback and address any concerns.
- Improved data accuracy and patient record management with diligent updating and organizing of digital and physical files.
- Maintained clean, welcoming reception area, contributing to positive first impression for visitors.
- Addressed patient inquiries and concerns with empathy and professionalism, fostering trust and loyalty.
- Facilitated patient education on oral health practices by providing informative brochures and resources.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Obtained payments from patients and scanned identification and insurance cards.
- Performed various administrative tasks by filing, copying and faxing documents.
- Prepared and processed patient referrals and transfer requests.
- Managed office bookkeeping with insurance billing and patient payments.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Conducted patient intake interviews, recording and documenting relevant information.
- Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Filed and tracked insurance claims and communicated claims status to patients.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Contributed positively to team morale by consistently demonstrating a collaborative attitude and willingness to support colleagues.
- Enhanced customer satisfaction by efficiently handling insurance claims and processing policy updates.
- Fostered strong relationships with clients through regular follow-ups, enhancing customer loyalty.
- Facilitated knowledge-sharing sessions on emerging insurance trends, keeping team informed and proactive.
- Reduced errors in policy documentation, meticulously reviewing and updating insurance records.
- Optimized insurance renewal processes, ensuring clients received timely notifications and options for adjustments.
- Coordinated with healthcare providers to ensure accurate and prompt claim settlements, improving client trust.
- Maintained up-to-date knowledge of insurance regulations, ensuring company compliance with current laws.
- Assisted in resolving complex insurance claims, liaising between clients and providers for favorable outcomes.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Posted payments to accounts and maintained records.
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
- Generated, posted and attached information to claim files.
- Calculated adjustments, premiums and refunds.
- Collected premiums and issued accurate receipts.
- Processed and recorded new policies and claims.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
Dental Office Manager
Canterbury Dental
07.2004 - 02.2017
- Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
- Effectively resolved patient concerns or complaints, maintaining excellent client relations and promoting ongoing customer loyalty.
- Boosted dental practice revenue by optimizing billing procedures and diligently following up on outstanding payments.
- Collaborated closely with dentists to create customized treatment plans that best met individual patient needs while maximizing practice profitability.
- Maintained strict confidentiality of all patient records, ensuring compliance with HIPAA regulations and safeguarding sensitive personal information.
- Maintained a professional and welcoming atmosphere, fostering strong relationships with patients and encouraging referrals.
- Enhanced patient satisfaction by streamlining appointment scheduling and managing insurance claims.
- Managed office within budget guidelines for clerical and auxiliary supply purchases, equipment upgrades and labor costs.
- Assisted in the recruitment, hiring, and training of high-quality dental staff to ensure exceptional patient care.
- Ensured compliance with all applicable regulations governing dental practices at local, state, and federal levels.
- Implemented strict infection control protocols to safeguard the health and safety of patients and employees alike.
- Managed all aspects of billing and insurance claims, ensuring accuracy and compliance with industry standards.
- Improved patient intake process, making it more efficient and reducing wait times.
- Maintained strict adherence to OSHA and CDC guidelines for infection control, ensuring safe environment for both patients and staff.
- Increased efficiency in billing processes, leading to quicker reimbursements and improved cash flow.
- Achieved significant increase in patient referrals by maintaining high levels of patient satisfaction and trust.
- Reduced appointment cancellations and no-shows with proactive reminder and follow-up system.
- Maintained positive customer relations by addressing problems head-on and implementing successful corrective actions.
- Opened and closed location and monitored shift changes to uphold successful operations strategies and maximize business success.
Education
High School Diploma -
Weiser High School
Weiser, ID06.1980
Skills
- Documentation skills
- Reporting skills
- Account management
- Regulatory compliance
- Claims management
- Customer service
- Claims reporting systems
- Dental Insurance
Timeline
Dental Insurance Specialist
Dental Business Solutions
09.2022 - 01.2026
Dental Patient Care Coordinator
Beaverton Dental Center
01.2022 - 08.2022
Dental Receptionist/Insurance Coordinator
Dr. Cynthia Layport/ Periodontist
02.2017 - 12.2021
Dental Office Manager
Canterbury Dental
07.2004 - 02.2017
High School Diploma -
Weiser High School