Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience.
Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
15
15
years of professional experience
Work History
Business Assistant
Gluckstadt Family Dentistry(Heartland Dental)
Madison , MS
04.2023 - Current
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.
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.
Handled correspondence with insurers related to claim denials or other issues that arose during processing.
Analyzed trends in denied claims or other problems that might indicate a need for policy changes or additional training.
Responded promptly to inquiries from patients, providers, and insurers regarding claim status.
Updated patient records when necessary due to changes in coverage or benefit levels.
Validated insurance and advised patients of benefits and coverage.
Performed insurance verification, pre-certification and pre-authorization.
Collected, posted and managed patient account payments.
Office Manager
Gluckstadt Family Dentistry
Madison , MS
08.2014 - Current
Scheduled patient appointments and effectively handled cancellations and last-minute adjustments.
Responded to patient queries and concerns to resolve issues in accordance with company policies and procedures, healthcare regulations and dental board standards.
Managed operations for dental practice, facilitating excellent patient support services, direction and guidance.
Implemented staff scheduling procedures to provide full coverage, supporting organizational needs.
Implemented proactive measures to safeguard health and well-being of communities, utilizing good oral health and PPE.
Hired, trained and monitored new office employees and took corrective action when necessary.
Resolved customer inquiries and complaints requiring management-level escalation.
Planned and led team meetings to review business results and communicate new and ongoing priorities.
Delegated work to staff, setting priorities and goals.
Reviewed employee performance and provided ongoing feedback and coaching to drive performance improvement.
Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.
Evaluated pending claims to identify and resolve problems blocking auto-adjudication.
Documented file notes clearly and concisely in Dentrix.
Performed insurance verification, pre-certification and pre-authorization.
Submitted claims to insurance companies.
Collected, posted and managed patient account payments.
Clinic Nurse
MEA
Brandon , MS
10.2012 - 07.2014
Provided patient assessments and care plans.
Monitored vital signs, laboratory results, and other health data.
Assisted physicians with exams, treatments, and procedures.
Dental Assistant/Clinical Coordinator at Cerillo Family Dentistry/Heartland DentalDental Assistant/Clinical Coordinator at Cerillo Family Dentistry/Heartland Dental