Shannon Smith
South Vienna,OH
Summary
Detailed oriented professional with extensive customer-service skills with the ability to lead is seeking to build off a robust customer service and management experience with a dynamic company. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Detail-oriented Dental Claims Processor knowledgeable about automated systems and variations in plan benefits. Resolves claims with fast and accurate analyses. Dependable in using proper classifications and meticulous recordkeeping.
Overview
12
12
years of professional experience
Work History
Dental Insurance Coordinator
Blank Dental Group
, Ohio
08.2021 - Current
- Scheduling patients for appointments with dentists as needed
- Keeping records of insurance coverage for each patient, including coverage for dental procedures and materials such as crowns, bridges, caps, or fillings
- Providing customer service to patients by answering questions about billing procedures and appointment scheduling
- Recording patient information such as treatment plans, insurance coverage, and payment arrangements.
- 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.
- Tracked overdue payments from insurance companies to ensure prompt reimbursement.
- Updated patient records when necessary due to changes in coverage or benefit levels.
- Administered standard contract benefits to process pending claims for dental benefits.
- Documented file notes clearly and concisely in Carestack.
Owner & Manager
Smithfarmdecor LLC
, Ohio
03.2017 - Current
- Schedule the weekly orders for build and shipping
- Run payroll for employees (3) using Quickbooks & Bookkeeping
- Handled the painting & staining of the finial finish before shipping
- Managed day to day operations of busy online Website and Etsy Platform.
- Oversaw budgeting and financial management.
- Implemented quality assurance processes to ensure product excellence.
- Promoted business on social media platforms to maximize brand identity and generate revenue.
Office Manager
Dr Jack Kneisley – Springfield, OH
, OH
04.2012 - 04.2015
- Schedule and Confirm Appointments
- Manage Patient Records
- Process Dental Claims and all payments, including Medicare and caresource
- Handle the Marketing for the office.
- 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.
- Developed procedures for tracking patient records and updating treatment plans as needed.
- Coordinated with dental providers regarding patient care and scheduling needs.
- Conducted regular audits of patient accounts to ensure accuracy and compliance with regulations.
- 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.
Admin Assistant
Mercy Health- Springfield, OH
, Ohio
07.2015 - 04/01/17
- Schedule and Confirm Appointments (Epic)(PHS)
- Manage all BWC referrals
- Manage Patient Records through patient registration (Star program)
- Verify Insurance for patient care prior to appointment.
- Organized and maintained filing systems for physical and electronic documents, ensuring accuracy and confidentiality of records.
- Greeted visitors in a professional manner, responding to inquiries and directing them to appropriate personnel.
- Managed incoming calls while providing information or transferring callers to appropriate personnel.
- Answered phone calls and emails to provide information, resulting in effective business correspondence.
Education
Medical Billing & Coding Diploma -
Ultimate Medical Academy
01.2014
Greenon High School
01.1989
Skills
- Financial Documentation
- Correspondence Preparation
- Discrepancy Resolution
- Word Processing
- Management Accounting
- Administrative Support
- Account Reconciliation
- Payment Processing
- Customer Account Management
- Statement Preparation
- Payment Collection
- Billing and Invoicing
- Problem-Solving Aptitude
- Check Processing
- Customer Relations
- Payment Transactions
- Multitasking
Hobbies and Interests
- Volunteered as the church treasure in local church.
- Taught Sunday school class for high school age kids in local church.
Timeline
Dental Insurance Coordinator
Blank Dental Group
08.2021 - Current
Owner & Manager
Smithfarmdecor LLC
03.2017 - Current
Admin Assistant
Mercy Health- Springfield, OH
07.2015 - 04/01/17
Office Manager
Dr Jack Kneisley – Springfield, OH
04.2012 - 04.2015
Medical Billing & Coding Diploma -
Ultimate Medical Academy
Greenon High School
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