Summary
Overview
Work History
Education
Skills
Timeline
Generic

Susmitha Pillamari

Little Elm

Summary

Dedicated and detail-oriented professional with 3 years of experience in dental office administration, specializing in insurance verification and claims processing. Skilled in managing front desk operations, scheduling appointments, handling patient inquiries, and ensuring a smooth flow of daily clinic activities. Expert in verifying insurance eligibility, benefits, and claim submission for PPO plans, with a strong understanding of CDT, ICD-10, and CPT coding for accurate billing and reimbursement. Proficient in dental software and electronic health records systems. Strong communication and interpersonal skills, with a focus on providing exceptional customer service. Proven ability to work efficiently in a fast-paced, high-pressure environment while maintaining a high standard of accuracy, professionalism, and compliance with insurance policies.

Overview

5
5
years of professional experience

Work History

Office Manager

Altius Dental
06.2024 - 03.2025
  • Managed and supervised daily office operations, ensuring smooth workflow and efficient patient care.
  • Conducted insurance verification for PPO plans, accurately processing eligibility and benefits.
  • Created and submitted dental insurance claims, ensuring proper coding (ICD-10, CDT, and CPT) for timely reimbursements.
  • Communicated with insurance representatives to resolve claim denials, disputes, and coverage issues.
  • Maintained a fast and accurate typing speed for efficient data entry and claim processing.
  • Led and trained office staff, fostering a team-oriented environment to improve productivity.
  • Ensured compliance with insurance policies, billing guidelines, and regulatory standards.
  • Using platforms like MetLife, Delta Dental, Aetna, and Open Dental to verify benefits and process claims.
  • Checking patient benefits, coverage, and limitations.
  • Understanding insurance payments and patient responsibilities.
  • Managing insurance downgrades for composites, crowns, and other procedures.

Dental Practice Co-ordinator

Vrisa Dental Clinic
03.2021 - 12.2021

Efficiently managed patient scheduling, ensuring optimal appointment booking
and minimizing wait times.
Oversaw patient registration and insurance verification processes, ensuring
accurate documentation and billing.
Coordinated front desk operations, including greeting patients, handling phone
inquiries, and managing patient check-in/out.
Maintained and organized patient records, including electronic health records
(EHR), while ensuring strict confidentiality.
Managed the dental office's financial responsibilities, including budgeting,
accounting tasks, and overseeing accounts receivable.
Ensured a well-stocked office by managing supplies and inventory, and promptly
ordering necessary materials.
Facilitated communication with patients, addressing inquiries, and providing
exceptional customer service.
Assisted the dentist during dental procedures, ensuring a smooth and efficient
workflow by handing instruments and providing chairside support.
Prepared treatment rooms, sterilized instruments, and maintained a clean and safe
clinical environment.
Educated patients on oral hygiene, treatment plans, and post-operative care,
promoting optimal dental health.
Assisted with dental laboratory tasks, such as taking impressions, making dental
models, and performing preliminary assessments.
Monitored patient comfort, promptly addressed concerns, and ensured a positive
patient experience.
Acted as a liaison between the dentist and patients, facilitating clear
communication and patient satisfaction.
Coordinated with the dental team, including hygienists, dental assistants, and other
staff members, to ensure efficient practice operations.
Collaborated with staff scheduling, trained new team members, and provided
essential support for staff management tasks.

Intern

Panineeya Institute of Dental Science & Hospital
03.2020 - 03.2021

Completed a comprehensive rotatory internship in all nine departments of
dentistry, gaining exposure to various specialties including Prosthodontics,
Conservative Dentistry & Endodontics, Oral Pathology & Microbiology, Oral and
Maxillofacial Surgery, Periodontics, Orthodontics and Dentofacial Orthopedics,
Pedodontics and Preventive Dentistry, Oral Medicine, Diagnosis and Radiology,
and Public Health Dentistry.
Assisted in patient care, treatment planning, diagnosis, and preventive dental
procedures, while ensuring strict sterilization and hygiene standards. Gained
effective communication skills through regular interaction with patients.
Conducted outreach programs and dental camps, contributing to community oral
health awareness and providing accessible dental care to underserved populations.
Became familiar with patient entry procedures and documentation.
Collaborated with experienced faculty, gaining exposure to advanced dental
equipment, instruments, and techniques, and actively participating in scholarly
activities and research projects.

Education

Health Information Technology

University of Maryland Baltimore County
12.2023

Bachelor of Science - Bachelor of Dental Surgery

Dr.NTR University of Health Sciences
Hyderabad
03.2021

Skills

  • Medical terminology knowledge
  • Insurance Verification
  • Insurance Eligibility Verification
  • Understanding of PPO, HMO, Medicaid, and Fee-for-Service Plans
  • Appointment Coordination
  • Electronic Health Records
  • Records Management
  • Workflow Management
  • Patient Relations
  • Equipment Sterilization
  • Patient Services
  • Clinical Support
  • Procedure Support
  • Patient Education
  • Patient Counseling
  • Office Management
  • HIPAA Compliance
  • Healthcare billing
  • Clinical Data Management
  • Quality Improvement
  • Project Management
  • Communication- oral, verbal
  • Tools- MS word, Python, My SQL

Timeline

Office Manager

Altius Dental
06.2024 - 03.2025

Dental Practice Co-ordinator

Vrisa Dental Clinic
03.2021 - 12.2021

Intern

Panineeya Institute of Dental Science & Hospital
03.2020 - 03.2021

Health Information Technology

University of Maryland Baltimore County

Bachelor of Science - Bachelor of Dental Surgery

Dr.NTR University of Health Sciences
Susmitha Pillamari