Tonya Rowe

• Maintained detailed records of patient accounts and agreements, ensuring accurate billing based on agreed-upon terms.
• Reduced billing errors through meticulous review of patient accounts and close collaboration with billing team.
• Prioritized and managed high-volume workloads, meeting established deadlines and maintaining high level of productivity in fast-paced environment.
• Achieved timely payments from patient's by sending statements and resolving disputes promptly.
• Managed team of billers, providing guidance, coaching, and performance evaluations for professional growth and development.
• Enhanced billing efficiency by streamlining processes and implementing new software tools.
• Improved patient satisfaction with clear communication on billing matters and prompt resolution of inquiries.
• Prevented revenue loss by identifying fraudulent transactions and working to address issues proactively.
• Increased accuracy in financial reporting by reconciling billing discrepancies and adjusting entries as needed.
• Ensured compliance with industry regulations by staying informed on changes and updating company policies accordingly.
• Developed training materials to onboard new employees, setting them up for success in their roles as Billing Specialists.
• Simplified complex billing data for management reports, aiding in strategic decision-making processes.
• Evaluated current billing practices to identify areas for improvement, proposing solutions that led to increased efficiency.
• Executed billing tasks and recorded information in company databases.
• Handled account payments and provided information regarding outstanding balances.
• Audited billing records to verify accuracy and completeness.
• Generated daily, weekly and monthly reports for billing department.
• Reconciled cash received with payments recorded in billing system and reported discrepancies.
• Processed customer refunds and adjustments according to company policies.
• Developed and implemented billing procedures to enforce compliance with company policies.
• Maintained detailed records of customer payments and billing adjustments.
• Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
• Reconciled accounts receivable to general ledger.
• Utilized various software programs to process customer payments.
• Maintained 98 - 102 % collection rate.
• Increased accuracy in financial reporting by reconciling billing discrepancies and adjusting entries as needed
• Organized monthly meetings with cross-functional teams to review outstanding receivables and develop action plans for collection efforts
• Improved client satisfaction with clear communication on billing matters and prompt resolution of inquiries
• Prioritized and managed high-volume workloads, meeting established deadlines and maintaining high level of productivity in fast-paced environment

Implemented standardized work procedures, ensuring consistency in operations while maximizing efficiency.

• Championed culture of continuous improvement by fostering employee engagement and promoting best practices consistently.
• Managed team on specific areas of improvement, delivering targeted results quickly and effectively.
• Identified root causes of recurring issues through rigorous problem-solving techniques, developing long-term solutions to prevent recurrence.
• Developed and executed strategic plans for process improvement, driving operational excellence across organization.
• Led cross-functional teams in continuous improvement projects, resulting in enhanced productivity.
• Managed development and implementation of standard work documents, ensuring consistency in operations while maximizing efficiency.
• Assisted with existing functioning projects by implementing set strategies to improve process productivity.
• Prepared reports and technical documentation of day-to-day processes.
• Used problem-solving and issue-resolution skills to promptly and successfully address problems.
• Managed over 100 customer calls per day.
• Championed a culture of continuous improvement by fostering employee engagement and promoting best practices consistently

• Verified accuracy of accounts payable payments, resulting in 98% reduction in payment errors and check reissues.
• Verified client information by analyzing existing evidence on file.
• Communicated verification and authorization status updates with treatment department to facilitate decision-making for patient admissions and insurance coverage.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Posted payments to accounts and maintained records.
• Observed strict procedures to protect sensitive patient information, dental records and payment data.
• Prepared and submitted claims to clearinghouses or insurance companies.
• Tracked insurance claims and communicated claims status to patients.
• Obtained prior authorization and precertification for patient procedures.
• Achieved revenue goals by managing collections and accounts receivables, referral process and insurance billing.
• Reviewed accounts receivable reports, insurance contracts and weekly and monthly financial reports.
• Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
• Generated, posted and attached information to claim files.
• Calculated adjustments, premiums and refunds.
• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
• Received, recorded and addressed incoming and outgoing billing/insurance communication via telephone and email.
• Identified, researched, and resolved billing variances to maintain system accuracy and currency.
• Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents.
• Processed and recorded new policies and claims.
• Maintained compliance with local, state and federal regulations governing insurance and Medicare requirements.
• Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
• Prepared detailed reports outlining key metrics related to claim activity, enabling management to make informed decisions about resource allocation
• Enhanced customer satisfaction by efficiently handling insurance claims and processing policy updates

• Scheduled appointments for new and existing customers, factoring in provider availability and scheduling loads.
• Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
• Aggregated and prepared documentation and reports for office meetings, distribution and filing.
• Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
• Reconciled accounts receivable ledger to verify payments and resolve variances.
• Identified, researched and resolved billing variances to maintain system accuracy and currency..
• Responded to inbound inquiries regarding accounts and payments.
• Submitted cash and check deposits and generated cash receipts to record money received.
• Kept files and records in content management systems such as MS SharePoint, EXCEL, and others.
• Answered multi-line phone system averaging over 100 calls, routing calls, delivering messages to staff and greeting visitors.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
• Verified client information by analyzing existing evidence on file.
• Supported departmental goals through diligent research, data analysis, and preparation of comprehensive reports
• Maintained accurate financial records by processing invoices, tracking expenses, and reconciling accounts
• Increased efficiency in daily operations by taking initiative to identify areas for improvement and implement appropriate solutions

• Verified insurance and communicated coverage to staff and patients.
• Obtained prior authorization and precertification for Non-Intravenous Sedation and other procedures.
• Prepared insurance claims for submission to clearinghouses or insurance companies.
• Maintained compliance with local, state, and federal regulations governing insurance, including Medicare and Medicaid requirements.
• Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Reviewed patient cases weekly and verified insurance coverage information.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Accurately inputted all patient and insurance information into company's computer system using Dentrix.
• Observed strict procedures to protect sensitive patient information, including medical records and payment data.
• Posted payments to accounts and maintained records.
• Verified client information by analyzing existing evidence on file.
• Trained 15+ staff on current Insurance regulations and guidelines.
• Contributed positively to team morale by consistently demonstrating a collaborative attitude and willingness to support colleagues
• Streamlined office workflows for increased productivity, organizing and maintaining client files

• Managed secretarial duties, including researching billing issues, scheduling appointments and verifying insurance coverage.
• Performed in team leader capacity and organized all treatment and placement activities.
• Educated patients on dental benefits and coordinated proper payment with insurance companies.
• Detailed program operations and participant activities with comprehensive recordkeeping.
• Established rapport and relationships with patients and external partners to cross-train and support medical staff.
• Reviewed each step of patient care and made proactive adjustments to avert issues.
• Laid out potential payment plans for patients.
• Explained treatment choices to patients and helped determine best course of treatment.
• Directed patient care by organizing schedules and day-to-day activities for employees.
• Conducted interviews with patients to discuss health history, options, objectives and concerns.
• Acted as main point of contact for patients, doctors and staff by closely reviewing charts and maintaining high levels of communication.
• Worked closely with patients to deliver excellent and direct individualized patient care.
• Upheld confidentiality requirements and regulatory compliance guidelines in all areas.
• Resolved problems with areas such as communication and billing that could negatively impact services.
• Explained upcoming treatment preparation, instructions and other facts to patients.
• Resolved problems with communication and billing to foster seamless services.
• Educated patients by explaining preparation instructions for upcoming procedures and tests.
• Directed patient care by organizing schedules and day-to-day activities for 10+ employees.
• Assisted dentists in the development of customized treatment plans, ensuring optimal patient outcomes
• Served as a liaison between patients, clinical staff, and external specialists during referral processes or collaborative care efforts
• Presented financial arrangements clearly to patients, enabling informed decisions about payment options and timelines
• Maintained detailed records of patient treatments, ensuring accurate billing and efficient followups

• Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
• Responsible for posting all accounts receivables and perform follow-up to any denials.
• Identified, researched and resolved billing variances to maintain system accuracy and currency.
• Verified all insurance coverage prior to patient arrival.
• Directed treatment plan coordinators on how and where to bill claims.
• Monitored cash intake and deposit records, increasing accuracy and reducing discrepancies.
• Reduced financial discrepancies by monitoring monetary transactions, including credit card sales and deposits.
• Complete daily deposit.
• Verified accuracy of accounts payable payments, resulting in 97% reduction in payment errors and check reissues

• Accurately inputted all patient and insurance information into company's computer system.
• Posted payments to accounts and maintained records.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Maintained strong knowledge of dental terminology to better understand services and procedures.
• Verified insurance and communicated coverage to staff and patients.
• Obtained prior authorization and precertification.
• Prepared insurance claims for submission to clearinghouses or insurance companies.
• Maintained compliance with local, state, and federal regulations governing insurance, including Medicare and Medicaid requirements.
• Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Observed strict procedures to protect sensitive patient information, including medical records and payment data.
• Posted payments to accounts and maintained records.
• Check in of patients.
• Check out of patients.
• Scheduled appointments.
• Completed referrals to Specialist.
• Filed charts.
• Answered telephones.
• Verified accuracy of account payments, resulting in 99% reduction in payment errors.
• Managed high volume of invoices while maintaining attention to detail, resulting in improved financial accuracy
• Adapted quickly to changes in company policies or procedures, maintaining consistent performance levels during periods of transition
• Enhanced client satisfaction by promptly responding to inquiries and resolving billing issues professionally