Tracy Allen
New Braunfels,TX
Summary
Demonstrates strong analytical, communication, and teamwork skills, with proven ability to quickly adapt to new environments. Eager to contribute to team success and further develop professional skills. Brings positive attitude and commitment to continuous learning and growth.
Overview
18
18
years of professional experience
Work History
Front Office Manager
Pearl Care Dental
05.2020 - Current
- Enhanced guest satisfaction by efficiently managing front office operations and addressing customer concerns promptly.
- Streamlined check-in and check-out processes for faster service, resulting in higher guest satisfaction scores.
- Managed daily room inventory to maximize occupancy rates and revenue generation.
- Implemented staff training programs, improving employee performance and team cohesion.
- Developed effective communication channels within the team to improve decision-making process and problem-solving abilities.
- Monitored financial transactions at the front desk, ensuring accurate billing procedures and minimizing discrepancies.
- Analyzed performance metrics to identify areas of improvement in front office operations, implementing changes for better efficiency.
- Conducted regular staff evaluations, providing constructive feedback and identifying opportunities for professional growth.
- Reconciled end-of-day reports to determine accurate billing and payment processing.
- Set priorities and problem-solved workflow issues to maintain rapport with customers and managers.
- Monitored customer service trends and provided insights to management team for further improvement.
- Delivered performance reviews, recommending additional training or advancements.
- Maintained professional demeanor by staying calm when addressing unhappy or angry customers.
Office Manager
Ideal Dental San Marcos
04.2019 - 03.2020
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Enhanced team productivity by delegating tasks effectively and overseeing daily workflow.
- Reduced costs with meticulous budget monitoring and expense tracking for essential supplies and equipment.
- Facilitated smooth communication between departments, addressing concerns promptly to maintain harmonious work relationships.
- Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Developed and maintained successful relationships with vendors, suppliers and contractors.
Front Office Administrator/Manager
Various Dental Offices
06.2016 - 04.2019
Claims Auditor/ Processor
Healthcare Management Administrators
06.2011 - 07.2015
- Experience in performing claim and data analysis in a commercial health plan or other healthcare related environment
- Proficient in medical terminology, medical coding (CPT4, ICD10, and HCPCS), provider contract concepts and common claims processing/resolution practices
- Proficient in processing claims from multiple lines of business and claim types
- Enhanced claim accuracy by meticulously reviewing and auditing claim submissions.
- Streamlined the claims process for increased efficiency through thorough documentation and recordkeeping.
- Collaborated with claims adjusters, ensuring proper investigation and resolution of complex cases.
- Conducted training sessions for new Claims Auditors, sharing best practices and fostering professional development.
- Served as a subject matter expert within the Claims Auditor team, offering guidance when needed to support overall team effectiveness.
Customer Service/Medical Claims Processor
UMR
02.2007 - 06.2011
- Experience in performing claim and data analysis in a commercial health plan or other healthcare related environment
- Proficient in medical terminology, medical coding (CPT4, ICD10, and HCPCS), provider contract concepts and common claims processing/resolution practices
- Proficient in processing claims from multiple lines of business and claim types
- Increased claim processing efficiency by implementing new software and streamlining workflows.
- Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
- Maintained a high level of customer satisfaction by promptly addressing inquiries and resolving issues related to medical claims.
- Collaborated with healthcare providers to ensure accurate billing information was submitted, resulting in fewer denied or delayed payments.
- Processed high volumes of medical claims accurately and efficiently under tight deadlines, ensuring prompt payment for services rendered.
- Stayed current on industry trends and changes in insurance policies, enabling accurate interpretation of coverage details for various plans.
- Handled escalated claims-related issues professionally, working diligently towards resolution while maintaining strong relationships with both clients and providers alike.
Education
High School Diploma -
Ellensburg High School
Ellensburg, WASkills
Claims processing proficiency
HIPAA compliance
Medical terminology
Insurance claims processing
ICD codes and HCPCS
Electronic claims processing
Attention to detail
Excellent communication
Critical thinking
Organizational skills
Verbal and written communication
Analytical thinking
Training and mentoring
Knowledgeable in Facets, Microsoft PowerPoint,Microsoft Excel and other programs
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Front Office Manager
Pearl Care Dental
05.2020 - Current
Office Manager
Ideal Dental San Marcos
04.2019 - 03.2020
Front Office Administrator/Manager
Various Dental Offices
06.2016 - 04.2019
Claims Auditor/ Processor
Healthcare Management Administrators
06.2011 - 07.2015
Customer Service/Medical Claims Processor
UMR
02.2007 - 06.2011
High School Diploma -
Ellensburg High School
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