Victoria Bloomer
Bowling Green,KY
Summary
A fast learner who can excel at any task given. Passionate and reliable to my profession. Willing to learn and grow with companies needs.
Overview
13
13
years of professional experience
Work History
Provider Relations Representative
Avesis
07.2024 - Current
- Facilitated communication between providers and Avesis management teams.
- Resolved provider inquiries regarding claims and authorizations efficiently.
- Coordinated training sessions for new providers on Avesis policies.
- Maintained accurate provider databases and updated records regularly.
- Collaborated with internal departments to streamline provider relations processes.
- Educated providers on Avesis services and benefits comprehensively.
- Investigated concerns such as billing and claims questions on behalf of providers.
- Collaborated with other departments within the organization to resolve complex issues related to provider relations activities.
- Stayed current on available policies and plans.
- Responded quickly and effectively to complaints from contracted providers regarding payment issues or other matters.
- Conducted site visits to evaluate current processes used by contracted providers including medical record review and quality assurance measures.
- Instructed providers on procedures and policy limitations for and plans.
Insurance Billing Coordinator
Bowling Green Pediatric Dentistry PLLC
Bowling Green, Kentucky
02.2024 - 07.2025
- Reviewed and processed all insurance claims in a timely manner.
- Verified patient information, including insurance coverage, to ensure accuracy of billing.
- Resolved any discrepancies between patient accounts and insurance companies' records.
- Processed payments from health insurance companies and other payers.
- Assisted patients with inquiries regarding their bills or payment plans as needed.
- Provided technical assistance to staff members regarding proper coding procedures for billing purposes.
- Identified potential errors in billing documentation before submitting claims for reimbursement.
- Tracked unpaid invoices and contacted relevant parties as needed.
- Ensured compliance with applicable laws and regulations governing health care services reimbursement.
Orthodontic Assistant
Lawless Orthodontics P.S.C
Bowling Green, KY
08.2023 - 02.2024
- Assisted orthodontist in clinical activities such as taking impressions, fitting bands, and placing arch wires.
- Provided patient education regarding oral hygiene and post-treatment care instructions.
- Maintained sterilization of instruments according to OSHA standards.
- Organized patient records and kept track of treatment plans.
- Ordered supplies for the office as needed.
- Verified insurance coverage for prospective patients prior to treatments being rendered.
- Communicated with other medical professionals regarding patient care needs.
- Answered phones promptly and handled inquiries from potential clients professionally.
- Processed payments for services rendered accurately and efficiently.
- Maintained confidentiality of patient information at all times according to HIPAA regulations.
- Supported administrative tasks such as filing documents, updating medical records.
- Participated in continuing education courses related to orthodontics whenever possible.
Clinical Team Leader
McKenna Orthodontic P C
Torrington, CT
04.2021 - 07.2023
- Supervised a team of clinical staff, ensuring quality standards and compliance with regulations.
- Facilitated regular meetings to discuss patient care issues, develop strategies for improvement and review performance.
- Monitored the progress of patient treatments, providing guidance and advice to the clinical team as needed.
- Assessed staff workloads and ensured appropriate staffing levels were maintained at all times.
- Developed training plans for new members of the clinical team, conducting initial assessments and evaluating their progress.
- Managed daily operations within the clinic, including scheduling appointments and managing medical records.
- Conducted regular reviews of patient charts and records to ensure accuracy and completeness.
- Reviewed policies and procedures related to patient care regularly, making recommendations for changes where necessary.
- Developed treatment plans in collaboration with orthodontists and staff.
- Monitored patient progress and adjusted treatment strategies accordingly.
- Ensured compliance with health regulations and safety standards.
- Implemented workflow improvements to enhance clinic efficiency and service delivery.
Certified Dental Assistant
Sutton Dental/ Candler Road Dental PC
Waterbury, CT
06.2012 - 06.2022
- Verified patient information, including insurance coverage, to ensure accuracy of billing.
- Processed payments from health insurance companies and other payers.
- Maintained accurate records of all claim submissions and follow-ups with insurers.
- Prepared monthly reports for management on the status of pending claims.
- Assisted patients with inquiries regarding their bills or payment plans as needed.
- Identified potential errors in billing documentation before submitting claims for reimbursement.
- Compiled data on denied claims, identified trends, and made recommendations for improvement.
- Answered customer questions to maintain high satisfaction levels.
- Submitted claims to insurance companies.
- Assisted dentist in providing dental treatment to patients, including taking patient medical histories and vital signs.
- Prepared dental materials such as amalgam, composite resin, impression material and cements for use by the dentist.
- Provided chair-side assistance during dental procedures, including passing instruments to the dentist and holding suction devices.
- Educated patients on proper oral hygiene techniques and habits.
- Maintained a neat, clean and organized environment throughout the office.
- Sterilized instruments according to established guidelines and protocols.
- Instructed patients about postoperative instructions prescribed by their dentist.
- Greeted patients upon arrival at the office and escorted them to an examination room.
- Took bitewing, periapical, panoramic and occlusal X-rays and prepared for dentists to review.
Education
Bachelors - Healthcare Management
University of Phoenix
Tempe, AZ 07.2025 - 08.2025
Associate of Applied Science - Occupational Therapy Assisting
Lincoln College of New England
Southington, CT05.2017
Associate of Science -
Tunxis Community College
Farmington, CT05.2014
Dental Assisting Certificate - Dental Assisting
Tunxis Community College
Farmington, CT05.2012
Skills
- Time Efficient
- Organized
- Quick Learner
- Proficient in computer skills
Certifications
- DANB CDA, 2012-present
- CPR Certified, 2012-present
Timeline
Bachelors - Healthcare Management
University of Phoenix
07.2025 - 08.2025
Provider Relations Representative
Avesis
07.2024 - Current
Insurance Billing Coordinator
Bowling Green Pediatric Dentistry PLLC
02.2024 - 07.2025
Orthodontic Assistant
Lawless Orthodontics P.S.C
08.2023 - 02.2024
Clinical Team Leader
McKenna Orthodontic P C
04.2021 - 07.2023
Certified Dental Assistant
Sutton Dental/ Candler Road Dental PC
06.2012 - 06.2022
Associate of Applied Science - Occupational Therapy Assisting
Lincoln College of New England
Associate of Science -
Tunxis Community College
Dental Assisting Certificate - Dental Assisting
Tunxis Community College