Victoria Whittredge
Summary
Strategic Dental Billing & AR Specialist with 15 years of experience and a 7-year track record in management. Expert in the full revenue cycle, with a knowledge of all dental professions, including surgical cross coding. Proven ability to slash aging AR, resolve high-level denials through medical-dental cross-coding, and lead billing teams to peak financial performance.
Overview
14
14
years of professional experience
2009
2009
years of post-secondary education
Work History
Insurance Claims Specialist
Lake Hill Dental Care
Burnt Hills
10.2022 - Current
- Reviewed insurance claims for dental procedures and verified coverage details.
- Communicated with patients to gather necessary information for claim processing.
- Collaborated with dental professionals to clarify procedure codes and documentation.
- Resolved discrepancies in claims by coordinating with insurance providers directly.
- Processed and submitted claims through electronic systems efficiently and accurately.
- Educated patients on their insurance benefits and claim statuses effectively.
- Calculated benefit payments based on policy terms, coverage limits, and applicable regulations.
- Maintained detailed records of all claim activities including correspondence, decisions, payments.
Practice Manager
Lake Hill Dental Care
Burnt Hills
10.2022 - Current
- Supervised administrative staff to maintain efficient office procedures.
- Managed daily operations of dental practice to ensure smooth workflow.
- Resolved escalated customer service issues in a timely manner while maintaining a high level of professionalism.
- Oversaw all aspects of day-to-day practice operations including front desk reception, appointment scheduling, billing and coding, insurance verification.
- Conducted regular meetings with staff to discuss operational issues and ensure proper communication between departments.
- Created and implemented policies and procedures for effective practice management.
- Participated in strategic planning initiatives aimed at developing long-term goals for the practice's growth and success.
- Coordinated patient scheduling and appointment management for optimal service delivery.
Dental claims manager
Adirondack Oral Surgery
Queensbury
09.2015 - 10.2022
- Managed claims processing for oral surgery procedures and patient accounts.
- Reviewed and analyzed insurance policies to determine coverage eligibility.
- Collaborated with medical staff to gather documentation for claim submissions.
- Resolved discrepancies between insurance carriers and patient records effectively.
- Ensured compliance with regulatory standards in all claims handling procedures.
- Analyzed data from previous claims to identify trends and areas for improvement.
- Managed team members effectively to meet high production standards with accurate results.
- Conducted regular audits of the department's performance metrics to ensure accuracy.
Oral Surgery Assistant Manager
Adirondack Oral Surgery
Queensbury
05.2012 - 10.2022
- Assisted surgeons during oral and maxillofacial procedures in a fast-paced environment.
- Prepared and sterilized surgical instruments and equipment for each procedure.
- Maintained accurate patient records and documentation for compliance purposes.
- Managed scheduling of surgeries and patient appointments to optimize workflow.
- Collaborated with dental professionals to ensure seamless patient care coordination.
- Took part in surgical procedures by assisting oral surgeon.
- Provided patient care before, during, and after surgery, including taking vital signs.
- Maintained and sterilized instruments, tools, and equipment used during dental surgeries.
- Documented patient medical histories and assisted with other paperwork related to the procedure.
Education
Dental Assistant - Dental Assistant
Adirondack Dental Assisting School
Ballston Spa, NY 01.2012 - 04.2012
Saratoga Springs High School
Saratoga Springs , NYSkills
- Claims processing
- Policy review
- Compliance regulations
- Data analysis
- Team collaboration
- Workflow optimization
- Operations management
- Claims analysis
- Claims investigation
- Prior authorization processing
- Insurance coverage verification
- Billing software
Timeline
Insurance Claims Specialist
Lake Hill Dental Care
10.2022 - Current
Practice Manager
Lake Hill Dental Care
10.2022 - Current
Dental claims manager
Adirondack Oral Surgery
09.2015 - 10.2022
Oral Surgery Assistant Manager
Adirondack Oral Surgery
05.2012 - 10.2022
Dental Assistant - Dental Assistant
Adirondack Dental Assisting School
01.2012 - 04.2012
Saratoga Springs High School