Wendy McCann
Olympia,WA
Summary
Motivated Orthodontic Insurance Coordinator with 18 years experience in insurance verification, claims processing, and pre-authorizations. Proficient with ProviderOne and Dental Exchange. Skilled in managing high-volume claims and communicating complex insurance policies to patients, staff and providers.
Overview
29
29
years of professional experience
Work History
Orthodontic Insurance Coordinator
Moss Wall Orthodontics
09.2007 - Current
- Verified insurance policies as well as the use of ProviderOne system (MMIS) and communicated coverage to staff and patients.
- Submitted Pre Authorizations via the ProviderOne Portal, this includes the use of the Medical Necessity Forms, the use of NEA attachments & Microsoft Word.
- Submitted Pre Authorizations to private insurance companies.
- Managed a high volume of orthodontic claim submissions with the use of Dental Exchange, ProviderOne Portal and the occasional paper required claims.
- Managed accounts receivables
- Crossed trained to cover other areas of the office, scheduling, financial contracts, processing payroll.
- Assisted clients with understanding complex insurance policies, effectively addressing concerns or questions.
- Maintained knowledge of updates or changes with CDT Codes. Maintained the knowledge of changes/updates with the orthodontic billing guide with HCA/Provider Guides, memorandums and WAC
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
- Contributed positively to team morale by consistently demonstrating a collaborative attitude and willingness to support colleagues.
- Enhanced customer satisfaction by efficiently handling insurance claims and processing policy updates.
Owner
The Chifferobe
10.1999 - 01.2003
Orthodontic Insurance Coordinator
Dr. Hans Jung
01.1996 - 01.1998
Orthodontic Chairside Assistant
Dr. Curtis Sapp
09.1995 - 01.1996
Education
Dental Assisting Certification - Dental Assisting
South Puget Sound Community College
Olympia, WA1995
High School Diploma -
North Thurston Highs School
1992
Skills
- Insurance Verification/Pre Authorization
- Customer service and assistance
- Claims Billing
- Accounts Receivable
- Microsoft Word, Excel, Outlook, Nextiva Fax, Ext Super User Provider One
- Payment planning
- Account Management
- Attention to Detail
- Data Entry
- Fluent in Dental Terminology
- Fast Learning
Timeline
Orthodontic Insurance Coordinator
Moss Wall Orthodontics
09.2007 - Current
Owner
The Chifferobe
10.1999 - 01.2003
Orthodontic Insurance Coordinator
Dr. Hans Jung
01.1996 - 01.1998
Orthodontic Chairside Assistant
Dr. Curtis Sapp
09.1995 - 01.1996
Dental Assisting Certification - Dental Assisting
South Puget Sound Community College
High School Diploma -
North Thurston Highs School
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