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
5320 Corporate Center Loop Ste A Lacey WA 98503
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
1007 Capitol Way S Olympia WA
10.1999 - 01.2003
Orthodontic Insurance Coordinator
Dr. Hans Jung
Tumwater, WA
01.1996 - 01.1998
Orthodontic Chairside Assistant
Dr. Curtis Sapp
Olympia, WA
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