Yohanka Diaz Estrada
Miami,FL
Summary
Efficient Dental Insurance Biller known for high productivity and ability to complete tasks swiftly. Possess specialized skills in claims processing, coding accuracy, and insurance policy interpretation. Excel in communication, problem-solving, and time management, ensuring seamless billing operations and client satisfaction. Skilled in reconciling accounts, identifying discrepancies, and resolving billing issues promptly. Strong attention to detail and numerical accuracy, with a commitment to maintaining confidentiality and upholding the highest standards of integrity in financial transactions.
Trained in Eaglesoft Software , Denticon.
Overview
17
17
years of professional experience
Work History
RCM Specialist
Onsite Dental Care
Aliso Viejo, CA
11.2023 - Current
- Analyzed rejected claims and identified errors in order to re-submit them for payment.
- Developed strategies to maximize reimbursements from third party payers.
- Processed payments received from insurance companies and allocated funds appropriately.
- Verified patient eligibility for specific treatments based on their dental plan coverage.
- Provided customer service support to answer questions about billing procedures.
- Reconciled monthly statements received from insurance companies against internal records.
- Submitted claims to insurance companies.
- Collected, posted and managed patient account payments.
RCM Department
Cano Dental
Medley, FL
02.2021 - 10.2023
- Reviewed patient records and insurance information to ensure accuracy of billing.
- Developed strategies to maximize reimbursements from third party payers.
- Verified patient eligibility for specific treatments based on their dental plan coverage.
- Corresponded with insurance companies via phone and email regarding claim statuses.
- Monitored changes in dental coding requirements and implemented updates accordingly.
- Reconciled monthly statements received from insurance companies against internal records.
- Performed insurance verification, pre-certification and pre-authorization.
- Submitted claims to insurance companies.
- Collected, posted and managed patient account payments.
Front Desk Dental Assistant
Life Smile Dental
Hialeah, FL
01.2016 - 02.2021
- Greeted patients upon arrival, ensured all paperwork was completed accurately and in a timely manner.
- Verified patient insurance coverage, communicated any changes to the appropriate personnel.
- Assisted with scheduling of appointments, managed phone calls and emails from patients.
- Maintained up-to-date records for each patient's medical history and dental care needs.
- Performed administrative duties including filing charts, collecting payments and reconciling daily transactions.
- Managed front desk operations efficiently by responding to incoming calls in a professional manner.
- Prepared documents for billing purposes according to established policies and procedures.
- Developed effective relationships with external vendors providing services to the practice.
- Processed payments received from patients ensuring accuracy of entries into system database.
Front Desk Receptionist
Maria Navarro DDS
Hialeah, FL
10.2007 - 09.2016
- Greeted customers warmly and made them feel welcome.
- Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
- Assisted with scheduling appointments for clients and visitors.
- Maintained an organized reception area and ensured that all guests were attended to promptly.
- Performed data entry into computer systems to maintain accurate records of customer information.
- Handled cash transactions accurately, balancing the register at the end of each shift.
- Processed payments from customers using a variety of payment methods including credit cards, checks and money orders.
- Updated customer information in databases regularly to ensure accuracy of records.
- Reconciled daily financial transactions against cash receipts at the end of each day's business activity.
- Resolved any customer complaints or issues in a timely fashion following established protocols.
- Handled payment processing and provided customers with receipts and proper bills and change.
- Received incoming calls and coordinated with staff to fulfill customer requests.
Education
Billing & Coding Specialist - Medical Insurance Billing
Florida National University
Hialeah, FL04-2017
High School Diploma -
Franklin Gomez
Cuba06-1991
Some College (No Degree) - English-as-a-Second-Language Education
Miami Dade College
Miami, FLSkills
- Patient Billing
- Claim submission
- Accounts receivable management
- Payment posting
- Electronic Claims Processing
- Insurance Verification
- Job Billing
- Dental Terminology
- Collections Management
- Billing process management
- Customer Service
- Payment Processing
- Insurance claims handling
- Billing Systems
- Payment Collection
- Excellent Communication
Timeline
RCM Specialist
Onsite Dental Care
11.2023 - Current
RCM Department
Cano Dental
02.2021 - 10.2023
Front Desk Dental Assistant
Life Smile Dental
01.2016 - 02.2021
Front Desk Receptionist
Maria Navarro DDS
10.2007 - 09.2016
Billing & Coding Specialist - Medical Insurance Billing
Florida National University
High School Diploma -
Franklin Gomez
Some College (No Degree) - English-as-a-Second-Language Education
Miami Dade College
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