Yolanda Sanchez
San Diego,CA
Summary
Prepares and distributes statements to customers while maintaining comprehensive, accurate records. Accustomed to answering questions, providing information and resolving concerns. Good communication, organizational and multitasking abilities. Highly-motivated employee with desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking and time management abilities. Devoted to giving every customer a positive and memorable experience. Results driven Medical Biller with over 27 years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Overview
24
24
years of professional experience
Work History
Dental Insurance Biller
Western Dental
Chula Vista , CA
2001.02 - 2024.10
- Reviewed patient records and insurance information to ensure accuracy of billing.
- Drafted, submitted, and tracked claims for reimbursement from insurance companies.
- Analyzed rejected claims and identified errors in order to re-submit them for payment.
- Assisted patients with understanding their dental insurance coverage options.
- Resolved billing disputes between providers and insurers, ensuring timely payments.
- Maintained updated knowledge of regulations related to dental insurance billing processes.
- Developed strategies to maximize reimbursements from third party payers.
- Processed payments received from insurance companies and allocated funds appropriately.
- Generated reports detailing the status of outstanding accounts receivable balances.
- Communicated with patients regarding any discrepancies in their account balance or payments due.
- Corresponded with insurance companies via phone and email regarding claim statuses.
- Submitted claims to insurance companies.
- Collected, posted and managed patient account payments.
- Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Maintained accounting ledgers by verifying and posting account transactions.
Office Manger
Midway dental group
El Cajon , CA
12/06/22 - 02/15/24
- Reviewed insurance claims for accuracy and completeness, ensuring that all required information was present.
- Processed payments from insurance companies in accordance with established procedures.
- Resolved discrepancies between charges on invoices and those billed to the insurance company.
- Negotiated payment arrangements with patients and and or their families as needed.
- Submitted appeals to insurance companies when necessary.
- Maintained detailed records of all transactions involving insurance billing processes.
- Interpreted Explanation of Benefits documents from various insurers.
- Responded promptly to customer inquiries related to billing matters.
- Provided timely follow-up on unpaid claims to ensure prompt resolution of issues causing delays in reimbursement.
Dental Biller
De Anza Dentistry
San Diego , CA
01/05/14 - 03/17/21
- Processed insurance claims and submitted them electronically to the appropriate payer.
- Prepared patient statements for payment of services rendered.
- Reviewed patient accounts to ensure accuracy of charges, payments, credits and adjustments.
- Assisted in the coordination of dental treatment plans for patients.
- Created and maintained patient records, including insurance information, medical histories, and x-ray results.
- Managed appointment scheduling for all clinic staff members.
- Coordinated billing activities with both patients and insurance providers.
- Answered phone calls from current and prospective clients regarding their inquiries about treatments or procedures offered by the practice.
- Prepared financial estimates for proposed treatments in consultation with dentists.
Education
High School Diploma -
Southwest Highschool
San Diego1994-06
Skills
- Payment Plans
- Patient Care
- Patient Examination
- Medical Records Oversight
- Budget Management
- Customer Service
- Insurance Billing
- Finance Management
- Schedule Management
- Patient Relationship Building
- Insurance Verification
- Dental Terminology
- Payment posting
- Patient Billing
- Customer Account Management
- Financial Documentation
- Financial Reporting
- Work Planning and Prioritization
- Adaptability
- Multitasking
- Customer Relations
- Goal Setting
- Reliability
- Decision-Making
Timeline
Dental Insurance Biller
Western Dental
2001.02 - 2024.10
Office Manger
Midway dental group
12/06/22 - 02/15/24
Dental Biller
De Anza Dentistry
01/05/14 - 03/17/21
High School Diploma -
Southwest Highschool
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