Dental Treatment Coordinator Resume Example
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Jessica Claire
- , , 100 Montgomery St. 10th Floor
- (555) 432-1000
- resumesample@example.com
- Date of Birth:
- India:
- single:
Summary
Results driven denta professional with over fifteen years of hands-on experience in insurance coordination, management, revenue generation, billing and coding. Accomplished in developing strategies to improve workflows and processes, and understanding all aspects of dental insurance. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Skills
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Experience
Dental Treatment Coordinator, 04/2020 to Current
Hero Practice Services – Kansas City, KS,
Hero Practice Services – Kansas City, KS,
- Sent requested xrays and narratives to insurance companies to ensure payment of patient accounts.
- Administered standard contract benefits to process pending claims for dental benefits.
- Tracked differences between plans to correctly determine eligibility and assess claims against benefits and data entry requirements.
- Accurately input procedure codes, diagnosis codes and patient information into billing software to generate up-to-date accounts.
- Investigated past due accounts and delinquent claims to generate revenues and reduce number of unpaid and outstanding claims.
- Collected payments from patients based upon their contacted insurance UCR fee's
- Verified and prepared patient claims for submission to the insurance for payment.
- Responsible for the intake of new patients into the practice, gathering all their personal information as well as verifying their insurance benefits and notifying patient of possible out of pocket expenses
- Educated patients on treatment procedures and post-procedure home care.
- Point person to present and schedule patients with treatment plans exceeding $10,000, walking them through the treatment process and billing in coordination of their insurance benefits
Operations Manager, 08/2019 to 03/2020
Lineage Logistics – Loma Linda, CA,
Lineage Logistics – Loma Linda, CA,
- Responded to patient queries and concerns to resolve issues in accordance with company policies and procedures, healthcare regulations and dental board standards.
- Managed operations for a multi-specialty dental practice, facilitating excellent patient support services, direction and guidance.
- Scheduled patient appointments and effectively handled cancellations and last-minute adjustments.
- Verified patient benefits and coordinated payment based upon insurance UCR fee's
- Submitted Medicaid pre-authorizations for diagnosed or emergent care
- Submitted claims to insurance companies.
- Facilitated payment of invoices due by sending bill reminders and contacting clients.
- Collected, posted and managed patient account payments.
- Performed insurance verification, pre-certification and pre-authorization.
Office Manager, 01/2018 to 08/2019
Perpay – Philadelphia, PA,
Perpay – Philadelphia, PA,
- Managed operations for a multi-specialty dental practice, facilitating excellent patient support services, direction and guidance.
- Scheduled patient appointments and effectively handled cancellations and last-minute adjustments.
- Demonstrated proficiencies in telephone, e-mail, fax and front-desk reception within high-volume environment.
- Collected payments from patients and arranged payment in conjunction to their insurance benefits
- Prepared patient insurance claims for submission for payment
- Verified all schedule patient insurance benefits to ensure all information was up to date
- Worked daily and monthly outstanding claims report to ensure timely payment from insurance companies
- Responsible for gathering all requested information for submission to insurance companies for payments
- Inputted patient insurance and breakdowns into the patient chart
- Responded to patient queries and concerns to resolve issues in accordance with company policies and procedures, healthcare regulations and dental board standards.
Business Manager, 03/2018 to 01/2019
Promethean, Inc. – Raleigh, NC,
Promethean, Inc. – Raleigh, NC,
- Responsible for the growth of a new location for a multi private practice
- In charge of marketing techniques to attract and build a patient base
- Managed patient in-take, gathering all their personal information as well as their insurance benefit information
- Verified insurance benefits for all new patients and scheduled patients for the following day
- Applied insurance payments to the patient accounts
- Maintained a file of patient EOB's to ensure the proper execution of information when presented with patient billing inquiries
- Assembled a team to help support the growth of the practice
- Scheduled cleanings and dental appointments for patients using Dentrix.
- Prepared patient insurance claims for submission to insurance companies for payment
- Managed the credentialing of the doctor/practice with selected insurance companies
- Negotiated in-network insurance practice fee schedules
Education and Training
Associate of Science: Business, Expected in
Front Range Community College - Westminster, CO
Front Range Community College - Westminster, CO
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School Attended
- Front Range Community College
Job Titles Held:
- Dental Treatment Coordinator
- Operations Manager
- Office Manager
- Business Manager
Degrees
- Associate of Science
