KAY L. GORE

**** ******** ********

Raleigh, North Carolina 27604

Email: ac76rb@r.postjobfree.com

Phone: 937-***-****

EXECUTIVE SUMMARY

FRONT OFFICE/ACCOUNTS RECEIVABLE SPECIALIST

Offering a variety of experience in billing, research, and insurance claims arbitration as well as excellent customer service. This candidate provides a unique blend of a warm personality and conscientiousness required to match the patient needs to the available care. Payment challenges exacerbated by insurance complexities are a specialty.

EXPERIENCE

WAKE DENTAL SLEEP SOLUTIONS, Raleigh, NC (Temporary to Permanent) August 2016 - September 2018

Insurance Specialist/Patient Coordinator/Treatment Plan Coordinator

Processed billing, scheduled patients, and filed insurance claims after completing arbitration for patients and dental office. Provided solutions and resolutions for difficult insurance issues while benefiting patients and dental office. Provided excellent communication with the Veterans Administration (VA), doctors' offices and patients. Conducted end-of-day/monthly duties such as run all reports for doctor preview. Contacted medical insurance about claims for durable devices while controlling the authorizations, benefits, claims and ultimately the payments for these patients' devices. Directed my assistant in proper communication protocol for interfacing with the VA, patients, and the internet patient confirmation company. Kept the doctor informed of scheduling, billing, insurance and end-of-day, monthly reports. Provided accurate petty cash balancing. Sent monthly statements to patients to reconcile their accounts.

DENTEMPS TEMPORARY SERVICES, Raleigh, NC June 2016 - August 2016

Insurance Specialist

Conducted patient scheduling and check-in. Received payment for services. Posted payments received and from EOBs. Troubleshot and resolved insurance issues. Refiled insurance where necessary. Set up new patient information including preparing insurance information. Additional tasks as requested by the doctor.

WAKE DENTAL CARE, Cary NC (Temporary Service) March 2016 - June 2016

Insurance Verification and Research/Treatment and Recall Coordinator

Troubleshot insurance issues such as lost claims or wrong information. Communicated with insurance companies on the patient's behalf concerning filing dental claims for specific procedures done. Received patient payments, set-up patient registration, and scheduled for treatments. Defined treatment plans and costs for patients at time of service. Provided patient reminders for treatments preventative services.

CRABTREE VALLEY DENTAL, Raleigh NC July 2015 - December 2015

Treatment and Recall Coordinator

Received patient payments, performed patient registration, and scheduled treatments. Discussed treatment plans and costs with patients. Provided patient reminders and cost estimations. Balanced payments and completed daily deposits. Processed the end-of-day procedures, posted company production and collected payments for the day and month.

UPPER MIAMI VALLEY UROLOGY CLINIC, Piqua, OH March 2011 - April 2015

Office Associate/Accounts & Insurance Specialists

Performed patient registration and scheduling for office procedures and surgery. Obtained insurance precertification for procedures. Posted insurance and patient payments to accounts using manual and software tools such as EPIC and Impracsys. Researched and resolved insurance denials. Rotated schedules for doctors as necessary to prevent voids in schedules. Performed all accounting activities such as monthly closeout. Performed daily account activities such as posting payments, petty cash and daily deposits. Troubleshot accounts and performed insurance arbitration. Provided expert insurance guidance for patients and doctor. Performed written and verbal information flow between patients and insurance companies. Responsible for researching accounts to identify the liable parties. Posted insurance and patient payments to accounts. Reduced accounts receivable from $412,000 to $198,000 during tenure. Assisted the doctor with minor procedures.

COONS FAMILY DENTAL, DDS, Piqua, OH November 2008 - March 2012

Office Associate/Accounts & Insurance Investigator/Accounts Receivable/Dental Assistant

Performed patient registrations. Conducted phone services and appointment scheduling. Rotated schedules for doctors and hygienist as necessary to prevent voids in the schedule. Estimated patient treatment cost and performed predeterminations. Performed monthly closeout and daily account activities such as posting payment receipts, petty cash balance, and daily deposit documents. Troubleshot accounts and conducted insurance arbitration. Provided expert insurance recommendations for patient and doctor. Maintained written and verbal information flow between patients and insurance companies. Responsible for researching accounts to find the liable party. Tracked accounts until resolution. Posted insurance and patient payments to accounts. Prepared weekly reports for doctor. Researched delinquent accounts and potential delinquent accounts. Resolved delinquent accounts through full payment or by arranging a payment plan. Prepared patient examination rooms, instruments, equipment and operatory. Took radiographs. Assisted the doctor with procedures including but not limited to fillings, and exams.

DR. JOHN J. BLACK, DDS, Troy, OH July 2005 - November 2008

Dental Assistant/Insurance Investigator/Collection/Accounts Receivable

Assisted the doctor with all procedures including surgical extractions, fillings, and Cerec crowns using a Sirona Cerec 3 Cad/Cam, partials, dentures, impressions, bleaching, and exams. Prepared operatory and sterilized instruments using autoclave. Certified to take digital x-rays. Troubleshot insurance issues such as lost claims or wrong information. Communicated with insurance companies on the patient's behalf by filing medical claims for specific procedures done. Researched and monitored delinquencies for past due accounts. Provided recommendations to management to accomplish resolutions to these accounts. Prepared bi-weekly manager reports.

DR. DAVID KUHRE, DDS, Piqua, OH November 2004 - June 2005

Insurance Clerk/Receptionist/Assistant Office Manager

Research patient insurance information. Tracked records for insurance billing. Communicated with insurance companies to establish correct billing. Experienced with all types of conventional insurance and with Medicare and Medicaid. Scheduled and verified daily appointments. Filled scheduling voids while preventing overbooking. Balanced out daily ledger and posted to accounts. Filed patient X-rays, charts, and insurance. Greeted patients and performed phone services. Wrote up bank deposit for the day.

DR. TERRANCE ALLEMANG, DDS, INC., Tipp City, OH January 2003 - September 2004

Insurance Clerk/Receptionist

Research patient information for insurance. Track records for insurance billing. Communicate with insurance companies to establish correct billing. Experienced with all types of conventional insurance and with Medicare and Medicaid. Scheduled daily appointments. Filled voids in scheduling. Prevented overbooking. Verified and confirmed appointments. Balanced out daily ledger and posted to accounts. Filed patient X-rays, charts, and insurance. Greeted patients and performed phone services. Wrote up bank deposit for the day.

EDUCATION

Dental CE Courses, 2005, 2006, 2007, and 2008

Sinclair College, Dayton, OH, Radiology, Radiology Certificate, 2006

Edison Community College, Piqua, OH, AAB in Accounting Courses, 2000

Kilgore Junior College, TX, Business/Accounting Courses 1980-1983

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