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Insurance Claims Accounts Receivable

Location:
Virginia Beach, VA
Posted:
December 29, 2023

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Resume:

MD

Marisa Dominski

Professional Summary

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem- solving skills.

Work History

Confidential - Manager/Insurance Coordinator

Virginia Beach, VA

01/2023 - Current

Filed and tracked insurance claims and communicated claims status to patients.

● Verified insurance and communicated coverage to staff and patients. Prepared insurance claims for submission to clearinghouses or insurance companies.

Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.

Achieved revenue goals by managing collections and accounts receivables, referral process and insurance billing.

Obtained prior authorization and precertification for outpatient procedures.

Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.

Reviewed accounts receivable reports, insurance contracts and weekly and monthly financial reports.

Maintained compliance with local, state, and federal regulations governing insurance, Medicare and Medicaid requirements.

● Checked documentation for accuracy and validity on updated systems. Carried out administrative tasks by communicating with patients, distributing mail and scanning documents.

● Verified patient information by analyzing existing evidence on file.

● Generated, posted and attached information to claim files. Maintained strong knowledge of basic dental terminology to better understand services and procedures.

Made contact with insurance carriers to discuss policies and individual patient benefits.

Assured timely verification of insurance benefits prior to patient procedures or appointments.

ad2ayq@r.postjobfree.com

757-***-****

Virginia Beach, VA 23464

Skills

Accounts Payable and Accounts

Receivable

● Customer Service and Assistance

● Reviewing Patient Information

● MS Office Expertise

● Patterson EagleSoft

● SoftDent

● Dentrix Software Proficiency

● Dental Supply Inventory

● Cast Mounting

Education

08/2010

Old Dominion University

Norfolk, VA

Dental Radiology Certification: Dental

Radiology

06/2010

Tallwood High School

Virginia Beach, VA

High School Diploma

● Processed and recorded new policies and claims.

● Posted payments to accounts and maintained records. Maintained confidentiality of patient finances, records and health statuses.

Prepared insurance claim forms or related documents and reviewed for completeness.

Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.

● Modified, updated and processed existing policies. Communicated effectively with staff members of operations, finance and clinical departments.

● Calculated adjustments, premiums, and refunds.

Reviewed outstanding requests and redirected workloads to complete projects on time.

● Accomplished multiple tasks within established timeframes. Cross-trained existing employees to maximize team agility and performance.

Maximized performance by monitoring daily activities and mentoring team members.

Adjusted job assignments and schedules to keep pace with dynamic business needs, factoring in processes, employee knowledge and customer demands.

Developed and maintained relationships with patients and suppliers through account development.

Established and updated work schedules to account for changing staff levels and expected workloads.

● Approved regular payroll submissions for employees. Applied customer feedback to develop process improvements and support long-term business needs.

Maximized productivity by keeping detailed records of daily progress and identifying and rectifying areas for improvement.

Achieved or exceeded financial goals on regular basis by controlling expenses, optimizing schedules and regulating inventory usage.

Prepared and recommended long-range plans for development of department personnel.

Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.

● Answered multi-line phone system to respond to inquiries Maintained files and records by implementing effective filing systems that boosted efficiency and organization.

Used eaglesoft software to process reservations, check-ins and check- outs.

● Monitored office supplies by checking inventory and placing orders. Confirmed relevant guest information and payment methods to prevent fraud.

Retrieved mail, packages and documents on behalf of guests, promptly verifying receipt and arranging for pickup or transmittal.

Calculated billings and posted charges to room accounts, reviewing charges with guests at checkout.

Tidewater Laser Perio & Implants - New Patient Coordinator/Referral Specialist

Virginia Beach/ Chesapeake VA

04/2022 - 12/2022

Al Rodriguez Lab - Dental Laboratory Technician

Virginia Beach, VA

11/2019 - 03/2022

● Scheduled appointments with specialists on behalf of patients.

● Built professional relationships with referring Doctors. Assisted patients in locating dental offices that accepted in network insurances.

Followed up with patients and doctors to inquire about procedures and correspondence letters.

Coordinated with dental staff and patients to find cost-effective options for services.

Called insurance companies to get precertification and other benefits information on behalf of patients.

Answered telephone calls to offer office information, answer questions and direct calls to staff.

Received, recorded and addressed incoming and outgoing communication via telephone and email.

Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.

Carried out front office duties utilizing data entry skills in framework of dental database.

Obtained payments from patients and scanned identification and insurance cards.

Answered phone calls and messages, scheduling appointments and handling patient inquiries.

Completed administrative patient intakes with case histories, insurance information and mandated forms.

Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.

Registered and verified patient records before triage with most up-to- date information.

Coordinated referrals through insurance and other dental specialists and documented details in patient charts.

Greeted visitors and initiated triage processes for clients to streamline patient flow.

● Received and routed laboratory results to correct clinical staff members. Completed detailed models of patients' mouths to create accurate devices.

Constructed artificial metal and porcelain teeth with attractive finishes and durable frameworks.

Assisted functionality of completed models with help of apparatus mimicking human bite and adjusted devices to enhance performance.

Verified appliance conformance with specifications and accuracy of occlusion using micrometers, articulators and other tools.

Blue Crane Dental Lab/ Dental Keramik - Dental Lab Technician Virginia Beach

08/2015 - 11/2019

Built and shaped artificial gums to achieve snug, comfortable fit in patient's mouth.

Completed extensive wear tests to assess designs for long-term durability.

Polished completed molds and prosthesis while maintaining high standards of final products for best-in-class care.

Mixed porcelain and other materials for tooth molds used in offices and laboratories with high-quality and accurate results.

Built and shaped wax teeth for patient replacements after reading and double-checking prescriptions and patient needs.

Tested completed appliances for functionality before shipping them to patients or dental offices.

Completed repairs on various types of apparatus, monitoring work closely to maintain accuracy and meet patient needs.

Monitored supply inventory in Lab Next and ordered more ahead of schedule to prevent lost time.

Inspected broken or out-of-date apparatus for special specifications before repairing and making new ones.

Read prescriptions or specifications and examined models or impressions to determine design of dental products to be constructed.

Removed excess metal or porcelain and polished surfaces of prostheses or frameworks using polishing machines.

Trained or supervised other dental technicians or dental laboratory bench workers.

Read prescriptions and specifications and examined models and impressions in order to determine design of dental products to be constructed.

Completed detailed models of patients' mouths to create accurate devices.

Completed extensive wear tests to assess designs for long-term durability.

Constructed artificial metal and porcelain teeth with attractive finishes and durable frameworks.

Built and shaped artificial gums to achieve snug, comfortable fit in patient's mouth.

Verified appliance conformance with specifications and accuracy of occlusion using micrometers, articulators and other tools.

Assisted functionality of completed models with help of apparatus mimicking human bite and adjusted devices to enhance performance.

Mixed porcelain and other materials for tooth molds used in offices and laboratories with high-quality and accurate results.

Polished completed molds and prosthesis while maintaining high standards of final products for best-in-class care.

Tested completed appliances for functionality before shipping them to patients or dental offices.

The Art Of Dentistry ( Dr. Horwitz) - Front Desk Receptionist/Hygiene Coordinator

Virginia Beach, VA

06/2013 - 07/2015

Kool Smiles Dental - Orthodontic Assistant/Patient Care Coordinator Virginia Beach / Portsmouth VA

09/2010 - 06/2013

Completed repairs on various types of apparatus, monitoring work closely to maintain accuracy and meet patient needs.

Monitored supply inventory and ordered more ahead of schedule to prevent lost time.

Inspected broken or out-of-date apparatus for special specifications before repairing and making new ones.

Greeted guests at front desk and engaged in pleasant conversations while managing check-in process.

Greeted patients upon arrival, offered assistance and answered questions to build rapport and retention.

Checked-in guests, collected payments and verified reservation details to maintain customer satisfaction.

● Kept accounts in balance and ran daily reports to verify totals. Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.

Oversaw fast-paced front desk operations and guests' needs at busy facility.

● Collected deposits, fees and payments.

Used quick response and dynamic service skills to build relationships with patients, improving patient retention rate.

Drafted, copied and forwarded documents and paperwork to facilitate office workflow.

Read and responded to emails, answered telephone calls on multi-line phone system and transferred callers.

● Use Dentrix Software to maintain and update records of internal data. Ran end-of-day reports and batches and notified staff of necessary corrections and resolutions.

● Transcribed phone messages for entire office and relayed messages.

● Scheduled New Patient appointments in computer system. Acted as main point of contact for patients, doctors and dental staff by closely reviewing medical charts and maintaining high levels of communication.

● Worked with patients to schedule Consults and procedures. Educated patients by explaining preparation instructions for upcoming procedures/ Appointments.

● Monitored ongoing care and proactively corrected problems. Reviewed medical charts and served as liaison between patient, doctor and Dental Office.

Worked closely with patients to deliver excellent and direct individualized patient care.

● Delivered excellent patient experiences and direct care. Maintained confidentiality of patient data and condition to safeguard health information.



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