Front Desk Insurance Claims
Resume:
Ann Martel
Greenfield, MA *****
*********@*******.***
Friendly Dental Receptionist dedicated to greeting every patient with a smile and ensuring front desk day-to-day operations run smoothly. Strengths include handling insurance claims, managing multi-line phone systems and addressing patients concerns.
Work Experience
Insurance Coordinator
AMHERST DENTAL GROUP-Amherst, MA
May 2022 to Present
• Return patient's calls.
• Take payments over the phone and answer any questions they may have about their bill.
• Verify the patients dental insurance benefits.
• Explaining insurance benefits to patient.
• Collecting co-payments from patients at time of service.
• Check patient's in and out .
• Submit claims to insurance companies.
• Process insurance payments and refunds.
• Verify patient's eligibility.
• Schedule appointments for hygiene and doctors.
• Following up on non-paid insurance claims.
• Process insurance payments and ensure timely collection from patients and insurers.
• Attention to detail in posting payments properly .
• Ensure electronic insurance deposits are posted to patient accounts (and balance) as the funds are in the bank account.
• Prepare and present financial arrangements and insurance options that meet both patients’ and practice’s needs for proposed treatment plans.
• Maintain knowledge of dental insurance and use independent judgment regarding coverage and insurance claims. Resolve billing disputes with little supervision.
• Daily attention to resolving insurance claim issues such as requests for additional information and denials.
• Manage outstanding insurance claims and maintain no less than 90% of outstanding claims in the
“current” category.
• Balance deposits daily. Ensure timely deposit of funds into bank account.
• Correspond with insurance companies to resolve payment delays, requests for additional information, or to discuss denied treatment coverage
• Handle all inquiries concerning insurance daily
• Knowledge of Patterson Eaglesoft program.
Direct Care Residential Counselor
ServiceNet-South Deerfield, MA
September 2021 to May 2022
• Assist adults with Developmental Disabilities.
• implements individualized treatment plans for each client.
• Coordinates/collaborates with network of providers identified for each client as directed by clinician.
• Interacts with family members in an empathic, respectful manner, which supports their relationship and role with client.
• Becomes directly involved in program management needs. Supervises client participation in such activities when appropriate.
• Assists clients with Activities of Daily Living (ADLs).
• Makes careful observations regarding client’s behavior and emotional status and communicates this clearly and completely to the appropriate staff and in written materials.
• Actively engages with and encourages participation of client in esteem building, recreational and therapeutic activities throughout their admission, which are appropriate to individual client’s unique stabilizations needs.
• Completes all paperwork in a timely and professional manner.
• Performs cleaning duties (i.e. laundry, cooking, dishes and bathroom cleaning)
• Massachusetts MAP Certification MA013507201372
• Administers Medication to clients
• Adult First Aid/CPR/AED Certification
Direct Support Professional/Caregiver
The United Arc-Greenfield, MA
April 2021 to September 2021
• Assist adults with Developmental Disabilities.
• Implements individualized treatment plans for each client.
• Coordinates/collaborates with network of providers identified for each client as directed by clinician.
• Interacts with family members in an empathic, respectful manner, which supports their relationship and role with client.
• Becomes directly involved in program management needs. Supervises client participation in such activities when appropriate.
• Assists clients with Activities of Daily Living (ADLs).
• Makes careful observations regarding client’s behavior and emotional status and communicates this clearly and completely to the appropriate staff and in written materials.
• Actively engages with and encourages participation of client in esteem building, recreational and therapeutic activities throughout their admission, which are appropriate to individual client’s unique stabilizations needs.
• Completes all paperwork in a timely and professional manner.
• Performs cleaning duties (i.e. laundry, cooking, dishes and bathroom cleaning)
• Massachusetts MAP Certification MA013507201372
• Administers Medication to clients
Front Desk Receptionist/Office Manager
Arch Dental Care-Northampton, MA
February 2021 to March 2021
Check patients in and out.
02/2021 - 3/2021 • Open and close the office.
• Answer phones/take messages and follow up with doctor as necessary.
• Return patient phone calls as necessary.
• Schedule patients for 6-month follow-ups or any necessary dental treatment as needed.
• Write letters to patients as necessary.
• Insurance verification, billing, and follow-ups, as well as send appeals as necessary.
• Call to confirm patient appointment.
• Sending insurance pre-estimates, review treatment plans with patient, and make financial arrangements.
• Take patient payments if necessary, at time of service and send out monthly billing statements. Front Desk Receptionist
Montague Dental Group
February 2016 to February 2021
Open and close the office.
02/2016 - 02/2021 • Answer phones/take messages and follow up with doctor as necessary.
• Return patient phone calls as necessary.
• Schedule patients for 6-month follow-ups or any necessary dental treatment as needed.
• Write letters to patients as necessary.
• Insurance verification, billing, and follow-ups, as well as send appeals as necessary.
• Call to confirm patient appointment.
• Sending insurance pre-estimates, review treatment plans with patient, and make financial arrangements.
• Take patient payments if necessary, at time of service and send out monthly billing statements.
• Call in payroll to Paychex every two weeks.
Front Desk Receptionist/Chiropractic
Lange Chiropractic-Northampton, MA
February 2015 to February 2016
Check in and Check out patients.
Assistant • Open and close the office.
02/2015 - 02/2016 • Answer phones/take messages and follow up with doctor as necessary.
• Return patient phone calls as necessary.
• Scheduling patients according to their care plans.
• Receive co-pays, deductibles, and co-insurance.
• Verify insurance benefits/get needed authorization numbers.
• Record all payments in patient's chart.
• File daily encounter forms.
• Make new patient charts.
• Keep charts in order and file.
• Re-credential insurance participation and licensing.
• Write letters to patients, lawyers and insurance companies as needed.
• Send bills/receipts to patients.
• Assist doctor as needed in daily patient care and physiotherapy.
• Submit encounter forms to the biller daily.
• Keep myotherapists and doctor on time and keep patent flow timely.
• Request x-rays, MRI's and CAT scan reports before the Report of Findings.
• Set up x-ray, MRI and CAT scan appointments as needed. Intern
Clinical and Support Options Inc-Northampton, MA
November 2014 to December 2014
• Performed auto posting of insurance checks to client's accounts. 11/2014 - 12/2014 • Worked in Credible Behavioral Health billing system.
• Worked in the clinic to help with archiving client's files. Dental Claims and Answered Customer Calls to Manager/Assistant Claims Administrator
Sun Life Financial-Greenfield, MA
January 2007 to January 2013
Greenfield, MA • Processed dental claims and adjusted claims as needed. Multi-Line Dental Claims • Performed data entry of dental claims and answered customer calls to Manager/Assistant Claims Administrator provide benefit or claim information. 01/2007 - 01/2013 • Managed a staff of 10 dental claims processors and assigned and monitored the daily work assignments given to the staff.
Education
Trade School in Health Claims Specialist
Branford Hall Career Institute - Springfield, MA
2015
High School Diploma
Greenfield High School - Greenfield, MA
1983
Skills
• Highly Dependable
• Microsoft Office
• Excellent Customer Service Skills
• Dental Terminology
• Types 50 WPM
• Diamond Dental Software
• Problem-solving skills
• Fuse Dental Software
• Excel/Word
• Insurance Verification
• Dental Insurance Billing
• Payroll Clerk
• Attention to Detail
• Recordkeeping
• Highly Organized
• Oral and written communication
• Efficient at multi-tasking
• Appointment Confirmation
• Dental Receptionist
• Front Desk
• Paychex
• Medication administration
• ADLs
• Caregiving
• Direct support
• Curve Dental Software
• Communication skills
• Customer service
• Microsoft Excel
Certifications and Licenses
Map certification
May 2021 to May 2023
Can administer medication for residents in DMH, DCF, MRC, and DDS. CPR Certification
First Aid Certification
Contact this candidate