Accounts Receivable Customer Service
Resume:
**********@*****.***
Dallas, Texas
C O N T A C T P R O F I L E
S K I L L S
E D U C A T I O N
W O R K E X P E R I E N C E
Bilingual Communication
Attention to Detail
Dental Billing Expertise
Customer Service Excellence
Time Management
Accounts Receivable Management
Multitasking Abilities
Creative Problem Solving
High School Diploma
Higher Heights Adult Private
School
Achieved a comprehensive education
covering core subjects, including
mathematics, science, literature, and
social studies.
Developed strong communication,
critical thinking, and problem-solving
skills applicable to various settings.
Insurance Billing, Collections, and Account
Receivable Specialist
Casper Dental Corp PLLC: AC King Dental -
Midtown Family Dentistry
Extensive knowledge of Open Dental software and Remote Lite-Vine Trellis for efficient billing processes.
Conduct audits and research on patient account ledgers, ensuring proper documentation, including doctors' notes and X-rays. Submit claims, appeals, and resubmissions promptly and efficiently. Manage pre-authorizations for Pediatric Specialists as needed. Post Explanation of Benefits (EOB) payments and adjustments for all Medicaid and commercial PPO patient accounts.
Communicate with account holders regarding balance inquiries for General and Orthodontic accounts.
Prepare daily insurance claim aging reports to track claim status and identify unpaid claims.
Detail-oriented with strong time management and organizational skills. 05/2022-PRESENT
Seeking a position that allows me to leverage my skills and grow within the company. I am a dedicated and ambitious leader with a proven ability to motivate teams and manage multiple tasks efficiently. Recognized for my strengths in team building, I am bilingual in English and Spanish, and possess strong creative problem- solving abilities. I have extensive expertise in dental billing, collections, and accounts receivable.
L A N G U A G E S
English
Spanish
R O X A N A A L M A R A Z
I N S U R A N C E B I L L I N G A N D
C O L L E C T I O N S S P E C I A L I S T
Bookkeeper; Self Contractor
Anna Kids Pediatric Dentistry
Proficient in Cloud 9 Software and the Dental Exchange portal for efficient dental office management.
Conduct audits of patient charts, claims, and doctors’ notes to ensure accuracy and compliance.
Ensure timely submission of claims for all Medicaid and commercial insurances for General and Pediatric providers.
Submit pre-authorizations for sedation service procedures as required. Post Explanation of Benefits (EOB) payments accurately. Manage rejected and validation error items on the clearinghouse and handle necessary resubmissions.
09/2023-Temp
Insurance Claims Processor
Deca Dental partnered with Swaydent Management Corp 01/2022-05/2022 Managed billing and claims for 14 dental offices using Eaglesoft software and Vine Trellis Clearinghouse.
Conducted audits and research on patient charts, claims, documentation, doctors’ notes, and X-rays.
Submitted all Medicaid and commercial insurance claims electronically via the clearinghouse in a timely manner.
Collaborated with office staff to request missing data required for claims and service procedures related to denied or rejected claims. 945-***-****
**********@*****.***
Dallas, Texas
C O N T A C T
R O X A N A A L M A R A Z
I N S U R A N C E B I L L I N G A N D
C O L L E C T I O N S S P E C I A L I S T
W O R K E X P E R I E N C E
E X P E R T I S E
R E F E R E N C E S
Patient Account Management:
Skilled in auditing patient accounts,
ensuring accuracy in
documentation, and maintaining up-
to-date records.
Insurance Claim Submission:
Proficient in submitting claims for
Medicaid and commercial insurance
using electronic clearinghouses.
Software Proficiency: Extensive
experience with Eaglesoft, Open
Dental, Cloud 9, and Vine Trellis for
billing and claims management.
Regulatory Compliance:
Knowledgeable about
Medicaid/CHIP and PPO insurance
regulations, ensuring compliance in
billing practices.
Detail Orientation: Meticulous
attention to detail in handling billing
discrepancies, claim denials, and re-
submissions.
*WILL BE GIVEN UPON
REQUEST
Insurance Billing and Collections Specialist
Smile Workshop
Possess in-depth knowledge of Eaglesoft software with 5 years of experience in dental practice management.
Familiar with various Medicaid and PPO insurance portals for claim submissions, including DentaQuest, MCNA, United Healthcare Medicaid/CHIP, TMHP, and Dental Exchange.
Efficiently bill claims for multiple office locations, managing 14 practices. Audit and research accounts to ensure proper documentation, including doctor's notes and X-rays.
Submit claims accurately with all required attachments to various insurance providers.
Process claims for multiple specialist providers, including Oral Surgeons, Endodontists, Pedodontists, and General Dentists.
Extensive knowledge of Medicaid/CHIP and PPO insurance regulations regarding benefits and frequencies.
Generate weekly Insurance Claims Aging Reports to ensure all claims are filed and tracked.
Conduct monthly collections to achieve end-of-month financial goals. Exhibit strong organizational skills to manage multiple tasks effectively. 03/06/2017-05/2022
Insurance Billing, Collections, and Appeals Specialist Hamid Kashani, DDS A Professional Corp: Azul Dental Possess extensive knowledge of Dentrix G4 software with 9 years of experience in dental office management.
Submit insurance claims with all required documentation to PPO, Medicaid, and CHIP dental plans.
Post Explanation of Benefits (EOB) payments from various dental insurance providers.
Handle appeals for unpaid services and denied claims effectively. Generate weekly Insurance Claim Aging Reports to track unpaid claims status. Manage accounts receivable for ledger balances.
Conduct monthly collections to meet end-of-month financial goals. Ensure accountability for production goals within the department. Collect payments from patients for dental procedures efficiently. Clearly explain treatment plans and associated costs to patients. Prepare and send reminder letters for upcoming and missed appointments. Set and schedule patient appointments to optimize office operations. Manage multiple responsibilities in a front administrative receptionist and insurance department role.
09/2011-09/2017
Front Desk
Love Dental
Greet and direct visitors, patients, customers, and vendors in a professional manner. Utilize Dentrix software for efficient office management and patient records. Manage multiple tasks within the dental office environment effectively. Answer and respond to all incoming calls promptly. Schedule and coordinate patient appointments.
Prepare and send reminder letters for upcoming and missed appointments. Clearly explain treatment plans and associated costs to patients. Collect payments for dental procedures and services. Handle insurance claims and ensure timely follow-up. Submit insurance documentation and claims accurately. Maintain accountability for production goals.
05/19/2008-09/2011
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