Insurance Dental

Objective

To continue building a career working with a company to achieve growth and to maximize success by adding my knowledge and skill set to the organization.

Experience

Blackford Dental Management June 2015 -Current

Revenue Cycle Manager

Responsible for managing Insurance verifications for 27 locations averaging; 1,750 extensive verification per week

Responsible for managing the Claims Resolution department which averages roughly 96% collections rate for outstanding claims over 31 days

Responsible for managing 25-30 employee on any given day

Responsible for managing a third party insurance verification vender

Software Conversion for 19 of our locations

Train office staff on Dental software prior to converting to new software program

Process End of Month reports

Goal Tracking

Auditing to identify the accuracy in insurance verification and claims submissions

Responsible for maintaining clean claim submission in clearing house; Dental Xchange

Created reports for our third party vender to verify additional patient insurance

Reviewing provider schedules to maintain production

Forecasting productivity for 26 locations

Processing patient statements and Patient Payment Plans

Credentialed providers with insurance and medical payors

Maintain provider credentials and license to stay compliant

Responsible for updating TAX ID upon acquiring new practices

Set up practices in clearing house software

TF-Dental Group December 2012 – June 2015

Insurance Verification Manager

Insurance Verifications: GP and Specialist for 6 locations

Processing Patient Statements

Auditing Patient Accounts

Posting Insurance Payments

Treatment Planning

Check In/Check Out

Maintained Provider Contracts with Insurance Companies

Maintained Fee Schedules

Claims Resolutions: Appeals, Denials and Follow ups

Trained New Hires

Professional Attributes

Very organized

Good customer service skills

Attention to detail.

Microsoft Office

Microsoft Outlook

Great verbal communication skills

Resourceful

PPO and State funded insurance plans: Medicaid, Delta Dental, Metlife, Cigna, BCBS, Aetna, etc

Multiple Dental Softwares: Eaglesoft, Open Dental and Dental Enterprise

Planmeca

NEA

Care Credit

Dental Xchange

Abteryx Imaging

Open Dental Software

Dentrix

Soft Dent

EagleSoft

Education

Gordon College, Barnesville, GA 2004 -2006

Central Georgia Technical College, Macon, GA 2009 - 2011

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