Donna Brown

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

Jacksonville, FL 32258

Phone: 904-***-****

E-mail: adyev7@r.postjobfree.com

Education

FSCJ

Currently Attending- Completing AS Degree in Business Administration

Florida Community College of Jacksonville

Certified Dental Assistant (CDA)

Expanded Duty Dental Assistant (EDDA)

Graduated August 1, 1980

Samuel W. Wolfson High

Graduated June 8, 1978

Professional Experience

One Call

November 8, 2021 – Present

Credentialing Coordinator ll

Verify Provider’s Board Certification, CDS, DEA, Education, Licensure, Medicaid and Medicare Credentials, NPDB, NPI, OIG, and SAM Reports

Entered Providers information into the credentialing database

Organized and updated files as needed

Provide Documents for PQC

Communicate and Assist the Providers with any questions or issues

Claims Intermediary 1, Group Health

Worked in Polaris System

Mailed out Prepaid Cards to members

Mailed member Forms and Bus Passes

Assisted the Travel Team

Indexed claims for Gas Miles Reimbursement

Worked in Office Daily

Handled member inquiries via email

Assisted with Aetna LA Call Audit

Indexed Ambulance claims for Non Emergency Transportation

Employment

Great Expressions Dental Center

March 2019 – March 19, 2020

Orthodontic Insurance Manager

Insurance Verifications

Billing, Collections, Account Receivables

•Outstanding account receivables report

Jacksonville Complete Dentistry

April 2015 – March 2019

Insurance and Credentialing Manager

Post Insurance Payments to patient accounts

Verification of patient dental coverage and dental benefits

Assist with credentialing new providers to participate with the PPO, HMO, DHMO,

and DMO provider networks

Verified the dentist license, professional record, education, training, and malpractice history

Dental office of Dr. Robert Swindle and Dr. Bethany Douglas, Great Expressions Dental Centers

2002- 2015

Practice Administrator, Division of Endodontics

•Oversee daily operations of 3 cooperate endodontic practices

•Consult with insurance companies to provide profitable managed care contacts

•Contribute to achieving production targets

•Perform patient consultations and treatment planning

•Manage accounts receivable and outstanding insurance claims

•Ensure complete patient satisfaction

Dental office of Dr. John R. Kelley, Smilecare Dental Associates 1996- 2002

Office Manager

Scheduled and confirmed patient appointments

Managed accounts receivable and outstanding insurance claims

Handled office expenses, ordered supplies, organized payroll

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