I've been in the position of Senior Dental Biller Specialist and Collection Specialist. Being a Senior Biller, I worked as a consultant, training staff and colleagues for us to know and understand the process of insurance billing and its requirements. I was also assigned to some billing works and insurance collection payments for our clients: Sending claims, pre-authorizations, working out denials, and appeals; these include General Dentistry, Specialist, and Pediatric. I also have experience working on worker's compensation insurance and Veterans Affairs claims.
Before I became a biller, I was in the position of Dental Verification Specialist. Verifying patient's insurance: Commercial Ins PPO and HMO, Denti-cal. Getting their eligibility and a full breakdown of benefits accurately. I'm very keen on every detail. Most of the clients, they've seen 80+ patients for Pediatric Office and 40+ for General Office.
I became a Dental Team Lead who handle clients' concerns and meetings, manage people, documentation, and create tools/knowledgebase.
I have also some knowledge of how medical insurance since I have experience working as a Medical Encoder and AR Medical Specialist for 6 months. I was assigned to work on patients' demographic and collect payments to the insurance by calling them.
Knowledgeable in MS Word, Excel, Outlook, Acrobat, PDF, and Google Drive. My Typing skill is 40 words per minute, with 90?curacy. Knowledgeable of PMS/ Dental Software such as Dentrix, Eaglesoft, Open Dental, and QRS
I'm good at analysis, research, critical thinking, and making a decision with proper communication with the team or client.
“My business would not be able to go forward if it was not for them”
Gaurab - Adhikari
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