Overview
Looking for part-time work (4 hours/day)
at $4.99/hour ($480.00/month)
Bachelors degree
Last Active
June 27th, 2026 (yesterday)
Member Since
August 31st, 2019
Profile Description
Insurance Verification & Eligibility
-Accessed multiple payer web portals daily to retrieve and verify comprehensive patient insurance details, including real-time eligibility and complex plan exclusions.
-Verified specific frequency limitations, tooth history, annual maximums, and deductibles to ensure 100% accuracy in patient financial estimates.
-Cross-referenced scanned insurance cards against system data to identify discrepancies, ensuring data integrity before clinical procedures began.
-Performed proactive outbound inquiries to insurance carriers to secure "hidden" details, such as waiting periods and missing tooth clauses, reducing surprise out-of-pocket costs.
-Updated patient accounts with the most current information and documented all verification actions to provide a clear audit trail for the billing department.
Claims, Posting & Revenue Cycle Management
-Submitted all daily dental claims with necessary electronic attachments (NEA/FastAttach), achieving a high first-pass clean claim rate.
-Posted insurance payments (ERAs/EFTs) and manual checks with meticulous attention to detail, reconciling patient ledgers to maintain an error-free financial record.
-Aggressively pursued aged claims and outstanding A/R (30/60/90+ days), successfully recovering lost revenue and reducing the overall collection cycle.
-Analyzed EOBs to identify and appeal wrongful denials, negotiating directly with insurance adjusters to secure maximum reimbursement for the practice.
-Executed End of Day (EOD) reporting.
Operated independently with zero to minimal supervision, adapting quickly to office SOPs.
Top Skills
Customer Support » Insurance » Dental Insurance
Experience: 6 months - 1 year
- Developed expertise in understanding coverage specifics, including coinsurance, deductibles, individual maximums, frequencies, and limitations. Demonstrated proficiency in verifying insurance information through various dental insurance provider portals. Utilized direct phone communications with insurance representatives to confirm coverage details. Engaged in effective follow-up to resolve any discrepancies in insurance information.
Professional Services » Medical Services » Denial Management
Experience: 6 months - 1 year
Effectively managed denied claims by investigating the reasons and collaborating with insurance providers to rectify the issues resulting in significantly reduced denial rates.
Professional Services » Medical Services » Dental Billing
Experience: 6 months - 1 year
Resolved billing discrepancies with attention to detail and ensured timely submission of dental claims.
Other Skills
Accounting » Accounts Receivable
Experience: 1 - 2 years
Customer Support » Phone Support » English Speaking
Experience: Less than 6 months
- Effectively communicate with insurance provider representatives to resolve coverage issues, claims, and billing. - Communicated changes in insurance information and coverage effectively with the team and relevant personnel to ensure alignment and awareness.
Accounting » Claims Processing
Experience: 6 months - 1 year
I completed the process to submit and finalize Dental insurance claims for services rendered in 2022, which have been revised for submission. It resulted in the insurance providers paying most of the outstanding claims.
Customer Support » Insurance » Insurance Verification
Experience: 6 months - 1 year
Meticulously verified patient insurance information and eligibility which facilitated smoother billing processes and reduced claims denials as a result.
Customer Support » Phone Support
Experience: Less than 6 months
Made outbound calls to patients to request additional information before their appointment to verify their insurance efficiently while ensuring compliance with HIPAA regulations.
Office and Administration » Data Entry
Experience: 1 - 2 years
Office and Administration » Task Prioritization
Experience: 2 - 5 years
Basic Information
- Age
- 36
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Naic, Cavite
- Tests Taken
- IQ
- Score: 116
- English
- C2(Advanced/Mastery)
- Government ID
- Sign Up with Pro Account to View
“It definitely helped transform my business and take a significant load off for me.”
Samori Coles
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