United States
With over seven years of experience in claims management, I specialize in claims processing, compliance, and operational efficiency. As a Claims Analyst at Administrative Services Only, I work to ensure accuracy and timeliness in claims resolution, aligning with the organization’s mission to deliver high-quality services. By analyzing claims, maintaining detailed records, and streamlining workflows, our team has improved efficiency and reduced discrepancies. My dedication to fostering compliance and precision contributes to seamless claim resolutions and supports the company’s goals of enhancing accuracy and regulatory adherence.
Efficiently processes claims, ensuring accuracy and timely resolution, reducing backlog significantly. Analyzes and verifies claims, maintaining compliance with company policies and enhancing processing speed. Manages workload to meet deadlines, posting payments and maintaining accurate account records. Prioritizes tasks effectively, significantly reducing pending claims and improving workflow efficiency. Streamlined claims processing workflows, achieving marked gains in efficiency and reducing turnaround times significantly. Analyzed claim trends to identify discrepancies, leading to improved accuracy and compliance with regulatory standards. Maintained comprehensive records of claims activities, ensuring data integrity and facilitating smooth audits. Enhanced claims processing protocols, which elevated accuracy and reduced turnaround times, contributing to overall operational efficiency.
Duplicated x-rays when requested by insurance companies Expertly filed patients' charts and processed billing and payments Managed aging report and reprocess claims that were unpaid Appealed claims that were unpaid and provided evidence Billedl patients that have outstanding balance/ or sent to collections Explained Explanation of Benefits (EOB) to patients
Managed office daily, printed daily reports, daily deposits and closed out scheduled, confirmed appointments, six-month recalls and insurance verification dental Processed insurance claims, collected co-payments, posted EOBs and patient payments Contacted insurance companies on outstanding dental claims Submitted pretreatment estimates to insurance companies prior to patient treatment Reviewed patient treatment plan and set-up financial arrangement with patients Handled patient billing issues, printed monthly patient statement, and A/R report Hire, train and managed new staff
Greeted patients and prepared them for dental examinations Reviewed status of waiting room on a routine basis to ensure patients were being seen in a timely fashion Coordinated appointment schedules for both the dentist and oral surgeon Expertly filed patients' charts and processed billing and payments Submitted pre- authorizations, checking status of claims Enter EOB's, adjusted claims in patients account Managed invoices and transaction receipts Provided appropriate postoperative instructions as prescribed by dentist Carefully reviewed dental records for accuracy and completion as required by insurance companies Prepared prescription refill requests on behalf of the dentist Scheduled patient appointments Completed registration quickly and cordially for all new patients Consistently ensured proper coding, sequencing of diagnoses and procedures