Proficient in determination of discrepancies in payment applications, resolving payment variances, processing insurance
claims and
handling outstanding payments turnaround.
• Working knowledge of ICD - 9 and ICD - 10 and OASIS • Excellent skills in reviewing delinquent accounts and creating avenues for overdue payments • Demonstrated expertise in translating medical procedures into codes that can be easily translated by payers and medical facilities •
Proficient in appropriately and confidentially
handling patient treatment, diagnosis and procedural information • Well - versed in investigating rejected
claims and ensuring that they are resubmitted and paid • Special talent for investigating insurance fraud and determining ways to counter / avoid sticky situations • Skilled in verifying and completing charge information in company defined databases • Familiar with documentation needs (and manners of obtaining them) for insurance
claims submission and approval • Qualified to work efficiently with external collection agencies to ensure maximization of reimbursement • Particularly effective in
handling appeals for denials by employing exceptional knowledge of carriers and appeal processes • Special talent for increasing reimbursements by investigating denied
claims and providing alternatives to denials
• 8 years» verifiable track record of working in busy dental environments • Hands - on experience in registering new patients, preparing patients» records and ensuring the overall smooth operations of the dental office • Demonstrated ability to schedule appointments with patients and ensure that appropriate follow - up is managed • Track record of efficiently setting up accounts and making charts for new patients •
Proficient in coordinating front and back office patient flow to ensure smooth transition between the waiting areas and the dentist's office • Qualified to post charges and payments to patients» accounts and
handle insurance
claims follow up duties in an efficient manner