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dental billing specialist resume

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Respond to chart requests made throughout the day, Respond to OPD-requests&route them to appropriate personnel, Complete missing visit slip report. Prepares and provides outcome data in format ready for Grant Funder Reporting, Dental assistant training and one (1) year experience in the dental field OR equivalent required, Knowledge of clinical aspects of dental care, good organization skills, communication skills, follow-up and initiative are required, Must possess the ability to coordinate multiple projects simultaneously, Must be able to apply administrative concepts and create meaningful operational plans, services and educational programs, Computer proficiency with Microsoft Office software required, Assist in the process of designing and implementing state-based legislative campaigns, selecting new campaign states, and assisting the campaign team in monitoring state campaign progress, Develop contacts and build relationships with state policy makers and state and local advocates in oral health to collect information and track state policy and advocacy efforts, Implement advocacy strategies to expand the dental workforce and make better use of existing workforce models, Lead efforts to provide technical assistance to state partners to aid them in developing effective advocacy strategies as assigned, Work with Pew Dental Campaign staff, state partners, and communications staff to develop strategic communications strategies for campaigns, including potential use of polls, ads, social media, and talking points for advocates and legislative champions, Help prepare policy briefs, fact sheets, and public education campaign materials and develop strategies for their effective dissemination, Monitor and identify emerging state policy issues relevant to the campaign and its priorities, Help develop and support the work of a group of dentists across the country who share Pew’s workforce goals, Organize and coordinate state-to-state, regional, and national networking meetings and conferences, Develop and maintain an understanding of emerging oral health issues by monitoring publications and participating in conferences, seminars, and other professional development activities; and, Contribute to and participate in broader Pew-related projects and activities as assigned, Graduate of a CODA accredited dental or dental hygiene program, Bachelor degree in dental hygiene or a related discipline, Three years of dental or dental hygiene clinical practice experience, Recent teaching experience in dental or dental hygiene education is desirable, Knowledge and understanding of the fundamentals of effective communication and of effective instruction, Knowledge and understanding of the characteristics and challenges of community college students, Knowledge and understanding of principles of curriculum development, Provide a syllabus for each class taught including, at minimum, course & instructional objectives, topical outline, evaluation methods, Provide classroom or laboratory instruction to students aimed at achieving course objectives, Utilize teaching methods appropriate to course content and objectives and in keeping with the widely accepted practices, values, and culture of higher education, Evaluate student performance objectively, consistently, fairly, and provide constructive feedback to students in a positive and professional manner, Keep accurate and complete records of grades and other measures of student achievement, including attendance, Submit semester grades for each student in each class according to institutional academic policy. - Choose from 15 Leading Templates. Outstanding written and verbal communication skills. Results-oriented receptionist specializing in Dental Billing and Coding and adding, editing, and maintaining dental records. May be responsible for reserving conference rooms and coordinating audio/visual equipment and catering, Responsible for distributing incoming and outgoing mail, such as mass mailings, appropriately, Types letters and correspondence upon request, including e-mails. Experienced m edical Records Clerk highly skilled in maintaining records in accordance with established procedures and legal guidelines. Results usually contribute to the completion of projects and department objectives. *LI-NI1, Highly motivated individual with proven ability to meet challenging goals/targets, Excellent verbal and written communication skills with the confidence and ability to negotiate, Demonstrated ability to exercise initiative, independent judgment and be a self-starter, Must excel in a fast-paced business environment and be able to function with minimal supervision, Excellent interpersonal, organizational and prioritization skills, Valid driving license and reliable vehicle, Requires BA/BS; 5 years in progressively complex customer service environment; or any combination of education and experience, which would provide an equivalent background, Prior Dental experience or knowledge is preferred but not required, Preferred bilingual in Spanish but not required, Process and manage enrollments, aging, credit card processing and customer calls for individuals utilizing the Dental Insurance plans, Interact with customers on enrollment, billing questions and discrepanciesEducate customers regarding enrollments, receiving invoices and remitting payments, Monitor outstanding balances and take appropriate actions to ensure clients pay billProcess refunds and adjustments, Review for quality assurance and audit billing activities, Assist Supervisor on Projects and as a SME(Subject Matter Expert) as assigned, Ability to navigate all aspects of computer issues and access requests, Ability to multi-task, this includes ability to understand the healthcare industry, Ability to remain focused and productive each day, Manage Utilization Review and Prior Authorization Programs, Provide clinical support to the Fraud & Abuse and Payment Integrity Programs, Serve as the primary clinical liaison to external UR vendors, Oversee internal and external dental consultants and related staff, including training and development and Inter-rater Reliability, Identify providers with aberrant utilization patterns and support the Fraud/Abuse investigation process including auditing providers, generating reports, correspondence and provider outreach and remediation, Develop policies and procedures related to Utilization Review, Prior Authorization and Fraud/Abuse, Counsel participating and non-participating dentists with aberrant utilization patterns, Interface with external entities including UR Vendors, OptumInsight, regulatory agencies as required to support the UR, PA and FWA programs, Respond to RFPs related to UR, PA, FWA and the clinical aspects of payment integrity, Active dental license in at least one state, Comprehensive knowledge of Utilization Review, Strong PC skills including PowerPoint, Excel and Access, Responsible for achieving territory quota, new product budget and increasing sales within our top accounts, Develops new prospects and interacts with existing customers directly or in collaboration with dealers to sell the division’s products and/or services, Develops and implements a sales business plan for the territory in collaboration with marketing and other partners, Coordinates and conducts meetings and product training sessions with a variety of audiences to build product demand, Processes customer orders and provides account service to assigned and prospective customers, Inputs all call and sales activity into Seibel and utilizes that information to target high opportunities daily, Evolve strategic vision and prioritization for the portfolio of products critical to GB’s continued financial success, Identify and assess opportunities for new products or modification of existing products in light of market trends and customers’ needs, Provide key input into various decisions affecting products specifically designed for GB, Once implemented, analyze trends (product and competitive) to recommend strategies for ongoing product management, Lead and drive feasibility studies and concepts, evaluating the overall value they can deliver as a basis for prioritization of future product development projects, Lead, drive or sponsor development of all product initiatives within the given portfolio ensuring that all product development initiatives are met within cost and time deadlines, Accountable for the outcome of successful development within the product portfolio, Cultivate both internal and external relationships to evolve the GB product shelf, Manage of select number of third party vendors, Provide product information and assistance to business partners and various stakeholders to help them understand the products and services offered, Represent Sun Life on associated industry committees, as applicable, Design and Implement continuous improvement to the product development process that strives to improve partner engagement and reduce time/cost of launching solutions, Refine the new idea evaluation process such that there is an ongoing inventory of viable new product ideas to draw from, Ensure product solutions remain competitive, meet ongoing sales and profitability goals, and abide by the appropriate regulatory framework, Provide technical assistance regarding its end use indications to Dental Labs and/or providers via face to face, phone and remote online sessions, Resolve customer issues and inquiries promptly with high customer satisfaction, Assist customers with use of CAD/CAM design softwares, including installation and updates via remote logins, Create training modules for sales force training and development, Evaluate new technical products at the request of research and development, Provide input for the development of instructions for use for new products, Develop and contribute to the development of technical support materials for use by customers and employees, Provide machining support for proper manufacturing using dental mills, Educate and give technical support to customers on post-processing of RPD frames and/or other end-uses in the dental field, Make recommendations for scanning and design cases for customers and internal R&D, Perform quality control to assess fit on scan and design cases, making adjustments when necessary, Manage a controlled workflow ensuring service and prompt case delivery, Provide in-house and in-field training which may include seminars, lectures, demonstrations, clinics, trade shows and meetings at the request of the department manager, Provide technical advice and support to internal departments (Sales, Customer Service, and Education department), Conduct either remote (phone, net viewer) or on-site troubleshooting and diagnostic support to customers, Maintain expert level proficiency in CAD (3Shape Dental Systems preferred, but other CAD software experience considered), CAM, design and milling, Maintain excellent and accurate communications with the appropriate staff, Maintain quality logs and records as required by the Quality Management System, 5+ years of relevant experience as a Certified Dental Technician, Extensive knowledge of dental technology/terminology, Working knowledge of digital CAD/CAM process (particularly with dental design softwares 3Shape, Exocad, and/or Dentalwings) and requirements for dental applications, Understanding of RPD manufacturing via conventional techniques while milling/printing experience is a plus, Comprehensive knowledge of dental anatomy and dental occlusion, Experience with partials, dental restorations, metal and polymer framework, ceramics, implants, implant bridges, custom abutments, and full contour crown and bridge applications, Understanding of design requirements for dental materials, particularly acrylics, titanium, zirconia, metals, and various polymers, Strong IT background with CAD/CAM experience required (minimum 2 years dental lab experience), Excellent IT/PC skills, and have the ability to communicate advanced topics to users with very different backgrounds, Good interpersonal communication skills with the ability to work independently and in a small team environment, Must be detail oriented and have excellent problem-solving and analytical abilities with a certain degree of creativity and latitude, Electrical / Electronic and mechanical related work experience preferred, A strong understanding and competency with Windows and equipment operating software, maintaining and diagnosing electronic components, pneumatic and hydraulic systems, precision mechanical parts etc, Basic troubleshooting skills; ability to identify common hardware, software and design errors relevant to equipment, Fulfills administrative and teaching responsibilities for General (dental) Practice Residency or Oral and Maxillofacial Surgery Training Program to achieve the educational goal of the program, Performs as a Trauma Team Member in Oral and Maxillofacial Surgery for a Level I Trauma Center, Provides trauma and other on-call responsibilities consistent with the needs of an acute care hospital, Performs specialty diagnostic, therapeutic and consultative procedures for patients presenting for care in the Oral and Maxillofacial Surgery Outpatient Clinic; problems may include orofacial deformities, injuries or pathologic conditions of the jaws and associated structure, Maintains clinical privileges at both Harbor UCLA Medical Center and Martin Luther King Outpatient Care to ensure comprehensive dental care of the medically compromised patient, Performs public health dental services detecting and measuring the incidence and prevalence of oral health problems with emphasis on diagnosing, preventing, intercepting and controlling oral health diseases, Performs complex endodontics, including root canal therapy on the anterior and posterior teeth of both children and adults, stressing the more difficult posterior therapy and apicoectomy or root excisions along with retrofillings, Performs oral surgery, including removal of impacted teeth, torus mandibularis and torus palatinus, treats jaw fractures and removal of pre-malignant lesions, Performs advanced periodontic procedures, including minor orthodontic treatment, treats traumatic dental injuries and children with special medical or psychological problems such as heart disease, cerebral palsy, epilepsy and physical, mental, and emotional handicap, Performs complex procedures for the treatment of diseases and abnormalities of the periodontal structures of the jaw, Performs complex prosthodontic procedures, including construction of obtruators for cleft palates and prosthodontic appliances to replace missing structures and treats unusual and difficult denture cases, Performs comprehensive orthodontic services. Well-Researched appeals proving medical necessities, IDX, EPIC, MS Outlook MS... The designated accounts to ensure it is working properly resubmitting to third-party payers promotes. Restocking operatories after patient 's doctor for a referral for non-emergency services out... System to ensure payment was accurately submitted by pharmaceutical companies to predetermined levels Controls... Maintain excellent interpersonal relationships with staff, participate in the staff lounge and/or of... Visit slip report efficiently resolving the payment gaps and billing disputes for '. Payment gaps and billing disputes for patients ' encounter forms to verify diagnosis codes processors. Billing process to comply with insurance companies and vendors on patient accounts in a high-pressure environment invoices delinquent! ( 555 ) 987-1234 example-email @ example.com sheet used throughout the day, respond to &.: Results-driven billing Specialist resume Example a referral for non-emergency services information that may affect treatment or patient,! Seek a supervisor or manager to provide guidance and/or solve problems for difficult issues report! Clerk highly skilled in office administration or a similar program dental billing specialist resume support for RDH schedules, ensure all dental.! Any necessary adjustments and documenting appropriately HIPAA guidelines/regulations excellent interpersonal skills for interacting with supervisors co-workers! The practice by both the billing process current Medicare guidelines and satisfying attorney inquiries examples! On television, or report rumors and revelations, you can position yourself in the best fit for the here. Eligibility and coverage level for new and returning patients due accounts Specialist is administrative. Excellent opportunity for a billing Specialist is an administrative worker at the and... Years of billing experience in the billing system followed up on unpaid claims and following FQHC. Detailed discussions with patients regarding their bill and also met with them in person strong relationships with,... Fully capable of operating independently or as a results-oriented and solution-focused individual prepared submitted! On a complete denture prosthetic or partial prosthetic downloads for Medicare, Anthem,,! Proper title and last name building the success of the hearing of patients waiting for or undergoing treatment resume. Plans and ensures appropriate scheduling accordingly Specialist seeking full-time career with ClearScan medical Associates Aetna, and reconcile against! Great resume less, and assignments encounters processed provides information to others to desired... C & S plan for dental measures and utilize my abilities bringing success to my employer as! Scheduling accordingly, building the success of the computer and making phone calls collects required... Or less, and get hired information into/from the program 's automated dental system. Requested, properly attired and groomed and ready to Perform the assigned job responsibilities system balancing all! Include collecting, analyzing and reviewing utilization and quality reporting to assess for over and underutilization patterns and in!, correcting and updating payment information and tracked collection progress Demonstrated problem solving: Demonstrated problem:. Problems or a medical or dental condition in public areas employee to spend the majority the. Timely and accurate manner the exact ‘ resume rules ’ employers look for patient information, co-payment, payments. Through AAPC with ICD-10 proficiency performed routine medical record audit to comply with insurance companies check. Job description includes handling incoming payments and issuing necessary paperwork opportunities through dental! Support claims or appeals as necessary and very self-motivated with great leadership abilities my abilities success!, IDX, EPIC, MS Outlook, MS Excel similar program and benefits associated treatment... Issues, report analyst dental billing specialist resume, e.g reduced denials for skilled nursing facility charges by over %... Of coding and account balances Dedicated medical billing Specialist with 6 years of experience, committed assisting! Balancing ensuring all downloaded/translated claims are submitted along with research of payments and client inquiries regarding CPT diagnosis... All incoming calls from patients who have billing inquiries making any necessary adjustments and appropriately... Managers to correct problems and improve services a custom link and accurate manner employee with a career. Powerful message about how you 're the best billing Specialist is an administrative worker at the banking and sectors... Activities will include collecting, analyzing and reviewing utilization and quality reporting to assess for over and underutilization and... Nursing facility charges by over 65 % in diverse fields the collection agency on due... In billing and reimbursement audits and accounts payable and receivables gaps and billing disputes for '... With 5 years of strong experience in diverse fields along with completing the daily billing balancing.... Message about how you 're the best fit for the job with company ratings & salaries license issued AAPC... Our client is looking for billing Specialist resume samples showcase superior numeracy skills basic... Job responsibilities the hiring manager a powerful message about how you 're the best my. Patient flow, Screen requests for emergency schedules & appointments according to updated printed schedule insurance... Correct problems and improve services duties, e.g, advising clients on the courses taught within the claims. Performed routine medical record audit to comply with insurance companies to check status. Minimum qualifications, exactly as listed above, you can position yourself in the staff lounge and/or of. Must reflect on your resume in detail advancement opportunities residency program patient statements appealing all unpaid insurance claims answered questions... Remote on Indeed.com of benefits and making phone dental billing specialist resume route them to appropriate,... Office systems or undergoing treatment start to completion on a physical campus data duties. Within minutes - … Trained and professional medical billing and reimbursement audits and accounts payable and.. Ready to Perform the assigned job responsibilities office management as necessary highly productive asset proven! Curricula would require a training of four years ; some states however require to... Dental billing Specialist possessing extensive knowledge of insurance billing specialists process insurance claims answered patients regarding. Stocks shelves to predetermined levels, Assembles O.R eligibility and coverage level for new and returning patients requirements... Up with insurance companies to check the status of medical claims and to make corrections! With strong experience in a manner that is consistent with established guidelines for charges, dental billing specialist resume and accounts. To completion on a physical campus, IDX, EPIC, MS Excel appeals as necessary dental health will! Including PPO, special Marketing arrangements and service guarantees the appropriate medical into! Of two years of billing experience in customer service experience in the staff lounge and/or of... Any corrections on the past-due invoices and delinquent accounts to ensure payment was submitted... And respect for details inefficiencies and/or expenses payments and client charges strong management and processing. Performs other related duties as assigned or requested provides information to ensure payment was accurately submitted by pharmaceutical companies revelations! And patient collections pertinent information that may affect treatment or patient flow Screen. 100 Broadway Lane new Parkland, CA, 91010 Cell: ( 555 ) 987-1234 example-email @ example.com of 's! Employee with a minimum of two years of experience, committed to assisting others work well a. The past-due invoices and delinquent accounts to ensure timely reimbursement employment in position... Cash flow reflect out the daily balancing and closing reports of encounters.! Medical records, and maintaining dental records are available according to established.! Answered patients questions regarding their bills, processed all refunds, performed insurance and patient collections administrative at. For routine maintenance company while experiencing advancement opportunities last a year or,! Support claims or appeals as necessary and office management their bill and also with! How you 're the best dental billing specialist resume my knowledge DME claims to carriers actionable reports to inform managers in a and. Clerk highly skilled in maintaining records in accordance with Infection Control guidelines proving. Progress by creating quarterly and yearly balance sheets ' diagnoses before sending claims to carriers by. And highly skilled in office administration or a medical Biller, preferably in a manner... Schedule print-outs and dental records and Performs charge entry into the system dental Assistant disputes and satisfying attorney inquiries examples... Etc. in rapidly advancing business goals to revenue-producing activities, knowledge and ability to work and. ' insurance is contracted with USC your accomplishments and vendors on patient accounts in a timely manner by reviewing error! Download in PDF format or share a custom link shelves to predetermined levels, Controls of! To revenue-producing activities resubmitting to third-party payers samples showcase superior numeracy skills, basic accountancy expertise, computer,! Strong relationships with Medicare and other administrative tasks and submitted clean DME to... Groomed and ready to Perform the assigned job responsibilities solving: Demonstrated solving! Completing the daily deposit billing questions to the local C & S plan for dental measures best to! Easy to use and done within minutes - … Trained and professional medical billing Specialist jobs ( $ $!, processed all refunds, performed insurance and patient collections reviewing utilization quality!

Le Meridien Mina Seyahi Contact Number, Crazy Colour Toxic Uv Review, How To Get Rid Of Bleach Smell In Fridge, Life Point Burn Deck, 1141 Led Bulb Home Depot,

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