Account Receivables - Claims Specialist (Orthodontics)

I recently quit my job as a Claim Specialist for Orthodontics with practices all over the US. My tasks were to review the claim for submission, review EOBS, verify benefits and eligibility, locate missing payments, and make follow-ups to the carrier through web portals, chats, phone calls, emails, and even faxes for documents being requested. I deal with all carriers from Delta Dental, Aetna, Cigna, MetLife, BCBS, etc. As a claim specialist for orthodontics with two years of experience, I have specialized in handling claims for practices located throughout the United States. My expertise includes thorough claim preparation, meticulous adjudication, and effective denial management. I have demonstrated a keen understanding of orthodontic billing practices and have successfully maximized reimbursement for orthodontic services.

I worked in Medical Billing with PacifiC Medical Data Solutions (PMDS) for about a year before I became a Claim Specialist for orthodontics. My main tasks were to take inbound calls and assist patients with their bills, process payments, PPA, explain EOB, coding review, escalation, verify eligibility and benefits, prior-auth, and make follow-ups to pt and/or carriers. In my one-year experience in medical billing, I have successfully navigated the complexities of the reimbursement process. Utilizing my knowledge of medical coding, and insurance verification, I have contributed to the financial success of healthcare providers. My proficiency in using Athena ensures efficiency and accuracy in managing the billing lifecycle.

I worked as a chat support for supportking,com and spyfone.com at the same time.

I have a total of 5 years as a Customer Service Representative/Associate experience with Paypal, Hewlett-Packard, and Sprint.