Debra L. Quintana
Colorado Springs
Summary
Experienced with insurance claims management and policy coordination, ensuring compliance and accuracy in all documentation. Utilizes strong organizational skills and attention to detail to streamline processes and improve workflow. Knowledge of customer service and problem-solving techniques to effectively address policyholder concerns.
Overview
16
16
years of professional experience
Work History
Administrative Assistant/Insurance Coordinator
Mountain Vista Dental
12.2018 - 11.2024
- Ensured accurate record-keeping with diligent data entry and database management for vital company information.
- Maintained confidentiality of sensitive information by adhering to strict privacy policies and implementing secure filing systems.
- Assisted in onboarding new employees, providing training materials, and coordinating orientation schedules to ensure a smooth integration into the team.
- Addressed IT issues by coordinating with tech support, minimizing downtime and maintaining operational efficiency.
- Verified insurance and communicated coverage to staff and patients.
- Filed and tracked insurance claims and communicated claims status to patients.
- Obtained prior authorization and precertification for outpatient procedures.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Referenced monthly aging reports to follow up on unpaid claims and obtain maximum reimbursement.
- Assisted in resolving complex insurance claims, liaising between clients and providers for favorable outcomes.
- Posted payments to accounts and maintained records.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Practice Manager/Human Resources
Aspen /Pikes Peak Periodontics
06.2016 - 12.2018
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Create, establish and manage internal office protocols and procedures to ensure office efficiency.
- Addressed patient concerns promptly and professionally, demonstrating empathy and excellent problem-solving skills.
- Work closely with marketing vendors and designers.
- Responsible for A/R, A/P, expense accounts, daily deposits and collections.
- Oversaw the hiring process for new employees, selecting candidates who aligned with the practice''s mission and values.
- Used technologically relevant digital systems to manage payroll and benefits programs.
- Completed new patient benefit packets, I-9's, W-2's and personal information.
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
- Coordinated with insurance providers to streamline the billing process and minimize any delays in reimbursement.
- Scheduled surgeries, managed pre-certifications and verified insurance coverage.
Patient/ Treatment Plan Coordinator
Springs Dentistry
04.2009 - 12.2015
- Scheduled patient appointments following a set configuration
- Collected and processed patient payments
- Reduced errors in treatment plans by thoroughly reviewing documents and collaborating with healthcare providers to ensure accuracy.
- Developed and implemented hygienist recalls system
- Delivered excellent patient experiences and direct care.
Education
Bachelor of Science - Business with a Concentration in Human Resource Management
University of Phoenix
Colorado Springs, CO01.2016
Skills
- Dentrix
- EagleSoft
- QuickBooks
- OSHA Certified
- HIPAA Certified
- CPR Certified
- Customer service
- Data entry
- Critical thinking
- Scheduling
Timeline
Administrative Assistant/Insurance Coordinator
Mountain Vista Dental
12.2018 - 11.2024
Practice Manager/Human Resources
Aspen /Pikes Peak Periodontics
06.2016 - 12.2018
Patient/ Treatment Plan Coordinator
Springs Dentistry
04.2009 - 12.2015
Bachelor of Science - Business with a Concentration in Human Resource Management
University of Phoenix
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