As a medical and dental biller, I manage the full revenue cycle to ensure clinical services, procedures, and dental treatments are properly coded, billed, and reimbursed without delay. My core responsibilities include submitting clean electronic and paper claims to both medical and dental insurance payers, verifying patient coverage and benefits, and securing pre-authorizations before services are delivered. I regularly monitor aging accounts receivable, investigate claim denials, and draft formal appeals for rejected medical or dental procedures such as complex surgeries, restorative treatments, or preventative care to maximize revenue recovery. In addition to payer follow-ups, I post ERAs, EOBs, and patient payments, carefully reconciling daily financials and applying contractual write-offs. I also manage patient accounts directly by issuing balance statements, explaining medical versus dental coverage differences, setting up payment plans, and strictly adhering to HIPAA privacy standards in all daily documentation.

Beyond my core billing expertise, I bring specialized experience in contact center operations from my work in quality analysis and workforce management. In my quality analyst role, I evaluated customer service interactions, monitored call standards, and provided actionable feedback to improve agent performance and overall service quality. Complementing this, my work in workforce scheduling and forecasting involved analyzing contact volume trends, projecting staffing needs, and creating optimized schedules to ensure efficient coverage, balance agent workloads, and maintain strict service level agreements.