Jonathan G.

Driven Dental AR Specialist motivated to perform beyond expectations. Reliable and competent Dental Billing professional with exceptional data entry and customer service skills. Competent Dental Billing professional with ability to manage a busy Dental office. Having great experience in submitting clean claims to the insurance both electronic & paper, Analysis of Explanation of Benefits of denied claims and take appropriate action. Refile the corrected claim to insurance carriers. Eligibility verification through phone and insurance web portal. Updating missing demographics, insurance information and refilling claims. Follow-up with insurance carrier if additional information needed. Denial Management, claim edits and taking Adjustments. As a Dental Billing Team Lead, I was responsible for overseeing and coordinating the activities of the dental billing team to ensure accurate and timely billing processes for dental services and managing a team of dental billing specialists, providing guidance and training, and collaborating with other departments to optimize billing operations. Monitor key performance indicators (KPIs) to assess the productivity and effectiveness of the dental billing team. I am an expert with Opendental and very familiar with most of the common dental billing software such as Dentrix, Curve Hero, Dovetail, ICore MD, CS Softdent, Eagle soft, Dentrix Ascend and also have the ability to train myself on new software. I am also familiar with most widely used clearing houses including (Change healthcare, Dental exchange, EDS, Vynetrellis, Remote lite) and some attaching software(Fast attach, Eaglesoft, tiger view, Dexis). I have gained experience on most of the web portals for billing and attaining claim status which makes the work more efficient. Working on IVs and AR for multiple offices gave me a vast amount of knowledge on the dental field making me understand the situation and work accordingly. I am currently a Claim Submission Team Lead at a well-established, doctor-owned DSO located in Colorado. I specialize in claim submission, with over 95% of the claims I handle closing within four weeks, whether through payment or resolution of hard denials due to issues like non-coverage or frequency limitations. In addition to my expertise in claim submission, I excel in training and auditing. I ensure that my team consistently meets our company’s KPIs, develop SOPs to streamline workflows, and conduct thorough audits of denials. I also identify and resolve root causes by ensuring proper initial claim submissions, which helps maintain a healthy AR without unnecessary backlogs. Furthermore, I generate reports to track and enhance team performance, ensuring claims are submitted within 24 hours of treatment.