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Candidate Information

Full Name
Diana Rubio
Age
32
Experience
Dental Biller MB2 January 2018- Dec 2024 Conduct third-party eligibility verification for patients to confirm insurance coverage. Collaborate with providers and payors to resolve coverage discrepancies. Process insurance authorizations for medical procedures and services. Maintain accurate documentation of patient eligibility and authorization approvals. Medical Billing & Appeals Specialist/ Family Care Medical Center /June 2014-December 2017 Reviewed denied claims, submitted reconsiderations, and followed payer-specific appeals processes. Maintained accurate coding in electronic systems and updated accounts with appeal statuses. Processed and analyzed denied claims, ensuring proper documentation and compliance with payer contracts. Monitored payment variances and escalated unresolved issues for resolution.
Job Type
Full-time

Contact Details

Phone
Address
510 cool canyon trl
State
Texas

About candidate

About you
Detail-oriented and highly organized Dental Payment Specialist with extensive experience in posting dental payments, researching outstanding claims, and navigating dental insurance processes. Adept at utilizing industry-standard dental software, including EagleSoft, Dentrix, and Open Dental, to ensure accurate and efficient payment reconciliation. A problem-solver with a keen attention to detail, capable of investigating and resolving claims.
What are you looking for in a new role?
In my next role, I’m looking for an opportunity where I can leverage my extensive experience in dental payment posting, insurance claims research, and accounts receivable management in a dynamic and detail-oriented environment. I thrive in analyzing outstanding claims, resolving discrepancies, and ensuring accurate payment reconciliation to optimize revenue cycles.
What you are interested in working with us?
Because of the flexibility and remote opportunity.
What has been most challenging experience in a past role?
One of the most challenging experiences in my past role involved managing a large backlog of outstanding insurance claims that had been delayed or denied due to incomplete documentation and coding errors. Many of these claims required extensive research, coordination with insurance providers, and appeals processing to ensure proper reimbursement.

To tackle this, I took a systematic approach—prioritizing high-dollar claims, identifying common denial patterns, and implementing a more structured follow-up process to reduce turnaround time. Additionally, I worked closely with the billing team to improve documentation accuracy and streamline claim submissions to prevent recurring issues.

Cover latter

Dear Naukri,

I am excited to apply for the  position at Naukri. With extensive experience in dental payment posting, researching outstanding insurance claims, and managing accounts receivable, I am confident in my ability to contribute efficiency, accuracy, and problem-solving expertise to your team. My proficiency in EagleSoft, Dentrix, and Open Dental, along with my ability to thrive in a remote work environment, makes me a strong fit for this role.

In my previous roles, I have:
Posted and reconciled dental payments with meticulous attention to detail, ensuring financial accuracy.
Researched and investigated outstanding insurance claims, successfully recovering denied or delayed payments.
Communicated with insurance companies and patients to clarify claim discrepancies and resolve payment issues.
Utilized dental software efficiently to manage payment entries, process EOBs, and track insurance reimbursements.
Worked in a fast-paced, WFH environment, meeting deadlines while maintaining high productivity.

I take pride in my ability to analyze and resolve complex billing issues, ensuring smooth revenue cycles for dental practices. I am eager to bring this same dedication to [Company Name], where I can contribute to optimizing payment workflows and improving claim resolution rates.

I would welcome the opportunity to discuss how my experience aligns with your needs. Thank you for your time and consideration—I look forward to the possibility of contributing to your team.

Best regards,
Diana R