Lorissa R. Email & Phone Number

Oversee 16 welfare fund's enrollment processes of new employees and annual enrollment period, COBRA, and dental, vision and life insurance policies. Collaborate with cross-functional teams to identify process improvement opportunities and streamline eligibility verification procedures. Identify and resolve system and data discrepancies in eligibility verification processes by conducting regular data analytics audits and maintaining data integrity.

Provided customer service to patients in person and over the phone, provided necessary paperwork, verified insurance information, scheduled and confirmed patient appointments. Maintained accurate records of patient treatment plans, medical histories, and financial transactions to ensure compliance with regulatory standards and internal policies, maintained a high level of accuracy and integrity in data management. Implemented and utilized patient satisfaction surveys and feedback systems to monitor and improve the quality of customer service in the front office.

Successfully oversaw daily operations and managed a team of 50 dental professionals and support staff. Implemented strategic plans to drive practice growth, enforced compliance with industry regulations, and led marketing and promotional activities. Oversaw financial management, including accounts payable/receivable and financial reporting, ensured accuracy and timeliness of transactions as well prepared and processed payroll. Managed employee onboarding, administered employee benefits programs, addressed inquiries and facilitated in the enrollment processes.

Reviewed coding and processed dental claims to appropriate primary, secondary, and/or tertiary insurance company according to insurance guidelines. Accurately reviewed, reconciled, and posted patient/ insurance payments, both by EFT and check. Investigated and accurately resolved claim rejections, reducing insurance aging report numbers and simultaneously increasing insurance collections. Daily electronic claim follow up and submission of all x-rays, periodontal charting or documentation requested from the insurance companies. Filed appeals as necessary on denied or outstanding claims.