Profile Description
I am a dedicated Dental Virtual Assistant with 4 years of experience in dental billing, claims management, and provider credentialing. I am detail-oriented, organized, and committed to helping dental offices improve workflow, maximize collections, and maintain accurate insurance records.
Dental Billing / Claims Experience
• Claims submission to insurance companies
• Claims creation and processing
• Insurance eligibility and benefits verification
• Payment posting
• Reviewing and fixing claim rejections
• Handling denied claims and claim follow-ups
• Reviewing Explanation of Benefits (EOB) for payments, adjustments, and patient responsibility
• Preparing and submitting appeals
• Insurance claim status follow-up
• Resolving billing discrepancies and claim issues
Credentialing Experience
• Provider credentialing and recredentialing
• Insurance network participation verification (INN/OON)
• Following up with insurance regarding credentialing and contracting
• Requesting fee schedules
• Fee schedule increase requests and follow-ups
• Updating provider and office information
• Maintaining credentialing records and tracking deadlines
• Checking provider accounts in CAQH for re-attestation
• Communicating credentialing updates to offices
Tools / Systems I Have Experience With
• Open Dental
• DentalXChange
• FastAttach
• Oryx
Experience: Less than 6 months
Experienced in creating and submitting dental claims accurately and efficiently to insurance companies. Skilled in reviewing claim details before submission to ensure complete and correct documentation, helping minimize claim rejections. Experienced in contacting insurance providers to follow up on outstanding and pending claims, verifying claim status, and resolving delays in payment. Proficient in handling denied claims by reviewing denial reasons, correcting errors, submitting appeals or reconsiderations, and working closely with insurance representatives to maximize reimbursements and secure claim payments.
Experience: Less than 6 months
• Provider credentialing and recredentialing • Insurance network participation (INN/OON) verification • Requesting fee schedules • Fee schedule increase requests and follow-ups • Following up with insurance regarding credentialing and contracting • Updating provider and office information • Maintaining credentialing records in ClickUp • Communicating credentialing updates to offices • Monitoring and responding to Google reviews • Checking CAQH doctor accounts for re-attestation
Experience: 1 - 2 years
I do updating claims, creating attachment, sending corrected claims, manage denials, call insurances and update claims
“I have a team of 6 VA's that pretty much do everything for me”
Elishama Jiles
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