Gwyneth-ann Zuze

Highly organized Healthcare Administration and Revenue Cycle Specialist with experience supporting dental and healthcare practices remotely through insurance verification, claims processing, patient communication, payment posting, and administrative support. Experienced working with U.S.-based dental organizations and remote teams while maintaining HIPAA compliance and high-quality patient service standards. Skilled in Open Dental, Dentrix Ascend, Eaglesoft, and healthcare workflow management.

Strong background in customer communication, documentation, call quality assurance, and financial administration, making me well-suited for remote healthcare administration, medical support, and revenue cycle roles in the UK.

Insurance Verification Specialist - Simply Dental Management - Remote

(2025-02)

• Verify patient insurance eligibility, benefits, authorizations, and coverage requirements for dental procedures.
• Contact insurance providers to confirm policy details, deductibles, copayments, and claim requirements.
• Maintain accurate insurance information and patient records within practice management systems.
• Reduce claim denials and delays by identifying and correcting insurance discrepancies before treatment.
• Ensure HIPAA compliance and safeguard confidential patient information.
• Document verification activities and communication accurately in internal systems.
• Support efficient revenue cycle operations and improve workflow accuracy.

Revenue Cycle Management Specialist - eAssist - Remote

(2023-10 - 2024-04)

• Managed revenue cycle operations including insurance verification, billing, payment posting, claims processing, and collections.
• Submitted electronic claims accurately and in a timely manner to insurance providers.
• Followed up on denied, rejected, and unpaid claims to maximize reimbursement and revenue recovery.
• Reviewed patient accounts to ensure accurate billing, coding, and insurance reimbursement.
• Monitored aging reports and worked to reduce outstanding accounts receivable balances.
• Assisted with appeals, claim corrections, and denial management processes.
• Maintained accurate patient records within EMR/EHR and practice management systems.
• Ensured compliance with HIPAA regulations, payer guidelines, and healthcare billing standards.
• Improved operational workflow efficiency by identifying billing issues and implementing corrective actions.

Call Quality Assurance Specialist - Patient Prism - Remote

(2021-07 - 2023-09)

• Reviewed and transcribed inbound patient calls to evaluate customer interactions and appointment conversion opportunities.
• Analyzed missed booking opportunities and provided coaching feedback to improve patient engagement and scheduling performance.
• Guided team members on communication strategies that increased patient appointment bookings and retention.
• Monitored call quality, professionalism, empathy, and adherence to dental practice standards.
• Delivered real-time coaching and performance recommendations to improve conversion rates.
• Maintained detailed records of call evaluations, coaching notes, and transcription documentation.
• Assisted practices in improving patient experience and maximizing revenue opportunities.
• Collaborated with management teams to support practice growth through improved appointment-setting performance.
• Maintained confidentiality and HIPAA compliance when handling patient information and call records.

Financial Assistant - Tonganyika Trust (PVT)

(2019 - 2020)

• Collected, recorded, and maintained financial transactions and accounting information.
• Prepared invoices, receipts, payroll records, and monthly financial reports.
• Assisted with account reconciliation and administrative support tasks.
• Maintained accurate and up-to-date financial records.
• Coordinated appointments, handled phone communication, and supported office operations.

English Teacher (Part-Time) - Literacy Center

(2015 - 2019)

• Supervised student progress in English language development.
• Planned assessments and teaching materials aligned with curriculum requirements.
• Applied multiple teaching methods to improve student performance and engagement.
• Developed lesson plans and supported student learning outcomes.

International Finance Degree