Evelin Fuentes

Proactive and detail-oriented Dental Administrator with experience in financial responsibilities, staff training, customer service, data analysis, reports and overall billing process for the dental industry. Efficient and organized with insurance payments, outreach, projects and the improvement and implementation of systems, plans, and processes as a Dental Office Biller.

Dental Biller Coordinator - Belmont Dental Care - Long Beach, Ca

(2022-06)

• Maintain accurate patient accounts by posting and reconciling insurance and patient payments, adjustments, and transactions within Dentrix.
• Maximize insurance reimbursement by following up on outstanding claims, appealing claim denials, and reviewing accounts receivable (A/R) aging reports to reduce unpaid balances.
• Process account updates, document billing activity, and maintain detailed account notes to ensure accurate and compliant patient financial records.
• Provide exceptional customer service by educating patients on treatment estimates, insurance benefits, payment responsibilities, and account balances.
• Investigate and resolve delinquent and past-due accounts through proactive collection efforts, improving cash flow and reducing outstanding receivables.
• Submit and track dental insurance pre-authorizations to verify coverage, confirm patient benefits, and facilitate timely treatment approval.
• Verify patient dental insurance eligibility and accurately update Dentrix with annual maximums, deductibles, coverage percentages, frequency limitations, and correct electronic payer IDs to ensure clean claim submission.
• Prepare and submit patient collection notices while maintaining professionalism and compliance with office financial policies.
• Manage payment processing, patient collections, and account reconciliation while ensuring accuracy and confidentiality.
• Maintain organized billing documentation, monitor outstanding requests, and ensure timely follow-up on insurance and patient account inquiries.
• Communicate directly with dental insurance carriers to verify claim status, resolve billing discrepancies, submit requested documentation, and expedite claim processing and payment.
• Train and mentor new team members on dental billing procedures, Dentrix workflows, insurance verification, claims processing, payment posting, and office policies to ensure consistent accuracy and efficiency.

Benefits Coordinator - PCH Smiles Dentistry and Orthodontics - Torrance, Ca

(2018-09 - 2022-05)

• Greeted and welcomed patients, ensuring a positive first impression while assisting with patient registration, intake forms, and check-in procedures.
• Prepared and presented comprehensive treatment plans and financial agreements, including accurate HMO and PPO insurance estimates and patient financial responsibilities.
• Verified dental insurance eligibility and benefits prior to scheduled appointments, ensuring accurate coverage information, treatment estimates, and streamlined billing processes.
• Maintained accurate patient accounts by updating demographic, insurance, and billing information while documenting all account activity and communications.
• Provided exceptional customer service by addressing patient questions regarding treatment plans, insurance benefits, estimated out-of-pocket costs, and account balances.
• Submitted and tracked dental insurance pre-authorizations to obtain coverage approval and minimize delays in patient treatment.
• Coordinated treatment scheduling and financial presentations for specialty procedures performed by visiting Periodontists, Orthodontists, Endodontists, and Oral Surgeons, ensuring patients understood recommended treatment and financial obligations.
• Collaborated with general dentists, specialists, and administrative staff to deliver efficient patient care and maintain smooth front office operations.
• Represented the practice at community networking events, health fairs, and local outreach opportunities to build professional relationships, promote the practice, and support business growth through community engagement.

Front Office Administrator - Smile The Spa - Long Beach, Ca

(2014-01 - 2018-09)

• Greeted and welcomed patients, providing proper forms prior to treatment being rendered.
• Verified patient dental insurance to confirm and provide accuracy of coverage and estimated costs.
• Executed account updates and noted account information with billing status.
• Submitted pre-authorizations for all future treatments to determine if benefits were available.
• Obtained maximum reimbursement by following up on unpaid claims and reviewing monthly aging reports.
• Provided support to our entire back-office staff and leads with processes and tasks as needed in the absence of team members.
• Manage appointment and office scheduling and led weekly team meetings to discuss scheduled treatments with Dentist and employees.

Certificate - Dental - U.E.I (2013)

Robert A. Millikan High School