Maribel Guzman

Dental professional with 5+ years of experience supporting dental practices through treatment coordination, insurance, patient financial communication, billing, and practice operations. Experienced working remotely with multiple dental practices, collaborating with providers and office teams, and helping patients understand treatment recommendations, insurance benefits, and financial responsibility. Strong technical aptitude with experience across multiple dental practice management systems and a proven ability to learn new workflows, train team members, and adapt to evolving technology.

Contract Dental Billing Specialist - WISDOM - Remote

(2026-01 - 2026-08)

Supported multiple dental practices remotely, independently managing dental insurance billing workflows, claim activity, and office communications.

• Managed insurance claims from submission through payment and resolution while maintaining accuracy across multiple client practices.
• Communicated with dental office teams regarding claim issues, missing information, insurance requirements, and billing follow-up.
• Prepared daily, weekly, and monthly reports for client practices covering claim activity, payments, outstanding balances, and collection progress.
• Adapted to different practice workflows, systems, and operational requirements while managing multiple priorities in a fully remote environment.
• Posted insurance payments from paper checks, EFTs, and VCCs and reconciled EOBs against patient accounts.
• Managed insurance A/R follow-up, researching unpaid claims and communicating with insurance carriers to resolve payment issues.

Insurance & Billing Coordinator - SOUTHERN ORTHODONTIC PARTNERS (SOP) - Remote

(2025-07 - 2026-01)

Managed the complete dental insurance revenue cycle, including verification, benefits interpretation, claim creation and submission, payment posting, denial resolution, appeals, and reconciliation.

• Submitted and monitored claims through clearinghouses, resolving rejected claims, missing documentation, submission errors, and payer issues.
• Reviewed EOBs, patient ledgers, clinical documentation, and insurance records to identify discrepancies and maintain accurate account balances.
• Supported Treatment Coordinators with insurance benefits, patient responsibility explanations, and treatment plan financial information.
• Trained Treatment Coordinators on presenting treatment for in-network insurance patients, including benefits interpretation, coverage limitations, and patient financial responsibility.
• Worked remotely while collaborating with dental offices and providers and adapting to evolving workflows and operational needs.

Insurance / Treatment Coordinator - SMILES ON WELLS

(2023-12 - 2025-07)

• Guided patients through recommended treatment by explaining treatment plans, insurance benefits, estimated financial responsibility, and next steps.
• Verified and communicated dental insurance benefits, coverage limitations, and patient responsibility.
• Managed primary and secondary electronic dental claims from submission through payment and followed up with carriers regarding unpaid, pending, rejected, and denied claims.
• Reviewed EOBs, researched billing discrepancies, and updated patient ledgers to maintain accurate insurance payments and account balances.
• Trained and onboarded new team members on dental insurance workflows, claim submission, patient account management, and practice management systems.
• Utilized Oryx for claim submission, A/R management, EOB reconciliation, and patient account documentation.

Insurance Coordinator - HUTTO PREMIER DENTISTRY

(2021-01 - 2022-11)

• Supported treatment planning by verifying patient insurance eligibility, benefits, and coverage limitations.
• Assisted patients in understanding insurance coverage and estimated financial responsibility related to recommended treatment.
• Submitted and tracked dental insurance claims and followed up with insurance carriers regarding outstanding claims.
• Reviewed EOBs and applied insurance payments accurately to patient accounts.
• Communicated with insurance carriers to resolve claim issues and clarify benefits.
• Collaborated with the dental team to support accurate treatment planning and patient communication.

Pflugerville High School