Kavya Venigalla
Burnaby
Summary
Detail-oriented Dental Insurance Coordinator with 5+ years of experience in healthcare administration, specializing in dental claims processing, insurance coordination, and revenue cycle management. Expertise in OHIP & Dental Billing, MVA, WSIB, RAC patients, and compliance with industry regulations. Adept at optimizing workflow efficiency, minimizing claim denials, and enhancing financial performance through strategic problem-solving. Proficient in Dentrix, ClearDent, MS Office, and EMR OSCAR.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Billing & Insurance Specialist
Eagle Creek Dental Centre
02.2024 - 09.2024
- Processed and submitted insurance claims with 98% accuracy using Dentrix, ensuring timely reimbursements and reducing claim rejections.
- Verified patient insurance eligibility, coordinated benefits, and ensured accurate claim submissions.
- Conducted comprehensive follow-ups on denied claims, successfully recovering outstanding payments.
- Trained office staff on Dentrix billing software, insurance protocols, and best practices, enhancing operational efficiency.
- Filed and tracked insurance claims and communicated claims status to patients.
- Maintained compliance with HIPAA, CDT coding, and insurance regulations, ensuring adherence to industry standards.
- Maintained high standards of customer service by building relationships with clients.
Dental Treatment Coordinator
Deer Water Dental Wellness
02.2024 - 08.2024
- Managed full-cycle dental billing, including claims processing, invoicing, and payment reconciliation using ClearDent.
- Followed up on outstanding claims and discrepancies, working closely with insurance companies to resolve issues.
- Understood dental terminology and insurance breakdowns to communicate with external stakeholders.
- Researched billing issues, scheduled appointments and verified insurance coverage.
- Scheduled and coordinated patient appointments, optimizing provider availability while maintaining efficiency.
- Assisted in financial reporting and account audits to ensure compliance with insurance policies and CDT coding standards.
Dental Insurance Coordinator
Monarch Dentistry
01.2022 - 02.2024
- Identifying denied claims and interacting with insurance companies to determine the root cause
- Implemented audits of patient accounts to ensure our accuracy rate is above 95%
- Consistently meet established productivity, schedule adherence & quality standards
- Verified billing coding compliance by set performance and standards
- Collected, posted, and managed patient account payments
- Assist with monthly reporting, analysis & data querying
- Coded and processed claims forms for payment ensuring all information is supplied before eligible payments are made
- Communicating with dental insurance (both private & government) providers to determine if patients are required to make co-payments
- Processing insurance payments and refunds
- Provide expertise or general claims support by reviewing, researching, investigating, negotiating, processing & adjusting claims
- Handled adjustments and any discrepancies identified including billing errors
- Managing late payments and overdue accounts by investigating past-due invoices & delinquent accounts
- Prepared insurance claims for submission to insurance companies.
- Explaining insurance benefits to patients & responding to issues related to benefit eligibility
- Proved successful working within tight deadlines
Resident Dentist
Amrutha Dental Hospital
08.2017 - 09.2019
- Performed minor dental procedures while overseeing clinic operations, staff coordination, and patient management.
- Educated patients on proper oral hygiene for disease prevention and oral health promotion.
- Collaborated with physicians to establish a reliable referral pipeline for comprehensive patient care.
- Managed billing, patient records, and data privacy, ensuring compliance with healthcare regulations.
- Directed staff handling patients' cleanings and support work for more advanced procedures.
Education
Post Graduation Diploma - Health Care Administration & Service Management
Conestoga College Institute of Technology And Advanced Learning
Brantford, ON04.2021
Bachelor of Dental Surgery -
Siddhartha Institute of Dental Sciences
Andhra Pradesh, India09.2019
Skills
- Dental terminology
- Billing Statement Management
- General Ledger entries
- MS Office (Excel, Outlook, Word, Sharepoint)
- Account audit coordination
- Social Security & Medicaid systems
- Payroll Liabilities
- Payment transactions
- Discrepancy reconciliation
- Account collections
- Auditing Proficiency
- Performance Metrics
- DENTRIX & CLEARDENT
- OHIP Billing
- Records management
- Invoice Documentation Management
- Account management
- Financial planning
Certification
- CPR
- WHIMS
- IPAC
Timeline
Billing & Insurance Specialist
Eagle Creek Dental Centre
02.2024 - 09.2024
Dental Treatment Coordinator
Deer Water Dental Wellness
02.2024 - 08.2024
Dental Insurance Coordinator
Monarch Dentistry
01.2022 - 02.2024
Resident Dentist
Amrutha Dental Hospital
08.2017 - 09.2019
Post Graduation Diploma - Health Care Administration & Service Management
Conestoga College Institute of Technology And Advanced Learning
Bachelor of Dental Surgery -
Siddhartha Institute of Dental Sciences
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