Sandra Robles
El Centro Dental Group
Imperial,CA
2
Languages
20
years of professional experience
Medical Billing Coordinator managing accounts receivable, reimbursement follow-up, and claim research across medical and insurance billing workflows. Analyzes denial trends, requests missing records and referrals, and takes action to keep claims moving through commercial and Medicare processes. Brings strong medical billing knowledge with bilingual English and Spanish communication for patient and payer follow-up.
Work History
Patient Accounting/Billing Coordinator
7 Years 6 Months- Review [number] claim records weekly to identify account issues, research denial trends, and support reimbursement.
- Research account trends to isolate recurring billing issues and route appropriate actions that keep work moving toward reimbursement.
- Coordinate with hospitals and external sources to obtain missing documentation and clarify account details for billing accuracy.
- Work with commercial and Medicare insurance guidelines to support compliant billing and timely claim resolution.
Receptionist/Insurance Clerk
12 Years 1 Month- Handle [number] patient calls daily while confirming appointments and directing routine front desk requests.
- Track 3 insurance claims weekly and follow up to support timely payment processing.
- Schedule dentist and specialist appointments, balancing chair time and patient flow across the office.
- Review waiting room status throughout the day to help keep patients moving on time.
- Verify insurance benefits, post billing payments, file charts, and maintain accurate patient history records.
Insurance Clerk/Head receptionist
4 Years 1 Month- Coordinated appointments for both the dentist and specialist. Routinely complete inventory, supply orders and restock supplies. Review status of waiting room on a routine basis to ensure that patients are being seen in a timely fashion. Answer phone calls and confirm dental appointments. Filed charts and processed billing payments. In charge of billing all Medical/Insurance claims. Trace claims on a daily basis to make sure they are being paid on a timely manner. Accurately collect and record patient medical and dental histories. Verify insurance benefits. Knowledge in working with Dentical. Presented treatment plans to patients.
- Scheduled patient and specialist appointments with attention to provider availability and visit coordination.
- Verified insurance benefits before visits and clarified coverage details for patients and families.
- Answered incoming calls, confirmed appointments, and directed questions to the appropriate office contact.
- Recorded patient medical and dental histories accurately in the charting system.
- Filed patient charts and maintained organized records for quick front office access.
- Submitted medical and insurance claims with supporting documentation and billing details.
- Reviewed explanation of benefits notices and identified missing information for follow-up.
- Requested outside records and handled incoming medical records requests for patient files.
- Supported billing documentation, claim audit review, and denial management tasks as needed.
- Restocked office supplies and coordinated routine inventory orders for front desk operations.
- Handled reception tasks with confidentiality and followed HIPAA and OSHA office practices.
Insurance Clerk/Medical Clerk
3 Years 7 Months- Processed medical and dental claims, posted billing payments, and supported timely insurance reimbursement.
- Filed charts accurately and recorded patient medical and dental histories to support complete office records.
- Verified insurance benefits and presented treatment plans to patients in English and Spanish.
Skills
Appointment scheduling
Insurance verification
Computer charting
Front office procedures
Bilingual communication
Medical billing
Claims follow-up
Accounts receivable management
Payment posting
Insurance claims processing
Patient records management
Medical records requests
Billing documentation
OSHA training
HIPAA compliance
Dental office procedures
Claim audit support
Denial management
Explanation of benefits review
Refund processing
Patient account resolution
Personal Information
- Title: Billing Coordinator/Insurance Clerk/Receptionist
- Work Permit: Authorized to work in the US for any employer
Languages
Spanish
C1
Advanced
English
C1
Advanced
Timeline
Patient Accounting/Billing Coordinator
ECRMC
04.2019 - CurrentRead More
Receptionist/Insurance Clerk
El Centro Dental Group
09.2014 - CurrentRead More
Insurance Clerk/Head receptionist
Neverland Kids Dental Care
08.2010 - 09.2014Read More
Insurance Clerk/Medical Clerk
Western Dental Centers
01.2007 - 08.2010Read More