Vivian Craighead
Elk Grove
Summary
Seeking an opportunity where I can use my excellent communication and organizational skills to ensure the best quality of care for patients. Convey a professional image of honesty, compassion, enthusiasm, and concern for patients' needs. Over 20 years of cross training proficiency in front and back-office environments, strong planner and problem solver who can work independently as well as becoming a valuable member to be part of a team.
Professional claims analyst with proven track record in evaluating, processing, and resolving insurance claims. Strong focus on team collaboration and adaptability, ensuring seamless operations and optimal outcomes. Highly skilled in data analysis, risk assessment, and customer service, consistently delivering reliable and efficient results. Known for excellent problem-solving abilities and maintaining high standards in all tasks.
Overview
21
21
years of professional experience
Work History
Professional Claims Analyst/CX healthcare Operations
Gainwell Technologies
04.2024 - Current
- Evaluate dental claims, adjustments, and prior authorization requests against Medi-Cal Dental criteria
- Generate requests to dental providers for missing claims information
- Confirm that claims documentation is complete, and complies with policy, and refer documents to dental professionals when required
Patient Care Coordinator/Former Lead Registered dental assistant
Dr. Lydia Cam DDS
09.2021 - 04.2024
- Oversee aspects of dental practice by organizing schedules and duties of employees
- Responsible for administrative duties; scheduling patients, answering telephones
- Arrange financial agreements for patients
- Assist in handling incoming calls, scheduling appointments, greeting patients as they arrive, confirmation calls, scanning of patient documents into smart doc, ensuring appropriate paperwork is given at check in and check out
- Use Dentrix to coordinate all specialist referrals and manage status of each case
- Please kindly refer below, Dr.Cam purchased Dr.Lehman’s practice
- All duties performed
Lead Registered dental assistant
Dr. David Lehman DDS
10.2018 - 09.2021
- Performed all RDA duties and assisted with crowns, fillings, implants, etc
- In charge of all supply purchasing and inventory
- Knowledge SoftDent and VinWx
- Performed sterilization and OSHA compliant with back office
- Front office duties including posting day sheet/payments
- Great rapport with patients in establishing communication for treatment needed and following up
- Able to answer, confirm, schedule, and set up treatment plans for patients
- Manages doctors time in accordance with daily appointments to provide a smooth schedule
- Assist hygiene with Perio charting and x-rays
RDA
Dr. Christy Rollofson DDS
08.2018 - 10.2018
- Insures and reviews completion of documentation, including but not limited to accurate and current medical history, and signed consent forms
- Proficient use of Dentrix and Dexis software
- Effectively assist with all procedures and perform all RDA duties
- Provides dental education to patients
- Comply with all OSHA guidelines
- Perform all aspects for sterilization of rooms and equipment
- Assist hygiene with Perio charting
- Able to perform and capture diagnostic x-rays
Lead Registered dental assistant
Dr.Ngai and Dr.Phipps
10.2017 - 08.2018
- Assist Dr
- In all procedures including OZONE Therapy
- Software program used is Open Dental
- Tiger View program for dental x-rays
- Efficiently uses ISOLITE device
- Uses CariVue on patients daily
- Follows OSHA protocols for all sterilization of instrument/equipment
- Ability to take blood pressure in a timely manner
- Set up/tear down rooms
- Able to build rapport with patients to help establish clientele
Dental Hygienist/RDA
Convalescent Care Center
11.2012 - 09.2017
- Conducts dental assessments which include the condition of the oral cavity, teeth, and supporting structure, the presence or absence of teeth or dentures, and the ability to function with or without teeth which are reviewed and signed by a dentist and myself
- Maintains a monthly schedule with the Ward Clerk, recommending needed services to the Dentist
- Presents an annual report on findings and recommendations to the quality-of-care committee at the Convalescent Care Center
Lead Registered dental assistant
Dr. William F. Thiele DDS
08.2004 - 07.2017
- Duties and expectations included supporting and assisting Dr.Thiele with all aspects of dental procedures such as fillings, digital x-rays, implants, oral surgery, root canals, and cosmetic dentistry including a strong emphasis on patient education
- Extremely versed with rubber-dam placement
- Eaglesoft software knowledgeable as well with Casey education for patients and post operative instructions
- Adept in sterilization protocol and properly practice OSHA requirements
- Preparation and breakdown of multiple operatories in a fastidious manner with efficiency
- Takes alginate impressions and pours up models in accordance with what they are being used for
- Four handed/chair side dental assisting Perio charting with the dental hygienist
- Order dental supplies and materials; maintain stock in accordance with monthly budget
- Performed administrative duties which included phone management, customer service, scheduling appointments and confirming
- Reviewing treatment plans and cost with patients
- Keys in checks and takes payments from patients
Education
Lompoc High School Graduate -
Lompoc High School
08.2005
Skills
- Claims
- Claims analysis
- Interpersonal and written communication
- Policy interpretation
- Data interpretation
- Dispute tracking
- Claim investigation
- Document workflow
Acknowledgements
- Team Manager for 2006-DPL soccer team for Elk Grove Soccer
- AYSO Sponsor Director 2016-2017
Timeline
Professional Claims Analyst/CX healthcare Operations
Gainwell Technologies
04.2024 - Current
Patient Care Coordinator/Former Lead Registered dental assistant
Dr. Lydia Cam DDS
09.2021 - 04.2024
Lead Registered dental assistant
Dr. David Lehman DDS
10.2018 - 09.2021
RDA
Dr. Christy Rollofson DDS
08.2018 - 10.2018
Lead Registered dental assistant
Dr.Ngai and Dr.Phipps
10.2017 - 08.2018
Dental Hygienist/RDA
Convalescent Care Center
11.2012 - 09.2017
Lead Registered dental assistant
Dr. William F. Thiele DDS
08.2004 - 07.2017
Lompoc High School Graduate -
Lompoc High School
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