Mechelle F. Almeda
Dubai,U.A.E
Summary
Experienced and highly organized Dental Insurance Coordinator with over 5 years of hands-on experience in managing dental insurance operations within fast-paced clinical settings. Proven expertise in verifying patient eligibility, processing claims, securing pre-authorizations, and ensuring timely reimbursements. Adept at navigating complex insurance policies, maintaining accurate records, and serving as a reliable liaison between patients, providers, and insurance carriers. Recognized for strong communication skills, meticulous attention to detail, and a commitment to maximizing patient benefits while supporting the financial health of the practice. Demonstrates a deep understanding of industry regulations, with a proactive approach to problem-solving and continuous process improvement.
Overview
7
7
years of professional experience
4
4
years of post-secondary education
1
1
Certification
Work History
Dental Insurance Coordinator
Canadian Specialized Dental Center
DHCC-Dubai, U.A.E
11.2023 - 03.2025
- Coordinate and communicate with insurance companies regarding patient eligibility, coverage details, pre-authorizations, approvals, payments, and reconciliations.
- Responsible for coordinating and supporting initiatives relative to the evaluation, processing, and handling of claims for an organization.
- Acts as a liaison between the organization, insurance provider & policy holders regarding the status and eligibility for Dental coverage.
- Responsible for filing and tracking insurance claims and informing patients of their claim's status.
- Prepares insurance forms and associated correspondences.
- Maintains strict confidentiality related to insurance records and other data.
- Ensuring coverage of claims, guiding staff for correct use age of claim forms, approval papers.
- Coordinating with insurance companies for obtaining information on new policies and their coverage.
- Provide insights and recommendations to management on insurance trends, challenges, and operational improvements
Medical Receptionist Cum Insurance Coordinator
Dental Club Clinic
Dubai
12.2019 - 10.2023
- Greets and welcomes visitors and patients to the clinic; makes them comfortable while taking information regarding their visit to the clinic.
- Responsible for scheduling appointments, keeps patient's information updated on the system at all times.
- Acknowledges to patient queries and concerns in a professional, efficient and friendly manner, furnishing accurate information and guidance as needed.
- Assisting patients by calling the Insurance benefits and eligibility.
- Responsible for obtaining approval for Dental procedures.
- Responsible for claims submission, Pre- Authorization, rejection & all sort of Dental Insurance Approval.
- Knowledgeable in Using E-Claims Portal.
- Coordinating and follow ups the third party for the pending approvals through phone and emails.
- Responsible for determining the reasoning for insurance denials and providing timely feedback to resolve the issues.
- Prepare a reimbursement form for a non -direct billing patients.
- Verifies financial records and collects patient charges while filing and expediting third-party claims.
- Insurance billing.
- Prepare DHA Sick leave as per Patients Request.
- Prepare Monthly Statistics Report as per DHA requirements.
- Safeguards patient privacy and confidentiality.
Admin/HR Assistant
EuroPro Technical Services
Dubai
07.2018 - 11.2019
- Perform a wide variety of tasks -usually includes standard clerical duties such as answering incoming inquiries, managing appointment calendars and filing.
- Human Resources tasks- Coordinate with the company’s PRO for the processing and renewal of visa as well as the stamping of passports.
- Medical and Life Insurance (EBP and Enhanced Plan) – Apply for renewal, new employees and cancel the resigned employees to the broker.
- Renewal of business permits, Office rentals & Company cars registrations & policy.
- Leave Management – Timely maintenance of leave management system, e.g (Vacation summary, Absenteeism & Sick leave summary).
- Responsible for daily accounting activities pertaining to the recording of expenses, accruals, prepayments, advances, prepare quotations & Tax Invoicing, payment vouchers, receipts, & Cheques).
- Payroll Management – Monthly attendance & Overtime for payroll submission, Preparation and processing of Payroll monthly through WPS.
- Quarterly VAT filling- FTA.
- Maintain proper filing of accounting documents for record keeping.
- Maintain accurate records of all sales and accounting related activities.
Education
Bachelor of Science - Computer Science
Surigao Del Sur Polytechnic -State University
Cantilan, Surigao Del Sur 01.2002 - 01.2006
Skills
- Customer Service
- Computer Savvy
- Skilled Multi-tasker
- Database Administration
- Adaptable
- Marketing
- Robust Communication Skills
Certification
- Medical Coding - CPT, ICD-10 & HCPCS
- Dental Coding
Languages
English
Tagalog
Personal Information
Title: Dental Insurance Coordinator
Custom
- Reading
- Travelling
- Art & Music
- Outdoor Activities
- Self-Development
Affiliations
- • Reading • Travelling • Art & Music • Outdoor Activities • Self-Development
Timeline
Dental Insurance Coordinator
Canadian Specialized Dental Center
11.2023 - 03.2025
Medical Receptionist Cum Insurance Coordinator
Dental Club Clinic
12.2019 - 10.2023
Admin/HR Assistant
EuroPro Technical Services
07.2018 - 11.2019
Bachelor of Science - Computer Science
Surigao Del Sur Polytechnic -State University
01.2002 - 01.2006
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