Jenny Marquez
Baguio City
Summary
Results-driven Dental Billing Specialist with a strong record in managing high-volume claims across multiple locations. Expertise in minimizing claim rejections and ensuring accurate billing processes, contributing directly to operational efficiency and revenue maximization.
Overview
7
7
years of professional experience
Work History
Dental Billing Specialist
New York Family Dentistry
New York City
01.2025 - 06.2026
- Managed high-volume dental billing operations across 4 locations, consistently submitting 120+ clean claims daily and minimizing claim rejections.
- Verified patient insurance eligibility and benefits prior to appointments through communication with insurance carriers via phone, email, and online portals, ensuring accurate coverage confirmation and minimizing patient payment issues.
- Accurately posted insurance and patient payments, adjustments, contractual write-offs, and refunds based on EOBs and ERAs.
- Monitored claim status through payer portals and clearinghouses, executing timely follow-up on unresolved claims and payment delays to expedite revenue collection.
- Prepared and submitted claim appeals and supporting documentation to overturn denials, enhancing reimbursement outcomes.
- Monitored and maintained A/R aging reports, prioritizing 30–180+ day outstanding claims for prompt resolution.
- Support patients on private payment plans, including posting payments, managing declined payments, and handling patient AR.
Dental Insurance Coordinator
3C Dental
Remote
01.2021 - 01.2025
- Managed the end-to-end dental billing process for 6 multi-location dental offices, submitting 90+ clean claims daily while ensuring billing accuracy, timely reimbursement, and reduced claim denials.
- Verified patient benefits to ensure accurate eligibility, coverage, deductibles, copays, coinsurance, annual maximums, waiting periods, frequency limitations, missing tooth clauses, coordination of benefits (COB), and fee schedules.
- Managed 30–120+ day aging claims by following up on unpaid and denied claims, submitting appeals and corrections, and monitoring clearinghouse reports to promptly resolve rejected claims and optimize reimbursement.
- Coordinated with providers and front office staff to secure missing documentation and resolve billing discrepancies prior to claim submission.
- Achieved a 95% accuracy rate in dental claim auditing by verifying patient information, insurance benefits, clinical documentation, and payer requirements.
- Maintained accurate patient ledgers through efficient payment posting, adjustments, and reconciliation of insurance reimbursements.
Quality Control Auditor
Dental Claim Support
Savannah
02.2020 - 01.2021
- Verify accuracy, consistency, and completeness of billing data in compliance with company standards and industry regulations.
- Monitor compliance with healthcare regulations (including HIPAA) and ensure ethical and accurate billing practices.
- Assist in auditing key areas of the dental revenue cycle, including insurance claims, payment postings, and outstanding accounts.
- Collaborated with Quality Control Manager and team to identify discrepancies and recommend process improvements.
- Maintained audit documentation and supported report preparation for Quality Control Manager.
- Monitored trends, regulations, and best practices in dental revenue cycle management.
- Manage tasks independently while maintaining high accuracy, quality, and attention to detail.
Administrative Assistant
AYALA LAND CORP
Baguio City
03.2019 - 10.2020
- Coordinated office operations, communications, and document control to optimize daily workflow.
- Maintained accurate company records and databases while safeguarding confidential information.
- Facilitated client and internal correspondence and coordinated inter-department communications and meetings to enhance collaboration.
- Supported financial and administrative tasks, including petty cash preparation, billing reconciliation, and receipt monitoring.
- Managed tenant documentation, including contract reviews, renewals, and collection of required reports.
- Trained and supported new and junior staff on procedures and company systems to improve onboarding and ensure consistency.
Education
Bachelor of Science - Business Administration
University of The Cordilleras
01-2016
Skills
- Dental Insurance & Billing Expertise
- Attention to Detail & Compliance
- Open Dental
- Effective communication
- Quality Control & Compliance Awareness
- Administrative & Organizational Skills
- Technical Proficiency
- Data Management & Documentation
- Dentrix Ascend
- MS Office Suite (MS Word, Excel, PowerPoint, G-suite)
Languages
English, Advanced (C1)
Timeline
Dental Billing Specialist
New York Family Dentistry
01.2025 - 06.2026
Dental Insurance Coordinator
3C Dental
01.2021 - 01.2025
Quality Control Auditor
Dental Claim Support
02.2020 - 01.2021
Administrative Assistant
AYALA LAND CORP
03.2019 - 10.2020
Bachelor of Science - Business Administration
University of The Cordilleras