Candidate #293318
1-Week Notice
Brief Introduction
The candidate has extensive experience in insurance verification and customer service roles, including positions at Dentistry Support, Vector Outsourcing Solutions Phils, and ISTA Solutions, Inc. In these roles, they have demonstrated proficiency in verifying insurance coverage, communicating insurance benefits to patients, and maintaining accurate records using practice management software. Additionally, they have experience in front-line customer service, cash management, cargo checking, sales, and supervisory roles, showcasing their versatility and adaptability. They are skilled in using various systems such as CLICK UP, CENTRAL REACH, and practice management software, as well as possessing knowledge of basic ICD-10, CPT, and ADA dental codes.
Skillset
- No work experience
- Hospital
- Patient Charts
- ICD-10
- Dental insurance
- Patient Scheduling
- Insurance Verification
- Insurance Policies
- Problem Solving
- Customer Liaison
- Front End
- Troubleshooting
- Specifications
Work Experience
Client Intake Specialist
Apr 2023 - Jan 2025
- Reviews demographics pulled from hospital system and assigns insurance plans to each patient chart Enters all patient information accurately prior to chart being coded Corrects any errors based on insurance billing requirements Adds and maintains insurance information within system through proper research Identifies any 'Red Flag' issues and provides proper research to deliver a solution Provides support for any major projects within department Performs internet research to determine insurance presented is legitimate Review volumes of spreadsheet data, sent facilities, to determine insurance crosswalks that need to be made Compares insurance information, provided by the facilities Performs special projects and other duties as assigned Tools: CLICK UP AND CENTRAL REACH. Credentialing (for healthcare providers) Experience basic ICD-10 and CPT codes Reason for leaving: Career Advancement
Consultant (Dental Insurance),
Jan 2022 - Jan 2023
- Verify dental insurance coverage for all scheduled patients prior to their appointments
- This includes but is not limited to dental benefits, deductibles, co-payments, and coverage limits
- Confirm the patients' eligibility for dental services, ensuring they are active and covered by their respective insurance plans. Clearly communicate the details of patients' insurance benefits to them, outlining coverage levels, limitations, and any pre-authorization requirements
- Maintain organized and up-to-date records of insurance verification details for each patient, using the dental office's practice management software. Keep abreast of changes in dental insurance policies, coverage guidelines, and industry trends to ensure accurate and up-to-date information is provided to patients Have knowledge in ADA dental codes
Dental Insurance Verificarion Specialist
Jun 2019 - Feb 2022
- Verify dental insurance coverage for all scheduled patients prior to their appointments
- This includes but is not limited to dental benefits, deductibles, co-payments, and coverage limits
- Confirm the patients' eligibility for dental services, ensuring they are active and covered by their respective insurance plans. Clearly communicate the details of patients' insurance benefits to them, outlining coverage levels, limitations, and any pre-authorization requirements
- Maintain organized and up-to-date records of insurance verification details for each patient, using the dental office's practice management software. Keep abreast of changes in dental insurance policies, coverage guidelines, and industry trends to ensure accurate and up-to-date information is provided to patients Have knowledge in ADA dental codes.
Front Line Associate
Mar 2018 - Apr 2019
- Responsible for welcoming customers, providing them with guidance & help in processing their transactions
- Another aspect of your role is to ensure that all transactions are performed in accordance with our compliance rules and you will professionally deal with customers inquiries promptly
- Problem-solving skills Experience in cash management
LCL checker
Jun 2015 - Jan 2017
- Compiles records of amount, kind, and condition of cargo loaded on or unloaded from ship: Verifies amount of cargo against lists compiled from bills of lading or shipping manifests
- Measures and records dimensions of cargo and computes cubic feet required for stowage aboard ship Records condition of damaged cargo unloaded from ship.
Van Salesman
Apr 2014 - Aug 2014
- Develop customers and grow sales by locating and securing sales opportunities; maintaining existing sales relationships; planning and tracking sales activities; contacting leads; researching, developing, closing and managing sales opportunities Develop and maintain relationships with existing customers; build long-term, mutually beneficial, and mutually profitable customer relationships Maintain knowledge of all products and provide sales support to customers, including presentations, demonstrations, and quotes Contribute to company sales goals and plans by achieving monthly and quarterly sales targets
Island Development Supervisor
Dec 2011 - Dec 2013
- Assist content developers with troubleshooting front-end coding and browser compatibility issues Ensure team adherence with brand standards and all proper coding standards Other responsibilities include managing material costs at all levels and part quality at component Responsible for departmental communications through regular meetings, email Manages and monitors problem resolution by determining urgency of problems/issues and assigning and assisting team members in troubleshooting Works within project specifications to meet goals and objectives in a timely and accurate manner
Education
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Degree: Bachelor of Science in Business Administration
Major: Duration: Jun 2007 - Mar 2011