Hi!
I'm
As an Insurance Eligibility and Claims Specialist, my task includes catering to inbound calls from policyholders, healthcare providers, and other insurance companies regarding a patient's Breakdown of Coverage( Insurance Verification) and approved/denied claim details( Claim Review). I am also one of the Lead “go-to” people for new representatives and particularly challenging calls as one of the company’s primary mentors/support for new and established employees.
Skill set and Expertise:
Knowledgeable about Dental Insurance, including ADA codes. Dental Insurance breakdown, Assess Dental Insurance Claims, HIPAA Compliant, Dental insurance credentialing, Follow-up claims, Detail-oriented and organised, Uploading completed insurance verification forms. Maintain accuracy on patient insurance records, Proficient with data entry. Explaining insurance benefits to patients, Customer Care, Data Entry, Online Research.
Dental Software and Tools I use:
Google Docs, Ring Central, Slack, Microsoft Excel, Open Dental, Asana
I hope to bring my industry expertise and experience to a business/company like yours, where I can contribute to growth and success.
Thank you for taking the time to review my profile. Please don't hesitate to contact me if you need any additional information.
For your success,
Experience: 5 - 10 years
Worked as an insurance specialist for 9 years. Verifying patients' eligibility over the phone and processing claims. Also specialized in dentist credentialing status and updates.
Experience: 1 - 2 years
Verify dental insurance and patients' dental breakdown of the benefits over the phone before office appointment.
Experience: 5 - 10 years
The Dental Insurance Verifier verifies patient insurance coverage, benefits, and eligibility before dental appointments. This role ensures accuracy in billing, prevents delays in claim processing, and provides patients with detailed benefit information regarding their dental treatments.
Experience: 6 months - 1 year
I worked as a data entry (Gathering information from different insurance companies to check dentist's affiliations). I'm Fast learner and can work with a minimum supervision.
Experience: 6 months - 1 year
Credentialing Process for Dental Providers
Onlinejobs.ph "ID Proof" indicates if "they are who they say they are".
It DOES NOT indicate skill level.
ID Proof scores are 0 - 99 with 99 being the best. It is calculated based on dozens of data points.
It's intended to help employers know who they're talking to is real, and not a fake identity.