Proactive Claims Specialist and Receptionist with extensive experience in managing high-volume claims, enhancing customer satisfaction through empathetic communication, and resolving complex issues. Skilled in insurance policies, patient care coordination, and maintaining strict confidentiality. Bringing strong organizational skills, critical thinking, and a professional demeanor to drive positive outcomes.
Overview
5
5
years of professional experience
Work History
Claims Specialist/Receptionist
Rocky View Family Dental & Implant Center
08.2023 - Current
Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Handled high-pressure situations with professionalism and composure, consistently achieving positive outcomes for both patients and the office.
Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Provided excellent customer service by promptly addressing patient inquiries via phone, email, or in-person interactions.
Provided excellent customer service to create positive experiences and build patient trust.
Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
Assistant Office Manager/Benefits Coordinator
Pacific Dental Services
04.2021 - 08.2023
Maintained a professional and welcoming atmosphere, fostering strong relationships with patients and encouraging referrals.
Maintained strict confidentiality of all patient records, ensuring compliance with HIPAA regulations and safeguarding sensitive personal information.
Effectively resolved patient concerns or complaints, maintaining excellent client relations and promoting ongoing customer loyalty.
Streamlined office operations by regularly evaluating workflows, identifying areas for improvement, and implementing necessary changes for increased productivity.
Established clear performance expectations for team members through goal setting sessions, regular performance reviews, feedback meetings, resulting in higher employee engagement levels.
Training Coordinator
Texas Roadhouse
09.2019 - 04.2021
Maintained accurate records of employee participation in training events, tracking progress towards learning objectives.
Collaborated with department managers to design customized training plans aligned with organizational goals.
Coordinated logistics for training events, including scheduling facilities, securing necessary equipment, and managing participant registration.
Provided ongoing coaching and mentoring support for employees seeking professional growth and development.
Managed daily operations to ensure a high level of efficiency, consistency, and quality in both food and service.
Oversaw employee hiring processes along with the management team.
Education
Associate of Arts - Fine Arts
Metropolitan State University of Denver
Denver, CO
12-2027
High School Diploma -
Colorado Connections Academy
Englewood, CO
05-2020
Skills
Multitasking Abilities
Problem-solving abilities
Adaptability
Claims
Confidentiality
Detail Oriented
Professionalism
Patient Care Coordination
Timeline
Claims Specialist/Receptionist
Rocky View Family Dental & Implant Center
08.2023 - Current
Assistant Office Manager/Benefits Coordinator
Pacific Dental Services
04.2021 - 08.2023
Training Coordinator
Texas Roadhouse
09.2019 - 04.2021
Associate of Arts - Fine Arts
Metropolitan State University of Denver
High School Diploma -
Colorado Connections Academy
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