Driven insurance professional, prepared to bring extensive experience in claims analysis and resolution. Proven track record in handling intricate cases with precision and ensuring fair settlements. Valued team player with focus on results, known for adaptability and reliability.
Overview
10
10
years of professional experience
Work History
Insurance Verification Specialist
Prosperity Park Center For Dentistry
08.2023 - Current
Provided timely assistance to customers via phone, email, and live chat channels, ensuring a high level of professionalism at all times.
Improved case resolution rates by conducting thorough investigations and collecting relevant evidence.
Monitored outstanding invoices and performed collections duties.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Assured timely verification of insurance benefits prior to patient procedures or appointments.
Made contact with insurance carriers to discuss policies and individual patient benefits.
PRN
Fresh Dental
01.2020 - 07.2023
Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
Responded to customer requests for products, services, and company information.
Met customer call guidelines for service levels, handle time and productivity.
Referred past due payments to collections department.
Completed appeals of denied claims on patient bills.
Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
Handled escalated customer concerns regarding claim denials or delays with empathy and professionalism.
Responded to customer inquiries, providing detailed explanations of insurance policies and claims processes.
Calculated adjustments, premiums and refunds.
Followed up with customers on unresolved issues.
Lead Front Desk Receptionist
Mark Oliver DDS
02.2015 - 01.2020
Provided ongoing mentoring and coaching to junior team members, enabling their skill sets to grow and contribute positively towards successful departmental outcomes.
Resolved guest complaints with professionalism, empathy, and a solutions-focused approach, fostering a positive reputation for the hotel.
Trained new receptionists in company policies, software usage, and standard operating procedures to ensure consistency in service quality.
Welcomed customers with friendly greeting, answered general questions, gathered nature of visit and directed to specific offices.
Confirmed appointments, communicated with clients, and updated client records.
Resolved customer problems and complaints.
Scheduled, coordinated and confirmed appointments and meetings.
Collected room deposits, fees, and payments.
Education
High School Diploma -
Patrick Henry High School
Roanoke, VA
06.2002
Skills
Complaint Handling
Referral Coordination
Email management
Attention to Detail
Microsoft Windows and Office
Customer Service
Teamwork and Collaboration
Organizational Skills
Tracking and Documentation
Claims review
Research abilities
Timeline
Insurance Verification Specialist
Prosperity Park Center For Dentistry
08.2023 - Current
PRN
Fresh Dental
01.2020 - 07.2023
Lead Front Desk Receptionist
Mark Oliver DDS
02.2015 - 01.2020
High School Diploma -
Patrick Henry High School
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