Kelly Wingate
Warren,RI
Summary
Driven Dental Case Management Analyst for a large dental insurance company. Recognized for enhancing efficiency and accuracy in claims review and processing. Proficient in MS Excel and Word and highly organized. I can multi-task while maintaining attention to detail. My ability to follow protocols and embrace constructive feedback has led to improved workflows and successful claims management.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Dental Case Management Analyst
Delta Dental of Rhode Island
08.2007 - 01.2024
- Reviewed clinical documentation to make a benefit determination on dental claims and appeals.
- Processed 100-150 claims per day
- Entered dental claims into the system and directed them to the proper work queues.
- Communicated with dental office via phone or e-mail.
- Constructed letters using Word and created spreadsheets using Excel.
- Researched and processed administrative appeals
- Identified and reported discrepancies to ensure accuracy of claims review.
- Improved operational efficiency by streamlining certain tasks within the department.
Education
Certificate in Dental Assisting - Dental Assisting
Community College of Rhode Island
Lincoln, RI05-2003
Skills
- Organized
- Multi-tasker
- Proficient in MS Word and Excel
- Attention to detail
- Follows protocol and guidelines
- Accepts constructive criticism
- Willing to learn new tasks
Certification
- Certificate of completion for General Transcription course 101 from Daily Transcription Academy - May 2025
Timeline
Dental Case Management Analyst
Delta Dental of Rhode Island
08.2007 - 01.2024
Certificate in Dental Assisting - Dental Assisting
Community College of Rhode Island
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