SASHA SERNA
Salt Lake County
Summary
Analytical Medical and Dental Insurance Coordinator offering 3 years of experience within fast-paced, high-volume environments. Highly competent in efficiently verifying, coordinating and processing insurance payments. Skilled in quickly resolving issues and liaising between insurance providers, companies and policyholders.
Overview
8
8
years of professional experience
Work History
Dental Insurance & Credentialing Specialist
Utah Smile Clinic
07.2022 - 07.2024
- Obtained NPI numbers for providers and facilities and updated existing profiles.
- Verified accuracy of accounts payable payments.
- Used data entry skills to accurately document and input statements.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Verified insurance and communicated coverage to staff and patients.
- Obtained prior authorization and precertification for outpatient procedures.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Filed and tracked insurance claims and communicated claims status to patients.
Patient Service Representative
Intermountain Healthcare
03.2021 - 05.2022
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Assisted patients in filling out check-in and payment paperwork.
- Verified insurance eligibility and coverage for patients.
- Answered incoming calls, scheduled appointments and filed medical records.
- Stayed calm under pressure to and successfully dealt with difficult situations.
Customer Service Representative
JCPenney
06.2018 - 02.2021
- Acted as first point of contact and set appointments for prospective clients.
- Handled complaints and questions, and re-directed calls to other team members.
- Completed order information by filling out order forms and handling cash advances and receipts.
- Liaised with suppliers and vendors for prompt delivery of orders.
- Communicated with customers to address order inquiries, changes and cancellations.
- Assisted customers by providing tracking information and resolving shipping or merchandise issues.
- Input order information into system and updated customer accounts to document and track customer orders.
Customer Service Representative
Black Turtle Services
01.2017 - 02.2018
- Cross-trained and backed up other customer service representatives.
- Adhered to company policies and scripts to consistently achieve call-time and quality standards.
- Helped large volume of customers every day with positive attitude and focus on customer satisfaction.
- Escalated complicated customer account issues to supervisors and help desk workers.
- Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
- Completed customer applications and updated records to reflect current information.
- Processed insurance policy cancellations and renewals quickly to meet call time targets.
Education
Certificate -
Salt Lake Community College
Salt Lake City, UT07-2023
GED -
Mount Toro High School
Salinas, CA06-2008
Skills
- Strategic thinking skills
- Claims processing
- Medical billing and coding
- ICD-10 coding
- Insurance processes
- Call triaging
- CRM software
- Scheduling
- Insurance benefits verification
- Medical terminology
- Data entry proficiency
- Credential verification
Timeline
Dental Insurance & Credentialing Specialist
Utah Smile Clinic
07.2022 - 07.2024
Patient Service Representative
Intermountain Healthcare
03.2021 - 05.2022
Customer Service Representative
JCPenney
06.2018 - 02.2021
Customer Service Representative
Black Turtle Services
01.2017 - 02.2018
Certificate -
Salt Lake Community College
GED -
Mount Toro High School
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