Media Riders for Managed Care Dental of North America call center representative/Liberty Dental
Dental Specialist
03.2025 - Current
Job overview
Dental Customer Service Representative/Patient Service Representative WFH:
This role involves being the first point of contact for patients, managing appointments, handling inquiries about services, insurance, and payments, and providing excellent customer service.
A role that combines customer service, administrative duties, and clinical support, ensuring smooth clinic operations and positive patient experiences.
Focuses on handling incoming and outgoing calls, scheduling appointments, verifying insurance, and providing information about dental services, often with language fluency requirements (e.g., Spanish).
Customer Service: Providing exceptional service, building rapport, and resolving patient concerns are vital.
Empathy and Compassion: Especially important for working with potentially anxious patients.
Mindlance/Cardinal Health
Managed Care Specialist
07.2024 - 12.2024
Job overview
Fostered collaboration with key stakeholders in managed care industry to enhance partnerships.
Evaluated plan offerings and recommended adjustments based on market trends and client needs.
Negotiated contracts with healthcare providers, ensuring cost-effective services for clients.
Provided feedback on provider performance metrics to drive organizational improvement initiatives.
Developed training programs for new hires to ensure familiarity with company policies and procedures.
Implemented data-driven strategies to improve patient health outcomes within managed care network.
Championed continuous improvement culture, motivating team members to pursue excellence in managed care services.
Monitored managed care industry trends to anticipate changes and develop effective solutions.
Collabera Temp/Magellan
Administrative Assistant
06.2022 - 01.2024
Job overview
Work from home. Responsible for assigning cases for incoming referrals to Outreach and Engagement team. Supports
Outreach and Engagement supervisors with administrative tasks and data collection. Responsible for flagging and assigning urgent referrals for immediate outreach. Supports the Outreach and Engagement team’s administrative needs to achieve operational excellence.
Works collaboratively with engagement specialists and other clinical operations team staff to ensure comprehensive and coordinated delivery of services for members.
Supports operational activities, including data collection, tracking and analysis.
Flags follow-up requests from Health Plans to Outreach and Engagement supervisors.
Provides administrative support to the team as required.
Assumes responsibility for self-development and career progression, proactively seeking and participating in position base training (formal and informal).
Responsible for staying informed of ever-changing information to maintain accuracy when dealing with Staff and Health
Plans.
Assist in the mentoring and training of new team members.
General Dynamics Information Technology
Customer Service Specialist
04.2021 - 06.2022
Job overview
Work from home
Healthcare claims/CSR
Answer incoming phone calls on behalf of client; provide accurate and appropriate information to callers
Assist customers by researching issues, exploring answers, and providing information and alternative solutions
Place outbound customer service or customer satisfaction calls, as required by client
Complete call guides; gather and verify required information
Attend telephone skills and program information training sessions; adhere to established levels of service
Adhere to established customer service and documentation standards within required time frames
Adhere to contact center scheduling, ensures telephone coverage during contact center hours of operation
Answers inquiries and updates patient accounts as necessary.
Perform clerical or administrative duties as assigned.
Collected and documented orders
Worked in the inbound call center
Created call center scripts
Assisted customers via live chat
Responded to inquiries and issues
Inventoried spreadsheets
Humana Insurance
Billing Clerk / Customer Service
06.2019 - 12.2020
Job overview
Work from home, took inbound calls from seniors with Humana insurance. Inquiries. Verified callers, assist callers Verified billing statements and collected payments as checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate database. Provided excellent customer service. Provide inquiries by phone, mail, or fax.
Ensured that payment for medical services was received in a timely manner.
Caddo Parish School Board
Teacher Aide / Assistant
11.2013 - 09.2020
Job overview
Assist the classroom teacher in the general supervision and management of the children and the implementation of the daily program.
Remain sensitive to the needs of others and related well with children and co-workers.
Preserve and respect the confidentiality of student and school personnel information.
Ensure adequate supervision to assure the health, welfare, and safety of all students.
Samaritan Counseling
Medical Billing Associate
10.2013 - 02.2014
Job overview
Provided customer service to insurance providers and their members.
Ensured the billing, collection, posting of payments, medical records received and outgoing mail was delivered.
Processed denials and appeals and.
Performed billing using CPT codes and converted medical records into the system.
Completed clerical duties, reviewed the explanation of benefits with patients, and interviewed patients to update medical records.
Christus Schumpert Medical Hospital
Revenue Cycle Analyst/CSR
04.1996 - 08.2013
Job overview
I provided excellent customer service for internal and external customer service. Provided inquiries by phone, mail, or fax. Billed and code within the various medical office and hospital settings. Collected processed, and filed payments. Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information to the appropriate database. Entered data electronically to process charges, payments, denials, and adjustments. Took a Conflict & Diversity Management course.
Samaritan Counseling Center
Account Advisor
10.2012 - 01.2013
Job overview
Verified patient information against insurance program specifications and typed invoices for insurance companies. Assisted with clerical duties, answered inbound phone calls, mail, fax materials and scheduled appointments.
Checks eligibility and verifies benefits, obtains and enters data into systems, processes requests, and triages members and information in to the appropriate database.
Education
Ultimate Medical Academy
Shreveport, LA
Associate of Science degree from Medical Billing and Coding
05.2019
Skills
Collections CSR Customer Service Customer Service Representative Customer Support Outbound Customer Service Call Center Customer Call Center Customer Service Technical Support Database Microsoft Access Billing Data Collection Electronic Health Records EHR Records Management Microsoft Dynamics Dynamics EMR Coding Hipaa Claims Payments Clerk Credit Tasks Accounts Receivable Medicaid Adjustments Customer Service Oriented ICD Telephone Skills Clerical Medical Scheduling Office Experience Receptionist Medical Billing Collection Invoices Data Entry Filing Medical Coding Transcribing Typing CPT ICD CPT Coding Medical Records Healthcare Blue Cross Blue Cross Blue Shield Medicare Electronic Medical Records ICD-9 Medical Invoicing Office Medical Medical Terminology Patient Care Managed Care Credit Issues Posting Benefits Benefits Administration Customer Relationship Management Laboratory Scheduling Documentation Retail Sales Etiquette Phone Etiquette Problem-Solving Retail Sales Experience Relationship Management Credit Scores Quality Assurance Sampling Best Practices Retail Marketing Excel Microsoft Excel Microsoft Office Microsoft Office 365 Office 365 Microsoft Outlook Microsoft Software System, CRM, Saleforce, Genesys and Epric Powerpoint Powerpoint Microsoft Word English
Intermediate
Certification
Medical Billing Certification
Medical Coding Certification
Timeline
Dental Specialist
Media Riders for Managed Care Dental of North America call center representative/Liberty Dental
03.2025 - Current
Managed Care Specialist
Mindlance/Cardinal Health
07.2024 - 12.2024
Administrative Assistant
Collabera Temp/Magellan
06.2022 - 01.2024
Customer Service Specialist
General Dynamics Information Technology
04.2021 - 06.2022
Billing Clerk / Customer Service
Humana Insurance
06.2019 - 12.2020
Teacher Aide / Assistant
Caddo Parish School Board
11.2013 - 09.2020
Medical Billing Associate
Samaritan Counseling
10.2013 - 02.2014
Account Advisor
Samaritan Counseling Center
10.2012 - 01.2013
Revenue Cycle Analyst/CSR
Christus Schumpert Medical Hospital
04.1996 - 08.2013
Ultimate Medical Academy
Associate of Science degree from Medical Billing and Coding
Dental Office Treatment Plan Coordinator- Office Manager at North American Dental Group- Complete Dental CareDental Office Treatment Plan Coordinator- Office Manager at North American Dental Group- Complete Dental Care