SPECIFIC SKILL SETS:
Patient Scheduling
Dental Receptionist
Dental Insurance Verification
Dental Claims Resolution
Dental Claims Filing
Customer Service
Present Work:
Dental Scheduling Coordinator
- Taking in calls from patient who want to schedule or reschedule an appointment for treatment or recare.
-Serves as Front Desk/Receptionist for the Dental Clinic.
- Ensures schedules of Dentist and Hygienist are filled and confirmed days before the schedule date.
-Scheduling patient for dental emergency or trauma.
-Eligibility verification of patients dental insurance prior to appointment.
Previous Experience:
Dental Verification Specialist
-worked as part-time calling dental insurances and checking insurance portal verifying full breakdown of benefits and eligibility of patients in one of the dental clinic based in New Jersey.
Talent Acquisition Specialist/HR Admin Support:
-Sending
-Supporting Onboarding Team in terms of password reset requests, updating hire's info on file.
-Creating roster of new hires that will be supported by the Onboarding Team.
-Answering inquiries through
Dental Insurance Verification
-calling US Dental Insurance to verify patient's benefit.
Assistant Team Lead for a US based Dental Insurance: Conduct huddles and assist teammates about the product knowledge and processes. Taking escalation calls and received complaints from callers.
Customer Care Representative: Taking inbound calls where I review claim disputes and give resolution in a first-call manner.
Subject Matter Expert: Provides knowledge about the product, especially to newly hired agents.
Provider Relation Officer- Checking the credentialing and re-credentialing status of the provider and provide instructions on the credentialing and re-credentialing process.
Assistant Team Lead: Conduct huddles and assist teammates about the product knowledge and processes. Taking escalation calls and received complaints from callers.
Knowledgeable: ADA codes, dental terminologies, claim review, grievance and appeal, HIPAA, Dental Provider Credentialing and Re-credentialing
I take pride in my customer service experience for more than four years in an insurance company.
KNOWLEDGEABLE ON THE FOLLOWING TOOLS: Dental Office Express, Outlook, Excel, Google Suites, Salesforce, Ringcentral, Zoominfo, MS Teams
“My business would not be able to go forward if it was not for them”
Gaurab - Adhikari
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