Previous work experience as Dental provider services.
Handled 80–100+ inbound calls daily from dental providers while maintaining quality and
productivity standards.
Reviewed dental claims and compared submitted services against member benefit plans and policy guidelines.
Explained claim approvals, denials, limitations, and documentation requirements to provider offices.
Assisted providers with eligibility verification, benefit interpretation, and claims resolution.
Maintained compliance with HIPAA and company privacy standards.
Familiarity with open dental software.
With HIPAA training certification.
Verified
