carmella V.

Verified patient eligibility and dental insurance benefits to ensure accurate coverage before treatment. Conducted detailed benefits breakdowns, addressing deductibles, waiting periods, annual maximums, and limitations. Handled inquiries from both members and providers via phone and email, maintaining professionalism. Managed a considerable volume of inbound and outbound calls while adhering to quality and compliance standards. Assisted in resolving dental claims by reaching out to patients and providers for necessary documentation. Coordinated with dental offices to manage patients' Primary Care Dentists (PCD) effectively. Maintained and updated family coverage tables and records. Utilized various dental and communication systems proficiently. Supported administrative billing and claims tasks as required.

Functioned as a remote Front Desk Representative for a specific dental office. Verified dental insurance eligibility through insurance portals, fax requests, and direct communication with insurance carriers. Prepared comprehensive insurance benefit breakdowns with details on deductibles, annual maximums, waiting periods, limitations, and coverage percentages. Ensured accurate patient and insurance information was entered and maintained within the Practice Management System (PMS). Maintained consistent communication with patients and office staff to provide updates and confirm coverage details for seamless coordination of care. Addressed patient inquiries with professionalism and empathy while employing strong customer service skills. Efficiently navigated various dental and communication systems. Collaborated with supervisors and team members, engaging in training to ensure high-quality performance and compliance. Assisted with additional administrative tasks, including billing support and dental claims processing. Maintained a strong focus on punctuality, reliability, and attention to detail in supporting the dental team's daily needs.