Customer Support Representative

Overview

Looking for full-time work (8 hours/day)

at $3.98/hour ($699.99/month)

Bachelors degree

Last Active

November 13th, 2024 (yesterday)

Member Since

November 16th, 2023

Profile Description

OBJECTIVES
To seek and build a long-term career at the same time work for a growing company that provides the
possibility of growing within and that will allow the development of my abilities and skills in favor of the
company's mission.
I am a quick learner & have a positive approach towards my work. My objective is to provide reliable services to clients & I assure you that if given an opportunity to work with you, I promise to provide the best customer service to members/patients.
I am experienced with the following tasks.
1) Eligibility & Benefit Verification
Eligibility & Benefits will be checked via website & phone with insurance.
2) ADA Codes
Verify Dental codes if covered by the insurance
3) Resolving rejected claims
If any claim is rejected then correct it & rebill to insurance.
4)Orthodontics
Verifying orthodontic benefits/coverage
5) Posting payments & Account Reconciliation.
Once payment is received via EFT or check it will be posted to the respective patient account & statement will be sent to the patient for his/her responsibility.
6) Follow up on claims & denial management
If any claim is denied then call insurance to find out the reason & take the correct action such as any correction in claims data or to send an appeal if required. At the end of the month create a report of denied claims to find out the top denials & to take preventive action to avoid such denials in the future.
7) Billing Dispute
Specialties I have worked
1) Dental-PPO
2) AARP-Supplemental
Medical Insurance verification
Noridian-Medicare
Availity-Anthem Bluecross, Healthnet, Aetna
Blue Shield of CA
UHC, Cigna
Basic Knowledge of appointment scheduling via eCw
Basic knowledge of applications like Time Doctor, Ringcentral, Loom, Slack, etc.