Evangeline
Dental & Medical Insurance Specialist, Medical VA
Verified
Overview
Looking for full-time work (8 hours/day)
at $6.00/hour ($1,056.00/month)
Bachelors degree
Last Active
April 1st, 2025 (5 days ago)
Member Since
May 8th, 2024
Profile Description
<!--[if !supportLists]-->·
<!--[endif]-->Verify
dental benefits of patient's insurance.
<!--[if !supportLists]-->·
<!--[endif]-->Collaborate
with the dental clinics regarding dental coverage and approval of procedures
and treatment.
<!--[if !supportLists]-->·
<!--[endif]-->Handle
complex cases of utilization and coordinate with the billing department.
<!--[if !supportLists]-->·
<!--[endif]-->Check
the eligibility of the patient's account.
<!--[if !supportLists]-->·
<!--[endif]-->Communicate
with the patient and healthcare providers during inquiry and any assistance or missed
information.
<!--[if !supportLists]-->·
<!--[endif]-->Accurately
record and encode the significant information of the
<!--[if !supportLists]-->·
<!--[endif]-->Evaluate
the coverage of patient’s treatment, diagnosis, surgeries, medicines, and
procedures.
Top Skills
Customer Support » Insurance » Medical Insurance
Experience: 5 - 10 years
Assess the diagnosis and procedures/surgeries requested by the doctor. Ability to assist the concerns of the patient thru call, email and text. Evaluate the coverage of certain procedures of the patient. Explain the denied transaction of the patient. Ability to coordinate the admission of patients to our liaison officer. Practice confidentiality and privacy. Approve procedures/tests of coverable cases.
Professional Services » Medical Services » Medical Knowledge
Experience: 10+ years
Expose to medical facility, healthcare insurance company and pharmacy. Learn and apply the foundation of nursing, medicines; and medical procedures, surgeries , treatment and terminologies.
Customer Support » Insurance » Insurance Verification
Experience: 5 - 10 years
Ability to check the eligibility and coverage of the procedures/treatment/surgery of the patient. Analyze the utilization of the patient and check the shedule of benefits during inquiry of the patient.
Other Skills
Customer Support » Insurance » Dental Insurance
Experience: 5 - 10 years
Check the dental coverage and eligibility of the patient. Provide dental approval to the staff of the dental clinics. Able to explain the non-coverable dental procedures/treatment.
Office and Administration » Email Handling
Experience: 5 - 10 years
Professional Services » Medical Services » Patient Care
Experience: Less than 6 months
Assess and monitor the patient's condition. Educating the patients and family members on treatment regimen. Assisting patient's concern. Record personal details, history taking and vital signs checking. Able to provide the needs of the patient. Help perform procedures for the healing and recovery of the patient.
Professional Services » Medical Services » Denial Management
Experience: 5 - 10 years
Customer Support » Healthcare
Experience: 5 - 10 years
Customer Support » Insurance
Experience: 5 - 10 years
Office and Administration » Transcription
Experience: 1 - 2 years
Professional Services » Medical Services » Medical Billing
Experience: Less than 6 months
Basic Information
- Age
- 37
- Gender
- Female
- Website
- Sign Up with Pro Account to View
- Address
- Norzagaray, Bulacan
- Tests Taken
- IQ
- Score: 108
- DISC
- Dominance: 30%
- Influence: 7%
- Steadiness: 37%
- Compliance: 26%
- English
- C2(Advanced/Mastery)
- Government ID
- Sign Up with Pro Account to View
“My business would not be able to go forward if it was not for them”
Gaurab - Adhikari
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