Customer Service Dental
Resume:
Namita Ullal
Dentist/HealthCare Administrator
Email: ******.*******@*****.***
Contact No.: +1-201-***-****)
Current Job Location: New York, New York
A foreign certified Dentist with an experience of 3+ years of practice and an experienced Healthcare Specialist with an experience of 2 years’ in extensively handling EMR\EHR for multiple services such as Medical data validation.
PROFESSIONAL SUMMARY
Expertise in maintaining and updating Electronic Medical Records.
Excellent understanding of Medical Terminologies, ideal Medicinal Drug usage, Health Insurance and Credentialing.
Expertise in Collaborating with IT team to report issues.
Expertise in medical data classification as per HIPPA compliance.
Expertise in creating weekly report of department performance and report the metrics to senior leadership team.
Expertise in working with electronic medical record applications like eClinicalWorks, EPIC and Q-Centrix.
Expertise in managing and leading small Cross Functional teams in different departments. Tools\Skills Highlights
Microsoft Excel, PowerPoint, HSP(Health Solutions+), ECW(E-Clinical Works), EPIC, CIS. EXPERIENCE SUMMARY
Memorial Sloan Kettering – New York– May 2019 to Present Role: -
Office Coordinator, Hospital Operations
As an Office Coordinator my responsibility is to research and improve processes within department through analyzing different types of data and also generating multiple types of performance report. Role & Responsibilities:
Perform clerical and administrative duties which includes daily operations of the practice such as patient flow, office operations (Scheduling), customer service and health insurance requirements.
Handled all scheduling of appointments, procedures, surgeries, radiology scans, lab appointments, and referrals
Submitted clinical information to insurance providers for pre-certifications
Assisted with obtaining authorization through insurance for outside imaging
Prepared and submitted letters of medical necessity for insurance approvals
Provide coverage to a doctor’s office and to provide cross coverage for team members.
Prepared financial documentation for physician expenses and reimbursement requests.
Using customer service skills and multi-tasking abilities to support the team by providing administrative support which includes Calendar management and setting up meetings.
Worked predominantly on Microsoft Office Skills (Word. Excel, PowerPoint and Outlook)
Updated and maintained electronic medical records (EMR)
Worked on EPIC, CIS and Input data into Salesforce
Knowledge of CPT codes and ICD-10 codes.
Tools Used:
MS Excel, MS PowerPoint, EPIC, CIS
Liberty Dental Plan– Long Island, New York – Sep 2018 to Feb 2019 Role: - Provider Relations Associate Consultant
Primary responsibility included reviewing, completing and executing master service contract with providers. Analyze provider data to identify inconsistencies and report the same to provider. Role & Responsibilities:
Reviewing provider contracts and applications.
Provide support to the provider relations management team with submitting contracts in a timely manner.
Collect provider data and review provider contracts, updates and terminations.
Assist with network maintenance activities such as contacting providers to ascertain appointment availability & verification of provider information
Research available systems & work with other departments to assist in resolving provider network questions
Communicate with management of contracts issues and propose process improvements
To understand contracting documents, fee schedules, addenda and credentialing applications as required for new offices.
Expertise to effectively interact and present information regarding services to practice administrators, physicians and executives
Tools Used:
Health Solution+, MS Excel, MS Access database
Newark Community Health Centre– Newark, NJ – May 2018 to Aug 2018 Role: - Dental Office Coordinator
Worked as Dental Office Coordinator handling prior authorizations for dental work, scheduling clinics, maintaining inventory, updating patient records and maintain EMR. Supervised and trained interns in grooming and introducing them to dental practices and the nuances of working in dental practice. Roles and Responsibilities:
Triage patient calls and assist with scheduling radiology exams, pre-operative tests and labs
Update and maintain the electronic medical records (EMR) and (EHR).
Submit information to payers for pre-certification approvals and insurance authorizations
Assist with network maintenance activities such as contacting providers to ascertain appointment availability & verification of provider information
Responsible for scheduling patients’ tests, appointments, and procedures
Assist with scheduling patients at regional sites.
Prepare and submit letters of medical necessity for insurance approvals
Prepare financial documentation for physician expenses.
Coordinate physician academic calendar and schedule meetings. Tools Used:
E-Clinical Works, Dentrix, CIS, MS Excel, PowerPoint Gyan Dental Clinic– Mumbai, India – Jan 2017 to Jan 2018 Role: - Senior Associate Dentist
Maintained a client base of thousands, upholding a reputation as a professional and empathetic provider. Continually gained specialty in various areas, demonstrating versatility and adaptability by adapting to changes in technology and dental intervention techniques.
Demonstrated exceptional patient care and communication abilities establishing patient rapport and ensuring patients understand the dental procedures.
Assist the Dental Director in Clinical tasks and program developments.
Perfected the abilities of performing treatments of varying complexity through ongoing commitment to continuing education programs and clinical experience.
Ensured training and development of staff by identifying training needs and establishing initiatives to meet the dental office objectives.
Ensured the office delivered quality and compassionate care to 40+ patients per day.
Achieve financial performance targets
Total Dental Care– Mumbai, India – Nov 2014 to Dec 2016 Role: - General Dentist
General Dentist with 2 years’ experience in general practice, restorative treatments and goals of educating the general public of oral hygiene and its importance on the overall health of an individual. Roles and Responsibilities:
Examine, diagnose and provide treatment counseling to patients in a comprehensive manner
Provide medication and enter data in the workload data reporting system
Planning and organizing rural area camps
Organizing School Camps for prevention and treatment of dental caries.
Complete dental record documentation for all patients EDUCATIONAL QUALIFICATIONS
Masters in HealthCare Administration (2018-2020) from Hofstra University, NY with an average GPA of 3.90.
A Licensed Foreign Trained Dentist with Bachelor’s in Dental Surgery (2009-2014) from Rajiv Gandhi University of Health Sciences, Karnataka, India.
PERSONAL PROFILE
Date of Birth: 4th June, 1991.
Work Authorization: Green Card\Permanent Resident
Declaration: I hereby declare that the above written particulars are true to the best of my knowledge and belief. Place: Jersey City, New Jersey Namita Ullal
Date: 06/25/2020
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