Insurance Specialist Customer Service

Nadia Newton

***** ****** ***. *** *****, CA ****9

Phone: 858-***-**** E-mail: ***************@*****.***

Objective

Passionate individual with experience in various areas of medical and dental billing and insurance, credentialing, administration, and sales, seeking an opportunity to continuously learn and grow with a company.

Education

Miramar Community College: San Diego, CA September 2016 - September 2023

General Education (Associates)

Grossmont Health Occupations: San Diego, CA December 2014 - June 2015

Certification in Dental Assisting

Grossmont Health Occupations: San Diego, CA June 2011 - December 2011

Certification in Nursing Assistant

Experience

Aya Healthcare: San Diego, CA August 2021 - December 2021

Credentialing Specialist (Contracted through Robert Half)

Ensured medical staff members maintained current credentials to work legally in their field/specialty by completing a thorough review of credentialing files while working alongside healthcare providers to obtain missing, incomplete and expired items.

TrendSource (Research Marketing): San Diego, CA June 2021 - August 2021

Coordinator (Contracted through Robert Half)

Strategically coordinated projects and assisted with assignments of qualified staff, monitored company progress reports, analyzed data documentations, and determined appropriate project timelines while maintaining deadlines.

Mission Home Health: San Diego, CA January 2021 - June 2021

Insurance Specialist/Billing (Contract)

Collaborated with various healthcare vendors and providers, managed and addressed insurance requests and submissions, authorized and verified medical insurances, assisted in pre-screenings and benefits overview.

Sorrento Valley Smiles: San Diego, CA April 2015 - October 2020

Treatment Coordinator/Insurance Specialist/Billing

Assisted front and back-office requirements and obligations, cross-trained staff members, exposed and processed x-rays, coordinated patient treatment, charted patient reports, organized effective scheduling, regulated referral requests, authorized and verified dental insurances, managed billing, and processed claims.

Cathy Jean: San Diego, CA February 2011 - January 2015

Assistant Manager/Sales/Customer Service

Effectively opened and closed store, maintained sales and customer service duties, trained staff members, inventoried, stocked, ran reports, and effectively communicated with upper management and corporate.

Certifications and Skills

Knowledge of: Medical/Dental Billing and Insurance, Credentialing, Administration, Sales, Microsoft (Word, Outlook, Teams, Excel, PowerPoint), Portals (Sfax, DocuSign, Nova, Intranet, Sterling, Etc.)

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