Data Entry Administrative Assistant
Resume:
Leah Teats
Dental Claims Examiner II
Meridian ID
******@*******.***
WORK EXPERIENCE
Dental Claims Examiner
Blue Cross of Idaho, Meridian ID
Feb 2005 – Current
Examining dental/ medical claims for payment or denial (PIP-Claims) via facets. Resolving insured and provider complaints and payment issues via emails
Provide Dental benefit information to dental offices, verify dental insurance for patients, review claim information, and assist in solving claim issues.
ASO team member HUB 1 and HUB 3 Dental
SDS assist in matching claims
Review NEA attachments for processing of claims
Adjust claims for corrections
Coordinate claims with other insurance
Process Appeals
Work service now tasks
Process Medical claims; Idaho Pipe Trades (IPTT), Pend/error, Ancillary filling Claims (ACF), corrected claims
Optometrist Assistant
Eye Mart Express, Boise ID
Mar 2004 – Feb 2005
I made phone calls to book appointments for the optometrist and also assisted clients with paper work and pre-test before seeing the optometrist on their scheduled day.
I am responsible for pre-testing patients eyes, answering the phones, customer service, dispense glasses, teach contact class & dispense, assist optometrist, and check-out patient.
Assisted optometrist in the examination of eyes to determine nature and degree of vision problem or eye disease.
EDUCATION
High School
Plano East Senior High, Plano TX
1999 – 2001
Graduated
MILITARY
Served in the United States Marine Corps
SKILLS
Administrative assistant, receptionist, data entry, dental claims entry and billing, Medical claims processing, telephone operator.
Examining dental and Medical claims for payment or denial (PIP-Claims)Resolving insured and provider complaints and payment issues also working with other units providing support to team members claims adjusters and special projects. Responding to provider inquiries via email.
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