Customer Service in the medical field
Resume:
JOYCE HOPPER
C L A I MS S P E C I A L I S T
adzaoa@r.postjobfree.com
Birmingham, AL 35209
White
Contact
I am a dedicated and dynamic Dental Hygienist, looking to use my experience to turn my career into the direction towards the Business
(non clinical) side of Dentistry or Medical .
My enthusiasm about the medical field and my love for education,will make me a great asset to your company. I work hard and will do my best.
I have worked on the field for 11 years and look forward to meeting you. If you find that my experience would be beneficial to your position, please contact me for an interview.
Career Objective
LEAD HYGIENIST
BRIGHTER IMAGE DENTISTRY — Homewood, AL
Oct 2011 - Present
E x p e r i e n c e
Files Insurance Claims
Review and Determine Elegibiliy for Patients.
Discover and Review Frequencies of Procedures.
Have a good knowledge of procendure codes for dental procedures, in all specialities and general. Support other office functions during downtime to foster cooperation and positive work environment. Analyzed customer documentation for accuracy and completeness before processing claims. Entered insurance- and claims-related information into database systems. Prepared insurance claim forms and related documents and reviewed them for completeness. Requested information from internal or external sources to complete and validate claims. Interpreted contracts with payers to verify proper payment, sending initial or secondary bills to insurance companies.
Reviewed and verified age, name, address and principal sum and value of property, on insurance applications and policies.
Calculated premiums, refunds, commissions, adjustments and new reserve requirements, using insurance rate standards.
Interviewed clients and took calls to provide customer service and obtain information on claims. Reviewed medical bills for accuracy and compliance with relevant regulations. Attached information to claim file.
Interpreted complex policy language to determine coverage limits and exclusions. Reviewed medical bills and medical records to determine medical necessity and appropriate treatment.
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•Proficient at reading and diagnosing X- Ray Images. 4349 CANTERBURY STREET — Mt. Olive, AL
US
Verified insurance coverage by reviewing policies, endorsements, and other documents. Transcribed data to worksheets and entered data into computer for use in preparing documents and adjusting accounts.
Reviewed insurance policy to determine coverage.
Provided efficient and courteous service to customers at all times. Committed to delivering excellent customer service while working in a fast-paced environment. Demonstrated ability to manage multiple tasks while remaining adaptable and flexible. Scheduled and confirmed patient diagnostic appointments, surgeries, and medical consultations. CERTIFIED DENTAL HYGENIST IN DENTAL HYGIENE
Jun 15 UAB — Birmingham, AL
DENTAL ASSISTING IN DENTISTRY
Apr 11 FORTIS COLLEGE — Birmingham, AL
Education
S k i l l s
Medical Billing and Coding
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Contact this candidate