Data Entry Employee Health

Latrice A. Smith

816-***-****● ******@*****.***

I am an Innovative leader with 30 years of experience in processing claims in the dental and health care environment. By processing dental preauthorizations, handling dental correspondence, and helping our members and providers to the utmost of my ability by easing their concerns to their satisfaction, with minimum to no supervision from my superior is my priority. I am also an expert in creating inclusive work environments for diverse and my cross-functional teams. Highly skilled at processing high-priority projects that increase operational efficiency and maximize profits to my department and the employer. Choosing Integrity (Always being honest and having strong moral principals), perseverance (Staying determined and persistent even through difficult times), and respect (Valuing others and treating them with dignity) as some of the Core Values to go through life with, applying each of them to my daily living and professional world as well.

Work Skills

Introduced to Microsoft Teams

Facets System

Federal Employee Health Benefit Client

Connection Dental Plus Plan

Medicare Claims Processing

Handling Dental Correspondence

Data Entry

Medical Claims Processing Client

GEHA Connection Dental Federal Plan

Indemnity Benefit Claims Plan

Orthodontic Processing Training

Experience

Dental Claims Specialist; Dental Claims Department 1998-2024

Government Employee Health Association; 310 NE Mulberry Road, Lee’s Summit, Missouri 64086

Process dental claims on various clients per claim. I am superb in pertaining to my daily claims processing production, in a correct manner. My daily routine also consists of handling dental correspondence, preauthorizations and other detailed tasks.

Make system update entries and verifies accuracy

Responds within the company’s standard to inquiries by phone and/or by verification letters

Assist my team and other co-workers to research claims and inquiries in a prompt, courteous, and correct manner

Learn the company’s guidelines to be able to manage tasks according to the department and company guidelines

Access to the most up-to-date processing and/or dental procedures

Perform other assigned duties

Senior Customer Care Specialist; Custom Service Department 1996-1998

Government Employee Health Association; Lee’s Summit, Missouri

Answered several types of incoming medical calls from our members and providers, inquiring about the patients, and their medical background, and verifying their medical coverage plans.

Handled incoming/outgoing faxes

Worked on a System 75 Phone Accessor

Performed and exceeded on a daily production of a Senior Customer Care Specialist

Processed medical claims

Returned phone calls to the members and/or providers for verification

Senior Scanner/Data Entry Operator; Scanning/Vertexing Department 1994-1996

Government Employee Health Association; Lee’s Summit, Missouri

Opening and sorting the incoming mail, inputting incoming claims and correspondence (medical and dental) into Macess Data System, labeling, separating, and preparing claims/correspondence to be delivered to the claims sections to be processed by the adjustors. Running the proper machine to place a claim number on each claim/correspondence.

Operated the Mail Machine

Operated the Macess Data System

Operated the Routing Machine

Operated the Vertex Machine

Education

Associate Education

Penn Valley Community College

High School Diploma

East High School

Training

Password & Email Security

Gallup Board Member

Harassment on the Job

2022 CX Day Webinar

Facets User

HIPPA Laws and Rules

Workday User

Workplace of Respect

Contact this candidate