Jayme Davis

Perform benefit determinations and review dental claims and pre-authorizations for accuracy, eligibility, and coverage. Process specialty referrals and verify required clinical documentation, including dental X-rays, while maintaining knowledge of SLAs and state regulations.

Processed dental insurance claims by reviewing patient policies and determining applicable coverage. Evaluated claims for accuracy, eligibility, and compliance, and investigated discrepancies to ensure accurate recordkeeping.

Verified patient eligibility and dental insurance benefits with carriers, prepared and submitted claims electronically and manually, and monitored claim status while ensuring HIPAA compliance.