Mary Grace EsmilleME
Open to opportunities

Mary Grace Esmille

@marygraceesmille

Detail-oriented Dental Insurance Verification Specialist with strong organizational skills.

Philippines

What I'm looking for

I am looking for a role that values accuracy and offers opportunities for professional growth in the healthcare insurance sector.

I am a highly organized and detail-oriented Dental Insurance Verification Specialist with extensive expertise in eligibility verification, benefits breakdown, and claims processing. My experience includes interpreting fee schedules, understanding deductibles, and analyzing procedure codes to ensure accurate reimbursement. I pride myself on my ability to coordinate effectively with providers and resolve claim discrepancies, which has consistently led to timely and accurate financial outcomes for patients.

In my current role at TTEC, I perform comprehensive breakdowns of patient benefits, verify treatment histories, and manage claims efficiently. I have successfully handled preauthorizations, denials, and appeals by providing necessary documentation and following up diligently with providers on unresolved issues. My commitment to maintaining accurate patient records and delivering exceptional customer service has been a cornerstone of my professional ethos.

Experience

Work history, roles, and key accomplishments

TT

Medical/Dental Insurance Verification Specialist

TTEC

Oct 2022 - Dec 2024 (2 years 2 months)

Performed comprehensive benefit breakdowns, including frequencies, deductibles, and coverage limits, while verifying patient treatment history for ortho and oral surgery. Managed claims by following up on pending issues, resolving unpaid claims, and handling preauthorizations, denials, and appeals. Updated fee schedules for in-network plans in Open Dental PMS and identified coverage limitations th

II

Technical Support Representative

Infocom Technology, INC.

Aug 2018 - Jun 2019 (10 months)

Handled customer inquiries and provided technical assistance across various channels, including phone, email, and chat. Diagnosed and resolved technical issues related to internet connectivity, devices, and software, explaining details clearly to customers. Recorded and tracked customer issues and resolutions using ticketing systems, escalating complex problems to appropriate support teams.

Education

Degrees, certifications, and relevant coursework

Mary Grace hasn't added their education

Don't worry, there are 90k+ talented remote workers on Himalayas

Tech stack

Software and tools used professionally

Interested in hiring Mary Grace?

You can contact Mary Grace and 90k+ other talented remote workers on Himalayas.

Message Mary Grace

People also viewed

View all talent

Find your dream job

Sign up now and join over 85,000 remote workers who receive personalized job alerts, curated job matches, and more for free!

Sign up
Himalayas profile for an example user named Frankie Sullivan
Mary Grace Esmille - Medical/Dental Insurance Verification Specialist - TTEC | Himalayas