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@marygraceesmille
Detail-oriented Dental Insurance Verification Specialist with strong organizational skills.
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.
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Work history, roles, and key accomplishments
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
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.
Degrees, certifications, and relevant coursework
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