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tatyana dotch

@tatyanadotch

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Claims processor at Cigna Health handling dental claims, appeals, eligibility checks, and settlement decisions.

United States

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At Cigna Health, I review dental claim documentation, assess coverage and liability, and approve or deny claims under policy guidelines, state laws, and fee schedules. I also handle CDT coding, verify eligibility, and review denials for corrected claims or appeals.

At Integrated Services Llc, I conducted assessments and created person-centered support plans, while coordinating services and monitoring recovery goals. My experience also includes healthcare IT operations at Aya Healthcare, where I managed UAT issues and supported the migration of over 6,000 legacy contracts.

Experience

Work history, roles, and key accomplishments

Current

Claims Processor

Current

Cigna Health

Feb 2026 - Present (8 months)

Review claim documentation to determine policy coverage, validity, and liability, and approve or deny claims based on policy guidelines and state laws. Prepare and submit dental claims using CDT codes, confirm patient eligibility, and resolve billing discrepancies.

Claims Processing Dental Claims CDT Coding Insurance Verification Denial Management Appeals Accounts Receivable Excel EOB Review Regulatory Compliance

Admin/Coordinator/Operation Scheduler

Response Team 1

Feb 2025 - Feb 2026 (1 year)

Greeted visitors, answered calls, and scheduled appointments while maintaining calendars and coordinating internal meetings. Published daily updates on technician resource availability and supported electronic records management and audit readiness.

Scheduling Customer Service Administrative Support Records Management Microsoft Office Communication Skills Coordination

Mental Health Professional/QP

Integrated Services Llc

Jun 2022 - Feb 2026 (3 years 8 months)

Conducted comprehensive assessments and created person-centered treatment plans, coordinated daily services, and linked clients to housing and vocational resources. Oversaw direct-care staff, maintained progress notes, and ensured compliance with state and Medicaid regulations.

Mental Health Treatment Planning Case Management Staff Supervision Documentation Medicaid Compliance Crisis Intervention Resource Coordination

Healthcare IT Manager

Aya Healthcare

Nov 2024 - Feb 2025 (3 months)

Performed business process modeling, workflow diagrams, and data mapping, facilitating the transfer of over 6,000 legacy contracts into new systems. Managed UAT issues, administered SharePoint projects, and coordinated medical and health services to improve efficiency and ensure compliance.

Business Process Modeling Data Migration User Acceptance Testing SharePoint Healthcare Operations Project Management Compliance Documentation