Previous Work Experience: Quality Analyst in a US based Dental Insurance: - I work hand in hand with US based managers whenever a Dentist had a problem with the representative he/she talked to regarding their patient's Dental Insurance.- I listen to the calls of 40 representatives every week.- I Coach agents that keeps on failing on their Quality Scores to know where are they having a problem and resolve it so the same mistake would not happen again.- Weekly meetings with the Team Leaders of the Teams I handle every week to tackle about the Quality markdown they have on their Team.- Sending
Credit Card Dispute Specialist In a US based Bank:- Taking inbound calls to file the most appropriate dispute code for the transaction that a customer wanted to be refunded with.- I request credit card limit increase.- Provides all the transactions made in the card.- I report said Fraud transaction.- I review and provide Dispute reports outcome.- Educating Customers where the int
Customer Care Representative in a US based Dental Insurance:- Taking inbound calls and provides complete Dental Insurance Eligibility and Benefits of a patient.- I review claims dispute and give resolution in a first-call manner. Provider Relation Officer- Checking the credentialing and re-credentialing status of the provider and provide instructions on the credentialing and re-credentialing process. Subject Matter Expert: - Provides knowledge about the product, especially to newly hired agents. Assistant Team Lead: - I Conduct huddles and assist teammates about the product knowledge and processes. Taking escalation calls and received complaints from callers.
Knowledgeable: ADA codes, dental terminologies, claim review, grievance and appeal, HIPAA, Dental Provider Credentialing and Re-credentialing. I take pride in my customer service experience for more than six years in an Insurance Company and more than a year in an Financial Account. KNOWLEDGEABLE ON THE FOLLOWING TOOLS: Outlook, Excel, Google Suites, Salesforce, Zoom info, MS Teams.
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: 2 - 5 years
Experience: 5 - 10 years
Experience: 5 - 10 years
Experience: 2 - 5 years
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