Claims Processing and Insurance Verification

Proficient in Microsoft Excel for organizing and maintaining insurance verification records, tracking claims and follow-up activities, managing patient and provider data, generating reports, performing data validation and quality checks, and using formulas, filters, sorting, and conditional formatting to improve accuracy, efficiency, and workflow management.

Skilled in verifying patient eligibility and benefits, reviewing coverage limitations and frequencies, obtaining detailed benefits breakdowns, confirming pre-authorizations and claim requirements, navigating insurance payer portals, following up with insurance representatives, and documenting accurate information to support treatment planning, billing, and reimbursement processes.

Efficient in handling dental insurance claims and accounts receivable for U.S. dental clinics, including verifying patient eligibility, reviewing supporting documents, and ensuring claims meet payer guidelines. Experienced in claim follow-ups, denial review, and coordinating with insurance representatives to resolve discrepancies while maintaining accuracy, confidentiality, and timely submissions.

Confident in managing insurance and patient support calls by verifying eligibility and benefits, clarifying coverage details, coordinating with insurance representatives for claim updates, and following up on pending issues while ensuring clear, accurate documentation of all interactions to support smooth communication between patients, providers, and payers.

Experience in Microsoft Excel data entry focused on accurately recording patient insurance details, updating eligibility and benefits information, and maintaining real-time tracking of submitted and pending claims. Maintains well-organized logs for follow-ups and uses filters, sorting, and basic formulas to efficiently retrieve information, reduce errors, and ensure reliable, up-to-date records across large volumes of insurance and billing data.

Provides training and coaching to team members on insurance verification workflows, claims handling processes, and system navigation, focusing on accuracy, compliance, and consistent application of best practices to improve performance and service quality.