> Detail-oriented Dental Insurance Representative with over 6 years of experience in dental claims processing, eligibility insurance verification, and customer support.
> Adept at resolving claim issues promptly, enhancing provider communication, and ensuring HIPAA-compliant data handling.
> Proven track record of reducing claim discrepancies and improving processing efficiency.
> Proficient with data entry
> Knowledgeable about Dental Terminologies & CDT Code
> Remote Work Proficiency
Certifications
2025 - HIPAA Training
2024 - Security Awareness Training
2024 - Global Data Privacy Awareness
Experience
CUSTOMER SERVICE REPRESENTATIVE METLIFE DENTAL INSURANCE
(2018-Jan 2025) | Foundever
> Providing complete Benefit Breakdown to the providers office and the patient.
> Checking and providing Claim Status to dental office and the patient.
> Submitting tickets for claim re-evaluation by Dental Consultants as needed.
> Sending Benefit Summary breakdowns via fax or email.
