Skills
Customer Support > Insurance > Medical Insurance
5-10 Years
Dental Virtual Assistant
2-5 Years
Claims Processing, Insurance Verification, Authorization, Medical Records
5-10 Years
Experience highlights
Dental Virtual Assistant
Western Oral Facial Surgery & Dental Implant Center
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March/2022
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Present
• Verified insurance benefits and pre-authorizations for dental procedures through online portals and phone calls.
• Created and sent referral letters for extractions, implants, and follow-up care.
• Managed claim submissions daily, ensuring on-time processing and revenue flow.
Clinical Intake & Correspondence Specialist
Blue Cross Blue Shield (via Cognizant)
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September/2022
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Present
• Processed authorization requests for mental health services, reviewing eligibility and medical necessity.
• Communicated with providers via portals and correspondence letters to finalize approvals.
• Verified coverage through Exchange and Availity; ensured all documentation met payer requirements.
• Reviewed EMR documentation to support claims and authorizations.
Managed Care Specialist
Dexcom (via Cognizant)
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March/2019
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Present
• Reviewed orders and compliance documents (CMNs, AOBs) for CGM device coverage.
• Initiated and tracked insurance authorizations via fax and online systems.
• Maintained HIPAA standards in handling patient records and communications.
• Coordinated with insurance companies for benefits and claim resolutions.
Customer Service Advocate
Cigna Global Health (via Hinduja Global Solutions)
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March/2015
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Present
• Responded to global provider and member inquiries regarding healthcare benefits and claims.
• Resolved payment disputes, processed reissuance requests, and verified insurance coverage.
• Delivered high-quality service while managing large call volumes in a healthcare setting.