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Joseph
Insurance Verification Specialist Dental
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Competencies
Experiencia demostrada en Accounts Receivable (AR).
Experiencia demostrada en Data Verification.
Experiencia demostrada en Compliance & Auditing.
Experiencia demostrada en HIPAA Regulations.
Experiencia demostrada en Fraud Prevention.
Education
Languages
Summary
Insurance Verification Specialist Dental buscando nuevas oportunidades
Experience
Jr. Insurance Verification Agent (Accounts Receivable Focus)
Processed and audited daily accounts receivable (AR) transactions and insurance coverage determinations, maintaining a 99.5% accuracy rate and ensuring zero compliance breaches under HIPAA regulations.. Leveraged specialized insurance software and advanced MS Excel to validate complex healthcare data, reducing case processing turnaround time by 15%.. Collaborated actively with healthcare professionals to resolve billing inconsistencies, directly accelerating dispute resolutions and improving operational cash flow.
COVID Resource Center Case Manager
Managed a high-volume pipeline of employee leave cases, consistently achieving a 98% SLA compliance rate in a fast-paced corporate environment.. Audited medical and legal documentation to authenticate claims, identifying and mitigating compliance risks while preventing fraudulent submissions.. Served as the primary point of contact for cross-functional HR alignment, ensuring transparent communication and high employee satisfaction scores during complex case transitions.
Office Assistant
Streamlined administrative operations and dispatch messaging systems, reducing documentation delivery lag times by 20%.. Optimized client service reception, managing incoming communication channels and resolving customer inquiries with a high first-contact resolution rate.