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Administrative & Secretarial insurance

Dental Claims Assistant

$15/hr Starting at $30

> Worked as an offshore agent for Cigna Healthcare insurance (Dental Department) 
> Verified if the insured patient's plan is currently active      
> Checked whether said plan has any Pre-authorization/s       
> Investigated why a claim was denied or would be denied (under what grounds)       
> Confirmed that a dental procedure to be performed would be covered under the insurance plan 
> Helped provide the patient's dental benefits breakdown (Diagnostic, Preventive, Restorative,  Endodontic, Periodontal, and Prosthodontics services). 
> Helped out with Dental Appeals - If upon investigation the Provider's Claim got incorrectly denied, we would send back the claim to the respective department for reconsideration or advise the Provider to re-submit said claim (depending on the circumstances). 
> Answered co-pay inquiries 
> Checked if necessary attachments to the claim are completely sent (periapical,occlusal,bitewing or panoramic x-ray). If not, advise the Provider to re-submit to prevent claims denial. 
> Assisted with other inquiries

About

$15/hr Ongoing

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> Worked as an offshore agent for Cigna Healthcare insurance (Dental Department) 
> Verified if the insured patient's plan is currently active      
> Checked whether said plan has any Pre-authorization/s       
> Investigated why a claim was denied or would be denied (under what grounds)       
> Confirmed that a dental procedure to be performed would be covered under the insurance plan 
> Helped provide the patient's dental benefits breakdown (Diagnostic, Preventive, Restorative,  Endodontic, Periodontal, and Prosthodontics services). 
> Helped out with Dental Appeals - If upon investigation the Provider's Claim got incorrectly denied, we would send back the claim to the respective department for reconsideration or advise the Provider to re-submit said claim (depending on the circumstances). 
> Answered co-pay inquiries 
> Checked if necessary attachments to the claim are completely sent (periapical,occlusal,bitewing or panoramic x-ray). If not, advise the Provider to re-submit to prevent claims denial. 
> Assisted with other inquiries

Skills & Expertise

Administrative AssistantAppealsBenefits LawHealth InsuranceHealthcare IndustryInsurance Verification

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