OBJECTIVE
Seeking a full-time salary position in the field of ¬¬Provider Credentialing, Provider Network Recruitment, or Provider Office Management that allows me to use my knowledge and gain experience, while expanding my skill set.
SKILLS & ABILITIES
Proficient in Data Entry
Processing of Participation Agreements and Credentialing Applications
Proficient in Dental Credentialing Platforms, such as DentalXChange
Extensive Knowledge of Credentialing Processes
License and Tax ID Verification
Fielding of Calls
Reviewing of Dental Claims
Balanced Billing
Record Maintenance
Filed Fee Maintenance
Knowledge of Dental Benefit Products & Plan Design
Providing an Excellent Customer Service Experience
Positive Attitude and Ability to Work Cooperatively in a Team Environment
Active Listener
Confident Speaker
Excellent Written and Verbal Communication Skills
Excellent Problem-Solving Skills
Adaptive/Flexible
Excellent Organizational Skills
Ability to Manage Multiple Priorities
Attention to Detail
Proficient in Microsoft Office
EXPERIENCE
Sept 2016-May 2019 Office Services Temp, Delta Dental of NJ & CT
· Performed various office administrative support duties, including handling of ID cards, handling of incoming and outgoing mailings/packages, filing, word-processing, large-scale printing, as well as assisting Delta Dental employees as needed.
May 2017-May 2019 Provider Relations Temp, Delta Dental of NJ & CT
· Assisted Provider Relations team with departmental objectives, including clerical functions, fielding of calls, credentialing, license verification, preparation of mailings, data entry, amongst other duties as needed.
May 2019-Jan 2022 Senior Provider Relations Administrative Support Associate, Delta Dental of NJ & CT
· Performed administrative and office support activities for multiple team members in the Provider Relations Department, including fielding telephone calls (regarding filed fees, participation, and other provider inquiries), typing correspondence via letter, fax, or email, etc., research and inquiries, and other support functions including internet research. Assisted other members of the Provider Relations Department with various administrative functions.
Jan 2022-Nov 2024 Senior Provider Relations Representative, Delta Dental of NJ & CT
· Resolved issues from providers, members, and other DD Member Companies. Managed general provider servicing, communications, projects, and file maintenance relating to participation, credentialing, claims submissions, directory listings, fee filing, pricing, general policies and procedures, and other Provider Relations functions.
EDUCATION
Aug 2011- May 2016 Associate’s Degree in Business Administration, Randolph, NJ, County College of Morris
Jan 2017- May 2017 Certificate in Finance, Randolph, NJ, County College of Morris
COMMUNICATION
My ability to effectively communicate has played a large role in my success, regularly working with internal and external Provider Relations team members, other Delta Dental departments, providers, office managers, and third-party entities, to resolve provider issues and maintain Delta Dental of NJ and CT’s provider network, as well as driving project success, while providing an excellent Customer Service Experience. An example of this is collaborating with the external Provider Relations ...
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