Joseph - Insurance Verification Specialist Dental

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.

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.

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.

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.