- 4075 Montego Bay Dr. Ÿ College Park, XXXXXX xxxxxx ( (xxx-xxx-xxxx * abc@xyz.com

Customer Service Manager (Claims, Insurance, HR)

Qualifications Profile

    Self-assured, dynamic, and results-driven management professional with more than 19 years providing high-performance customer service, administration and operations support in the healthcare and banking industries.

-    Proven dedication to process efficiencies in delivering outstanding customer service and process efficiencies in administrative functions that enable dental healthcare practice and operations achieve cost and service quality advantages in highly competitive markets.

-    Detail-oriented, analytical and methodical with critical thinking to resolve work issues even under stress.

    Well-orxxxxxxnized with multitasking and prioritization skills that optimize resources to achieve outstanding results.

     Decisive leadership with effective people management and interpersonal communication skills that inspire confidence, performance excellence, and teamwork synergies across diverse ethnicities.

Key Expertise

Operations Management

    Tactical & Operations Planning

    Fiscal & Budget Management

    Total Quality Management

    Process/Workflow Improvement

    Relationship Management (Clients, Patients, Public, & Suppliers)

Healthcare

    Dental Care Service Support

    Clinical/Healthcare Operations Support

    Insurance Claims Administration

    Dental Supplies Inventory Management

Administration

    Policies & Regulatory Compliance

    Staff Supervision & Training

    Office & Staff Administration

    Dental Records & Document Management

Technical

    Apps: Dental Vision, Dental Exchange, National Electronic Attachments, & Softdent

    Productivity Tools: MS

    Office (Word, Excel, PowerPoint, Access, & Outlook)

Professional Experience

    Supervised an office staff on 6 (Schedules Coordinators, Appointment Coordinators, and Insurance Coordinators) in managing all aspects of the dental care business, administering staff payroll and dental treatment plans for patients.

    Provided administrative support, verifying and processing insurance claims, scheduling and confirming patient appointments, managing accounts receivables and payables, processing payments, managing dental supplies and equipment inventory, and coordinating office maintenance.

    Researched and generated routine and ad hoc reports, analyzing 3^rd party reports on trends and technology developments that enable the company adopt resource management economies and dental care efficiencies.

    Provided HR support in staff recruitment, development, and overseeing internal dispute resolution.

    Ensured compliance with company policies and procedures, as well as industry and professional regulations.

    Provided exceptional customer service quality in processing insurance claims and payments, administering dental intervention plans, scheduling and confirming dentist appointments, and providing dental care follow-ups;

    Performed HR administrative support, managing personnel actions, payroll and benefits administration to eligible employee, and updating personnel records.

    Oversee accounting support, collecting on receivables and settling payables on time.

    Directed and led an office staff of 11 professionals in managing HR operations, administering payroll, and charring daily staff meetings to discuss assignments and addressing office and staff issues.

    Oversaw customer service in handling client accounts, verifying insurance benefit eligibility, processing claims, addressing internal conflicts and disputes, performing account reconciliations and banks deposits, processing accounts receivables, and posting payments.

    Provided administrative support in generating daily office performance and incident reports, scheduling dentist appointments, and managing supplies inventory.