Highly motivated and results-oriented in customer service professional with over 11 years of experience in call handling, mentoring, auditing, and data analysis within the dental and insurance industries. Proven ability to lead and mentor teams, consistently exceeding performance goals, and providing exceptional customer service. Proficient in scheduling appointments, utilizing dental codes and Dentrix software, and fluent in Spanish, offering bilingual support for patient communication and appointment booking. Certified Xero Advisor and QuickBooks ProAdvisor seeking opportunities to enhance skills and stay current with industry best practices.
•Schedule and manage appointments for a dental clinic, utilizing Dentrix software.
•Provide exceptional customer service in both English and Spanish.
•Verify policy details, ensuring the policy is active and covers the traveler's specific trip,
Explain coverage inclusions, exclusions, and limitations in a clear and concise manner.
•Provide information on travel perks and benefits, such as baggage insurance, medical assistance, or trip interruption coverage,and travel regulations
•Assist travelers with filing claims, guiding them through the process and providing necessary documentation.
Answer inbound calls, emails, and chats from customers experiencing issues with online banking, mobile banking, and other digital banking services.
Troubleshoot and resolve technical issues related to account access, transactions, and security.
Answer inbound calls from members regarding:
- Dental benefit eligibility and coverage
- Explanation of benefits (EOB) and claim status
- Deductibles, copayments, and coinsurance
- Eligibility for specific procedures and dental codes
- Frequency limitations and waiting periods
- General dental plan information.
•Provided customer service support in the healthcare industry.
•Communicates claim status updates and benefits information to members in a clear and concise manner.
Troubleshoot and resolve technical issues related to Dish Network equipment, service, and billing.
Languages: English, Filipino, Spanish (fluent)
- Software: MS Office Suite (Excel, PowerPoint, Word), Verint, CMS, Dentrix (scheduling)
- Healthcare Specific: Familiarity with medical terminology, dental codes, dental appointment scheduling (Dentrix)
- Customer Service: Call handling, appointment scheduling, customer issue resolution, complaint handling, account management
- Team Leadership & Mentoring: Team leadership, coaching, performance management, training
- Data Analysis: Data extraction, analysis, reporting
- Other: Facilitation, written and oral communication, and problem-solving