A Renee Smith Email & Phone Number

Spokane, Washington, United States

Work directly with contracted providers to help reduce issues, assess provider fee schedules, and attempt to reverse termination requests.

Spokane, Washington Area

Responsible for managing all components of relationship maintenance for Dental Service Organizations.

Spokane, Washington

Network Retention:• Secure necessary documents & credentials for reversal of termination requests.• Minimize terminations and replace terminated general dentists and specialists through the primaryuse of effective telephone communication skills.• Identify dentists issues and provide solutions to reduce dentist turnover.• Enhance the dental networks by retaining dentists with appropriate discounts and using claim/discount information to negotiate appropriately.Network Expansion:• Identify and prioritize target-recruiting locations.• Recruit new general dentists and specialists for the various dental networks through the primary use of effective telephone and mail efforts.

Spokane, Washington

▪ Responsible for all aspects of processing new dentist applications, assisting in the collection of all necessary documentation and review of the formal applications prior to delivery to EnrollmentCoordinators▪ Update the provider management database with the provider’s information▪ Work effectively with providers and/or Regional Network Managers to handle various customer service questions/concerns and their resolution▪ Accurately process administrative fee schedules, terminations, and perform additional related duties to support the dental PPO department▪ Assisted in the development and testing of a new scanning system (Simon Project) that generates work items in designated job queues▪ Participated on a committee (On-Boarding Project) to identify current credentialing processes,writing workflows and implementing more efficient procedures to improve the credentialingtimeframe from receipt of an application to the activation of providers. This project combined withthe Simon project helped to improve the credentialing turnaround time from 8 weeks to 4 weeks.▪ Created job training aids to assist in the training of new employees and temporary staff▪ Contributed to the creation of an on-line job manual to be used by employees newly hired for theRecruiter Coordination position▪ Researched and resolved claim issues by identifying and correcting errors ensuring correct processing of claims

Spokane, Washington

▪ Reviewed and returned company and non-company checks to the processing system, reissuing benefits▪ Investigated member claim history transfer reports for the dental department, updating records, when necessary▪ Assisted with miscellaneous reports and special projects

Spokane, Washington

▪ Processed dental claims and correspondences for payment or denial with an accuracy of 98% or better

Spokane, Washington

▪ Accurately pended dental claims manually into computer system prior to processing▪ Assisted in the development of the claim verification computer program resulting in a much improved claim pending/payment process