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.

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.

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