Bianca Blough Email & Phone Number

Atlanta, Georgia, United States

Reviewed the records of all quality of care and quality of service complaints and potential quality referrals initiated by members and internal and/or external clinicians, and determines whether complaint is administrative or clinical in nature. Maintained the quality of customer service care at a minimum of 95%.Reviewed clinical and dental records for completeness; reached out to provider if record is incomplete and build the case for review by the Dental Consultant.Performed research and identify key policy provisions such as clinical guidelines, plan policies, Explanation Of Coverage, regulatory guidelines, and Department of Managed Health Care/Department of Health Care Services rules and regulations that may apply to the complaint or referral.Summarized cases, including articulation of complainant's perception, and presents essential information to Dental Consultant for review.Assigned reviews to clinical staff for quality of care inquiries requiring clinical review.

Dunwoody, Georgia, United States

As dental assistant at Atlanta Endodontics, I maintained and verified patient data to monitor patient progress and efficacy of the treatment plan, and suggested rehab or follow-up procedures and oversaw discharge of patients.I also ensured regular maintenance of equipment, for compliance of applicable legal and professional mandates.Key Achievements :-- Scheduled appointment, managed front desk, learned how to remove cavities from old teeth, perform dental suctioning; took dental impressions and sterilized instruments during 8 week internship at dental clinic- Conducted x ray fluorescence analysis at laboratory, examining dental and medical specimens of 20+ patients; implemented minimal intervention technique for dental caries, improving oral health of 15 patients

Botucatu E Região, Brasil

While working as administrative assistant at ACAJ EMPRESARIAL, I maintained office supplies inventory by logging in supplies in the internal server and conducting periodic evaluation to anticipate requirements.I also performed data entry and processing, along with overseeing general administration functions including organization of files and database management.Key Achievements :-- Hired and mentored staff of 10 people for office administrative work to provide facility management support to organization; enabled office administrators to solve 50+ vendor queries everyday via phone or emails- Supervised administrative staff, delegating responsibilities and monitoring daily work progress; compiled monthly status reports, comparing work against company targets and incentivizing above average performers with 5% increment

Bachelor'S Degree, Human Resources Management And Services

Associate'S Degree, Computer Science

Law

Artigo publicado em 2014, "Perspectivas sobre o Neoconstitucionalismo", para a Iniciação Científica

High School Diploma, High School/Secondary Diplomas And Certificates

Activities and Societies: Teatro, dança, futebol.