Kenisha Bam Attaway

Results-driven Appeals and Grievances Coordinator a previous Dental Practice manager with extensive experience in insurance claims and policy processing. Excels in fast-paced, high-pressure environments by leveraging strong skills in policy interpretation, dispute resolution, and regulatory compliance. Proven ability to deliver precise, high-quality results while ensuring customer satisfaction and organizational success.

• Grievance and Appeals specialist , Delta Dental, San Francisco , CA , current, Collect and analyze supporting documentation (e.g., medical records, claim histories, billing statements, or internal HR reports).Consult with internal teams such as case managers, Medical Directors, coders, or customer service reps to gather context on why a service was denied.Review case details against established policies, legal guidelines, and regulatory frameworks (e.g., NCQA standards, CMS guidelines, or HIPAA).
• Office Manager, Dental Force, Petaluma, CA, 05/01/17, 02/2020 Worked with Doctor to develop business strategies conducting morning huddles to review schedules and production goals, managing patient flow and check-outs, processing insurance claims/payments, and reconciling daily finances.
• Dental Office Receptionist, Healthy Smiles Dental, Oakland, CA, 05/01/14, 02/01/16, Meet and Greet patients., Schedule patients., Patient Billing., Answer inbound phone calls., Maintain patients records and files., All other office administrative duties.
• Receptionist, Sight for Sore Eyes, Berkeley, CA, 12/01/11, 04/01/13, Responsibilities included answering telephone, screening and directing calls, and recording and relaying messages., Provided general administrative and clerical support, monitor visitor access, maintain security awareness and schedule appointments., Receive and sort mail and deliveries., Filed documents.
• Assistant Manager, Dollar Tree, 06/01/10, 04/01/11, Freight, stocking, cashier, and safe management duties., Customer services and sales duties., Filed documents.