Meet Mehta
Waterloo,ON
Summary
Experienced Healthcare Administrator with a demonstrated history of working in Pharmaceutical and Dental environments. Capable of being a remarkable healthcare worker implementing project management, customer service, and communication to ensure accurate and timely implementation of administrative services for organizations. Skilled in claims investigation and managing teams, problem-solving complex cases, and collaborating with stakeholders to achieve key deliverables.
Overview
3
3
years of professional experience
5
5
Certification
Work History
Pharmacy Assistant
Walmart Pharmacy
Waterloo, ON
02.2022 - Current
- Led the 9 Pharmacy Assistants and assisted the Pharmacist team and was accountable for resolving complex claim problems for private insurance service management and OHIP, implementing new advancements, and staying updated on rapidly evolving policies.
- Contacted plan sponsors, plan members, and providers/practitioners to obtain missing information as directed by investigators or managers.
- Composing, managing, and responding to internal/external emails from partners and clients regarding their claims implementations.
- Assisting clients with various setup-related questions and scenarios over the phone, including claims processing questions, general ledger questions, and various other system-related requests.
- Performed claim verifications, desk and/or on-site audits, and communicated with providers to gather information and respond to inquiries.
- Managed high-priority tasks in a fast-paced environment and maintained accuracy and quality through self and peer-review processes.
Insurance Coordinator
Markham Dental Clinic
Markham, ON
01.2023 - 04.2023
- Responsible for accurately coding dental procedures using the appropriate dental coding system. Accurate coding ensures proper reimbursement and compliance with insurance guidelines.
- Communicated treatment plans, coverage details, and required documentation to ensure a smooth and timely reimbursement process. Also, build positive relationships with insurance company representatives to facilitate effective claims processing.
- Stayed informed about changes in dental insurance policies, coverage guidelines, and billing regulations.
- Writing reports, presenting cases, and guiding patients and guardians to support appropriate decisions in treatment planning, providing appropriate evidence-based options.
- Controlled the information flow to and from the office, ensuring the appropriate and timely handling of mail, email, requests, reports, and documents.
Customer Service Manager
Walmart
Kitchener, ON
10.2021 - 02.2022
- Led a team of 15 customer service representatives, providing guidance, training, and performance evaluations.
- Collaborated with cross-functional teams to drive customer service initiatives, streamline processes, and enhance the overall customer experience.
- Successfully managed the department budget, optimizing resource allocation and maintaining cost-effective operations.
- Handled complex customer issues and escalated cases, ensuring timely and effective resolution while maintaining high customer satisfaction.
- Conducted training sessions on customer service techniques, product knowledge, and company policies to enhance team members' skills and knowledge.
Dental Administration Manager
Choice Dental Clinic
Ahmedabad, INDIA
08.2020 - 08.2021
- Continuously evaluated business operations to effectively align workflows for optimal area coverage and patient satisfaction.
- Effectively managed payroll and timekeeping, including completion of proper paperwork for new hires and terminations.
- Provided administrative support to the executive team, including scheduling appointments, arranging travel, and preparing documents.
- Prepared financial reports, scheduling of dentists, and communicating with stakeholders.
- Provided strategic advice and proposals for implementing policies in the dental environment to maintain patient satisfaction and organizational benefits.
Education
Postgraduate Diploma - Healthcare Administration
Conestoga College Institute of Technology And Advanced Learning
Kitchener, ON12.2021
Bachelor Of Dental Surgery - Dental Sciences
Gujarat University
Gujarat, India09.2020
Skills
- Investigation Support: Proficient in utilizing internal systems to gather claim information and documents, consolidate evidence, and manage case management tools
- Communication: Excellent written and verbal communication skills with the ability to deal with difficult and contentious calls and emails Skilled in providing sensitive and client-focused communication
- Interpersonal Skills: Strong listening skills and the ability to work with diverse stakeholders Exhibit professionalism, discretion, and a customer service focus
- Organization: Superior organizational skills with the ability to manage a fluctuating workload and prioritize tasks effectively Detail-oriented and committed to maintaining accurate records
- Computer Proficiency: Intermediate to advanced skills in Power BI, MS Office (Excel, Word, and Access), and Pharmacy Software Kroll
- Adaptability: Willingness to adapt to new processes, take on additional tasks, and contribute to improving efficiency and internal customer support
- Confidentiality: Exhibit a high degree of professionalism and discretion when handling confidential and sensitive issues
- Data Analysis: Excellent analytical and problem-solving skills to support group benefits and administrative practices
Certification
- Project Management: Healthcare Projects -LinkedIn Certification
- SQL Data Analysis in Healthcare- LinkedIn Certification
- Change Management Foundation -LinkedIn Certification
- SEO Foundation- LinkedIn Certification
- Leadership Foundation- LinkedIn Certification
REFERENCE
- JOETTE FORSYTH: PHARMACIST: joette@rogers.com
- SALEEM GHAFFAR: PHARMACIST: 416-570-7974
Timeline
Insurance Coordinator
Markham Dental Clinic
01.2023 - 04.2023
Pharmacy Assistant
Walmart Pharmacy
02.2022 - Current
Customer Service Manager
Walmart
10.2021 - 02.2022
Dental Administration Manager
Choice Dental Clinic
08.2020 - 08.2021
Postgraduate Diploma - Healthcare Administration
Conestoga College Institute of Technology And Advanced Learning
Bachelor Of Dental Surgery - Dental Sciences
Gujarat University
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