Keith Larzelere

Experience

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  Beaumont Health System

  Oct 2005 - May 2010

  Registrar

  • Registered patients for outpatient radiology services while assuring customer satisfaction.• Inputted insurance and patient information.• Verified insurance eligibility via telephone and internet.• Knowledge of JCAHO standards and HIPAA Privacy Practices.• Assisted in transport of patients.• Exemplified Beaumont Standards via “Saluting Our Stars” achievement.

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  Health Fitness Corporation

  Jan 2010 - May 2015

  • Performed fitness assessments on new members including cardiovascular endurance, strength endurance, and flexibility• Created custom exercise prescriptions based on goals and fitness level• Instructed group exercise classes• Build and maintain rapport with members • Increased education with hands-on experience• Performed fitness assessments on new members including cardiovascular endurance, strength endurance, and flexibility• Created custom exercise prescriptions based on goals and fitness level• Learned about instructing group exercise classes• Build and maintain rapport with members

  • Fitness Specialist

    May 2010 - May 2015

  • Fitness Specialist Intern

    Jan 2010 - Apr 2010
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  Great Expressions Dental Centers

  May 2015 - Jun 2018

  • Managed and supported a team of 5 Insurance Specialists• Ensured all fee schedules and insurance plans were correctly input into Dental Vision software• Maintained plan information and fee spreadsheets for all DMO, PPO, and Medicaid plans• Assisted over 270+ offices daily via insurance helpline phone queue, 100+ calls per week• Oversaw that all adjustments, corrections, plan adds, and other requests from offices were completed daily• Daily interaction with insurance payers regarding payment/claim issues, fee negotiations, and patient grievances• Oversaw all insurance aspects of transitioning newly affiliated offices into Great Expressions systems• Special projects as requested by VP of Insurance and Accounts Receivable Show less

  • Insurance Manager

    Sept 2015 - Jun 2018

  • Location Support Analyst

    May 2015 - Sept 2015
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  United Concordia Dental

  Jul 2018 - Feb 2021

  Senior Dental Network Service Representative

  • Professional relations representative for FL (Panhandle), MA, MI, and RI• Managed credentialing contracts/renewals, adhering to state guidelines and URAC accreditation requirements• Reviewed and negotiated competitive fee schedules as needed to meet group specific performance guarantees• Acted as liaison between providers and partners, including Blue Cross Blue Shield, Dentemax, DNoA, DHA, Principal, and PPO USA• Responded to contractual and claims payment issues both internally and externally• Performed quality audit chart reviews amongst DHMO practices in MI to adhere to state guidelines and requirements• Identified and initiated contact with prospective providers for network enrollment and finalizing within established time frames • Communicated and maintained work relationships with management, providers, dental industry, and dental consultants Show less

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  Cigna

  Feb 2021 - now

  Professional Relations Manager - National DSO Team