ABOUT ME
Dedicated and detail-oriented professional with experience as a Dental Referral Coordinator, Insurance Verification Specialist, and Call Center Agent in both dental and medical insurance. Skilled in verifying insurance eligibility and benefits, coordinating patient referrals, managing dental records, and providing excellent customer service. Experienced in using Open Dental and Dentrix, handling patient communications, scheduling, and working closely with providers, insurance companies, and patients to ensure accurate and efficient healthcare support.
CERTIFICATION
- Hello Rache Dental Healthcare Virtual Assistant Certification, 2023
- HIPAA Certification & HIPAA Awareness for Healthcare Providers, 2023
SKILLS
- Proficient in creating comprehensive dental patient charts using Open Dental .
- Skilled in efficiently uploading x-rays, CBCTs, and detailed clinical notes.
- Meticulous in verifying patient demographics and insurance information .
- Adept at verifying dental and medical insurance eligibility and benefits.
- Knowledgeable in determining coverage percentages, deductibles, maximums, waiting periods, and limitations.
- Thorough in reviewing frequency limitations and exclusions.
- Experienced in working with various insurance portals and effectively communicating with insurance companies.
WORK EXPERIENCE
Dental Healthcare Virtual Assistant
HelloRache
November 2023 - Present
Verify active dental and medical insurance coverage.
Review and document patient benefits accurately in Open Dental and Dentrix.
Check eligibility, coverage limitations, deductibles, and pre-authorizations.
Create dental patient charts.
Upload reports, Cone Beam Computed Tomography scans, and X-rays.
Inform patients that their referral has been received.
Answering Service Representative
BrightDrop Virtual Assistants
September 2023 - October 2023
Answered and initiated calls from patients, doctors, and nurses, providing timely and courteous assistance during after-hours periods.
Efficiently managed appointment schedules, ensuring accuracy and precision in both setting and canceling appointments as necessary.
Customer Service Representative
United Healthcare | UMR | Optum Global Solution Philippines
November 2020 - July 2023
Verified and validated dental and medical insurance coverage for clients, ensuring accuracy and compliance with company policies and industry regulations.
Handled customer inquiries regarding insurance policies, answering questions related to coverage, benefits, and claim procedures with professionalism and courtesy.
Education Associate I
MFI Polytechnic Institute Inc.
June 2019 - May 2020
Created a positive and inclusive learning environment that promoted physical activity, teamwork, and sportsmanship.
Evaluated student performance and progress in physical education through assessments, tests, and observations.
Verified
