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
- 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 Referral Coordinator
Dental and Medical Insurance Verification Specialist (Part-time)
Summit Oral Surgery- Portland, Oregon, USA
May 5, 2025 - August 8, 2026
-Verify active dental and medical insurance coverage.
-Review and document patient benefits accurately in Open Dental.
-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.
Dental Insurance Verification Specialist (Part-time)
JB Dental Associates - Sterling, Virginia, USA
January 4, 2025 - May 30, 2026
-Verify dental coverage using various insurance portals
-Contact insurance providers to verify patient eligibility and coverage
-Document insurance benefit breakdowns accurately in Dentrix EHR
Dental and Medical Healthcare Virtual Assistant (Part-time)
Woodville Road Medical and Dental Center
New name: Kairos Medical Group - NSW Australia
January 4, 2024 - April 10, 2025
-Process workers’ compensation (WorkCover) claims and related documentation.
-Handle inbound calls and schedule dental, medical, and allied health appointments.
-Confirm and coordinate patient appointments
-Make outbound calls to patients for dental recall and follow-up appointments.
-Check child dental benefit (CDBS)
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
