Adriana Orellana
Newark,NJ
Summary
Experienced Dental Insurance Coordinator with strong background in managing dental insurance claims, appeals, and eligibility verifications. Strengths include understanding of dental procedures, billing codes, and insurance policies. Known for improving claim approval rates, reducing denials and streamlining administrative processes. Committed to supporting team goals while ensuring optimal patient satisfaction.
Overview
19
19
years of professional experience
2003
2003
years of post-secondary education
Work History
Dental Insurance Coordinator
Dental Health Associates
Newark , NJ
02.2023 - Current
- Coordinated patient insurance verification and eligibility for dental services.
- Assisted patients with understanding their insurance benefits and coverage options.
- Maintained organized records of patient insurance information and billing documentation.
- Communicated effectively with dental providers regarding insurance policies and claim status.
- Educated staff on changes to insurance policies affecting patient services and billing procedures.
- Processed requests for pre-authorization of treatments from providers on behalf of patients.
- Secured pre-authorizations and pre-certifications for minor surgical procedures performed in office settings.
- Informed patients of claims status after filing insurance claims.
- Assisted in the development and implementation of office policies related to insurance processing.
Front Desk Receptionist
Dental Health Associates
Newark, NJ
09.2014 - 01.2023
- Welcomed patients and managed front desk operations efficiently.
- Scheduled appointments using dental practice management software.
- Verified patient insurance information and processed payments accurately.
- Maintained patient records following confidentiality and compliance standards.
- Answered phone calls and addressed patient inquiries professionally.
- Greeted customers warmly and made them feel welcome.
- Performed data entry into computer systems to maintain accurate records of customer information.
Dental Assistant
Dental Health Associates
Newark
03.2014 - 08.2014
- Assisted dentists during procedures to ensure patient comfort and efficiency.
- Prepared examination rooms by sterilizing instruments and stocking necessary supplies.
- Educated patients on oral hygiene practices and post-treatment care instructions.
Customer Service Representative
Lowe's
East Rutherford, New Jersey
03.2010 - 09.2012
- Assisted customers with product selection and inquiries in home improvement retail.
- Resolved customer complaints efficiently, maintaining a positive shopping experience.
- Handled returns and exchanges by following company policies and procedures diligently.
- Answered customer inquiries and provided accurate information regarding products and services.
Sales Associate
Macy's
Jersey City, New Jersey
04.2006 - 09.2008
- Assisted customers with product selection and provided personalized recommendations.
- Maintained store presentation by organizing merchandise and ensuring displays were appealing.
- Processed customer transactions accurately using point-of-sale systems.
Education
San Juan Capistrano
California Some College (No Degree) - Computer And Information Sciences
San Juan Capistrano
California Skills
- Insurance verification
- Claims processing
- Pre-authorization requests
- Billing documentation
- Dental procedure coding
- Team collaboration
- Time management
- Customer service and assistance
- Multitasking
Languages
Spanish
Native/ Bilingual
Timeline
Dental Insurance Coordinator
Dental Health Associates
02.2023 - Current
Front Desk Receptionist
Dental Health Associates
09.2014 - 01.2023
Dental Assistant
Dental Health Associates
03.2014 - 08.2014
Customer Service Representative
Lowe's
03.2010 - 09.2012
Sales Associate
Macy's
04.2006 - 09.2008
San Juan Capistrano
Some College (No Degree) - Computer And Information Sciences
San Juan Capistrano