Adriana Velazquez
Las Vegas,NV
Summary
UM Referral Specialist delivering impactful results. Known for problem-solving skills, reliability, and maintaining high standards in all tasks. Organized and dedicated to providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.
Overview
7
7
years of professional experience
1
1
Certification
Work History
Referral Specialist
LIBERTY Dental Plan
Las Vegas, NV
10.2020 - Current
- Handle inbound and outbound phone calls in a professional manner from dental facility, brokers, groups and Members.
- Handling callers inquiries from all regions and lines of business related to claims,referrals emergency referrals and pre-authorizations.
- Appropriately take action to resolve and create emergency referrals and pre-authorizations within the establish guidelines.
- Implemented quality assurance measures to verify accuracy of referrals processed.
- provided superior service through first call resolution
- Managed appointment scheduling and patient follow-ups to optimize workflow efficiency.
- Effectively resolved patient concerns or complaint or assist in transferring to the right person, all while documenting or submitted proper workflow.
- Streamlined processing workflows to enhance productivity and reduce turnaround times.
- Participated in continuous training initiatives, staying up-to-date on relevant regulations, policies, and best practices within the field.
- Demonstrated flexibility when adapting to new processes or guidelines while maintaining consistently high levels of productivity.
Dental Assistant
Sienna Hills Family Dental
Las Vegas, NV
01.2019 - 03.2020
- Monitored inventory levels, ordering supplies to maintain operational readiness.
- Educated patients on oral hygiene practices and post-operative care instructions.
- Implemented infection control protocols to ensure compliance with health regulations.
- Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
- Provided chairside assistance during examinations, improving dentist efficiency and patient satisfaction.
- Performed x-rays safely while adhering to radiation safety guidelines, ensuring high-quality diagnostic images for dentists'' evaluations.
- Documented patient dental health information, medical history, and vital signs for future reference.
Education
Certificate of Technical Studies -
Milan Institute
Las Vegas, NVHigh School Diploma -
Valley High School
Las Vegas, NV06-2006
Skills
- Proficient in dental terminology
- Detail-oriented documentation skills
- Understanding of HIPAA compliance
- Excellent verbal and written communication skills
- Proficient in resolving complex customer issues
- Advanced knowledge of HSP meditract screens and CRM workflows
- Experienced in Excel, Outlook, and Word
- Bilingual in Spanish
Certification
- Certified Dental Assistant
Timeline
Referral Specialist
LIBERTY Dental Plan
10.2020 - Current
Dental Assistant
Sienna Hills Family Dental
01.2019 - 03.2020
Certificate of Technical Studies -
Milan Institute
High School Diploma -
Valley High School