Alyssa Olivarez
Dallas,TX
Summary
Efficient professional in insurance claims and policy processing, known for high productivity and the ability to complete tasks with precision. Specialized in analyzing claim details, navigating policy databases, and managing customer communications. Excel in problem-solving, adaptability, and teamwork, leveraging these soft skills to navigate complex situations and achieve positive outcomes.
Overview
3
3
years of professional experience
Work History
Insurance Claims Specialist
Amazing Dental
Arlington, Texas
03.2025 - Current
- Investigated and processed complex insurance claims, ensuring accuracy and compliance with state regulations by using Dental Exchange to submit requirements. (X-Rays, EOBs, Chart Notes, Diagnostic Reports and Narratives).
- Maintained detailed records of all claim activity including documentation of conversations with insurance representatives and patients on the Open Dental platform.
- Provided timely updates on the status of claims to patients via phone or email communication
- Identified discrepancies between actual loss amounts and estimated losses, enhancing accuracy of treatment plan estimates and insurance payments.
- Engaged with patients after claims were resolved to clarify any issues and ensure satisfaction.
- Utilized insurance portals to manage claims information (explanation of benefits) and processed payments.
- Evaluated processes and procedures related to claim handling, recommending improvements to streamline operations and enhance accuracy.
- Prepared insurance claim forms and related documents and reviewed them for completeness.
- Examined letters from policyholders and agents, original insurance applications, and other company documents to determine whether changes were needed and the effects of changes.
- Transcribed data to worksheets and entered data into the computer for use in preparing documents and adjusting accounts. (Word Doc)
- Followed claim status closely to ensure timely resolutions, and followed up with insurance carriers
- Prepared invoices for payment requests from insurance associated with specific claims for patients.
Front Office / Treatment Coordinator
Ideal Dental
Dallas, TX
11.2023 - 03.2025
- Helped a large volume of patients every day with a positive attitude and a forward focus on patient satisfaction.
- Streamlined paperwork processes by efficiently keying and scanning documents into the Carestack platform.
- Communicated proactively with the back office such as Doctors, Assistants, and Hygienist, by immediately explaining issues that patients wanted resolved and teaming on appropriate solutions.
- Scheduled patients as needed for routine cleanings, and emergency exams, and routed calls for specialty treatment.
- Managed social media platforms such as Facebook and Instagram.
- Conducted multi-line phone calls, texts, and emails.
- Documented every call task so communication was more clearly between front and back office.
- Communicated proactively with the back office such as Doctors, Assistants, and Hygienist, by immediately explaining issues that patients wanted resolved and teamed on appropriate solutions.
- Placed outbound customer service or customer satisfaction calls to follow up on issues and to see if they're resolved.
- Addressed customer account discrepancies and concerns, such as payments and claim questions.
- Scheduled patients for routine cleanings and emergency exams, and routed calls for specialty treatment.
- Closed out the day with income allocation and summary reports.
- Coordinated and clearly explained treatment plans to patients, ensuring understanding and compliance.
- Helping patients with all financial option opportunities that are offered within the office. (HFD, Care Credit, Sunbit & Cherry)
- Handled all PPO/Medicaid insurance verification and billing inquiries.
- Assisted with the development of protocols for clinical operations related to patient treatments.
- Trained new employees regarding all guidelines and protocols for precise care for patients and staff.
- Supported new employees' development by providing training and guidance on office procedures.
Call Center Customer Service Representative
Pacic Dental Services
Iving, TX
05.2023 - 10.2023
- Utilized Eaglesoft software to manage patient information platforms for multi-state offices.
- Routed each call to the correct office or advisor.
- Handled all calls and emails in a timely manner.
- Exhibited strong communication skills to effectively convey information to customers via phone or email.
- Exhibited strong communication skills to convey information to customers via phone or email.
- Trained new employees on effective response strategies for customer inquiries and requests.
- Referred unresolved customer grievances to designated departments for further investigation.
- Managed database system to ensure organized data entry. to record notes and call information.
- Used Eaglesoft platform for multi-state offices.
Education
High School Diploma -
Kemp High School
Kemp, TXSkills
- Insurance portal navigation
- Attention to detail
- Clear communication
- Problem solving
- Time management
- Adaptability
- Multitasking Abilities
- Teamwork and collaboration
Timeline
Insurance Claims Specialist
Amazing Dental
03.2025 - Current
Front Office / Treatment Coordinator
Ideal Dental
11.2023 - 03.2025
Call Center Customer Service Representative
Pacic Dental Services
05.2023 - 10.2023
High School Diploma -
Kemp High School