Isabella Hernandez
New Port Richey
Summary
Dynamic Claims Referral Specialist with a proven track record at LIBERTY Dental Plan, enhancing claim processing efficiency and reducing errors through meticulous data entry and insurance verification. Known for strong communication skills and a collaborative approach, I excel in training teams and ensuring compliance with HIPAA standards while delivering exceptional patient care.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Claims Referral Specialist
LIBERTY Dental Plan
New Port Richey, FL
03.2021 - Current
- Coordinated referral processes between providers and patients to ensure timely access to dental services.
- Reviewed and verified claim submissions for accuracy, minimizing errors and rejections.
- Collaborated with dental providers to resolve discrepancies in claims documentation.
- Trained new staff on claims processing workflows and software systems to enhance team performance.
- Improved claim processing efficiency by accurately reviewing and analyzing dental claims for payment.
- Streamlined the appeals process for disputed claims, collaborating closely with team members to resolve issues effectively.
- Reduced claim errors by diligently verifying patient eligibility and coverage details before processing.
- Maintained a high level of accuracy in data entry while processing large volumes of dental claims daily.
Dental Assistant
Smile Builders Pediatric Dentistry
Tampa, FL
01.2018 - 03.2021
- Assisted in pediatric dental procedures, ensuring patient comfort and cooperation.
- Prepared treatment rooms and sterilized instruments to maintain a safe environment.
- Educated patients and parents on oral hygiene practices for improved dental health.
- Managed appointment scheduling and patient records using dental practice management software.
- Cleaned and sanitized dental tools and equipment, straightened treatment rooms, and restocked supplies to prep for next patient and maintain health and safety practices.
- Assisted dentists with complex procedures, ensuring optimal patient care and treatment outcomes.
- Documented patient dental health information, medical history, and vital signs for future reference.
- Explained treatment procedures and instructed patients on home care guidelines.
- Educated patients on proper oral hygiene techniques, promoting long-term dental health.
- Contributed to office organization by maintaining accurate patient records and updating files regularly.
- Enhanced patient rapport by consistently delivering compassionate and professional care.
- Assisted in dental radiography, ensuring safety and accuracy for diagnostic purposes.
- Scheduled and confirmed patient appointments.
- Assisted in chair-side dental procedures by filling cavities and taking impressions.
Retail Supervisor
Bealls Outlet
Tampa, FL
05.2016 - 10.2018
- Supervised daily store operations to ensure efficient workflow and optimal customer service.
- Mentored and trained new staff on company policies, sales techniques, and product knowledge.
- Implemented visual merchandising strategies to enhance product presentation and drive sales.
- Managed inventory control processes, minimizing stock discrepancies through accurate tracking.
Education
Associate of Science - Dental Assistant
Concorde Career College
Tampa, FL01-2019
High School Diploma -
Leto High School
Tampa, FL05-2016
Skills
- Insurance verification
- Data entry proficiency
- Pre-authorizations
- Medical terminology
- Phone and email etiquette
- Appointment scheduling
- Punctual and reliable
- Maintaining cleanliness
- Payment processing
- HIPAA compliance
- Friendly and outgoing
- Verbal and written communication
- Appointment confirmation
- X-ray processing
- Professionalism and etiquette
- Team collaboration
- Equipment sterilization
- Pediatric dental care
Certification
- Certified Dental Assistant
- RDA - Registered Dental Assistant
Languages
English
Full Professional
Spanish
Full Professional
Timeline
Claims Referral Specialist
LIBERTY Dental Plan
03.2021 - Current
Dental Assistant
Smile Builders Pediatric Dentistry
01.2018 - 03.2021
Retail Supervisor
Bealls Outlet
05.2016 - 10.2018
Associate of Science - Dental Assistant
Concorde Career College
High School Diploma -
Leto High School