Summary

Overview

Work History

Education

Skills

ADDITIONAL EXPERIENCE

Languages

Timeline

KARINA DOREUS

Trumbull,CT

Summary

Dental Insurance and Revenue Cycle Specialist with over 12 years of experience in dental insurance operations, claims management, accounts receivable, insurance verification, and patient financial coordination. Accomplished insurance department leader with more than five years of experience overseeing insurance workflows for a large out-of-network dental practice. Proven ability to maximize reimbursements, reduce aging accounts receivable, resolve complex claim issues, and maintain strong relationships with insurance carriers, providers, and patients. Fluent in English and Spanish with a passion for helping dental practices improve operational efficiency and financial performance. Seeking a remote opportunity focused on dental insurance billing, claims management, and practice support.

Overview

years of professional experience

Work History

Insurance Department Lead / Dental Insurance Specialist

Imperial Dental Associates

Westport, CT

07.2020 - Current

Lead all insurance operations for a high-volume out-of-network dental practice, overseeing claims processing, reimbursement tracking, insurance verification, and accounts receivable management.
Manage the complete insurance lifecycle, including eligibility verification, claim submission, payment posting, appeals, narratives, supporting documentation, and insurance follow-up.
Collaborate directly with insurance carriers to resolve claim denials, underpayments, and reimbursement discrepancies.
Reduce aging accounts receivable through proactive follow-up strategies and consistent communication with patients and insurance representatives.
Prepare comprehensive narratives and supporting clinical documentation to strengthen claim approvals and maximize reimbursement.
Present treatment plans and financial arrangements while educating patients on insurance benefits and coverage.
Serve as the primary resource for insurance-related questions, helping patients and team members navigate complex insurance processes.
Maintain strong relationships with insurance carriers and provider networks to ensure efficient claim resolution.
Support office leadership by improving workflows, increasing collection efficiency, and contributing to the overall financial health of the practice.
Boosted overall employee morale by fostering a positive work environment and promoting open communication.
Mentored new hires within the department, providing guidance on company policies and procedures as well as job-specific tasks.
Developed strategic initiatives to enhance patient retention and loyalty programs.
Oversaw inventory management, reducing costs through effective supply chain strategies.
Coordinated training programs for new hires, ensuring adherence to best practices.
Analyzed patient feedback data to identify areas for service improvement.
Implemented quality assurance protocols, improving service delivery standards.
Mentored junior staff, fostering professional development and team collaboration.
Streamlined appointment scheduling process, enhancing office efficiency and patient flow.
Led daily operations to ensure optimal patient care and satisfaction.

Treatment Coordinator

Dental Associates of Connecticut

Connecticut

12.2018 - 02.2019

Managed high-volume scheduling, patient intake, and treatment coordination for a large dental practice.
Presented treatment plans and financial options, helping patients understand recommended care and insurance benefits.
Acted as the primary liaison between patients, providers, and insurance carriers to facilitate treatment acceptance and continuity of care.
Coordinated insurance verification and benefit reviews to support treatment planning and financial discussions.
Assisted in managing treatment plans, ensuring alignment with patient goals and clinical recommendations.
Provided administrative support, patient scheduling, record management, and front-office coordination in dental and healthcare environments.
Maintained organized patient records and ensured accurate documentation and communication.

Receptionist / Dental Assistant

Thomas F. Braun Orthodontics

Fairfield, CT

08.2014 - 01.2019

Coordinated patient scheduling, intake, registration, and financial transactions in a busy orthodontic practice.
Assisted providers during clinical procedures while maintaining compliance with sterilization and infection control protocols.
Managed patient records and facilitated communication between patients, providers, and external offices.
Delivered exceptional patient service, contributing to a positive patient experience and office efficiency.