To gain an opportunity in the Dental field that will allow myself to employ the skills and knowledge for the enhancement of the company. Experience Dental Insurance Specialist successful at managing high caseloads in fast-paced environments. Organized, driven and adaptable with excellent planning and problem-solving abilities. Offering 14 years of experience and willingness to take on any challenge.
Hi, I’m
Rebecca E. Velazquez
Harker Heights,TX
Summary
Overview
7
years of professional experience
Work History
House of Smiles
Insurance Specialist
08.2021 - Current
Job overview
- Assign accounts to collections
- Check in patients
- Treatment planning
- Help patients apply to third party lenders (such as Lending Point, Proceed Finance, and Alphaeon etc.)
- Investigated and processed claims swiftly to keep customers satisfied
- Prepared and reviewed insurance applications to verify compliance with regulations
- Responded to customer calls swiftly to resolve issues and answer questions
- Processed eligibility and benefits verification and authorization requests
- Maintained confidentiality of patient finances, records, and health statuses
- Resolved discrepancies in insurance payments by collaborating with carriers
- Followed up on denials, late payments, extensions and other special circumstances
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss
- Utilized Dentrix to document and track customer account details
- Monitored changes in insurance industry to stay compliant with relevant laws and regulations
- Obtained underwriting approval by completing application for coverage
Fusion Dental
Treatment Coordinator
07.2019 - 08.2021
Job overview
- Directed patient care by organizing schedules and day-to-day activities for three providers.
- Explained treatment choices to patients and helped determine best options
- Conducted interviews with patients to discuss health history, objectives and concerns
- Researched billing issues, scheduled appointments and verified insurance coverage
- Laid out potential payment plans for patients
- Educated patients on dental benefits and coordinated proper payment with insurance companies
- Included family members and support system in patient treatment planning
- Directed patient care by organizing schedules and day-to-day activities for two providers
- Communicated with insurance companies to verify coverage and obtain authorizations for dental treatments and procedures
- Maintained confidentiality of patient data and condition to safeguard health information
- Delivered excellent patient experiences and direct care
iDental Family Dentistry, Bill
Insurance Biller
09.2016 - 07.2018
Job overview
- Responded to inquiries from callers seeking information
- Calculated adjustments, premiums and refunds
- Processed and recorded new policies and claims
- Reviewed and verified addresses, phone numbers, names, ages and values
- Collected premiums and issued accurate receipts
- Prepared insurance claim forms or related documents and reviewed for completeness
- Carried out administrative tasks by communicating with clients, distributing mail, and scanning documents
- Modified, updated and processed existing policies
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
- Made contact with insurance carriers to discuss policies and individual patient benefits
- Assured timely verification of insurance benefits prior to patient procedures or appointments
- Posted payments to accounts and maintained records
- Maintained confidentiality of patient finances, records, and health statuses
- Generated, posted and attached information to claim files
Education
Madera High SchoolMadera, CA
High School Diploma
06.2007
University Overview
Skills
- Strong communication skills
- Microsoft Programs: Word, Excel, Outlook, and Power Point
- Type 40 WPM
- Organized
- Detail Oriented
- Able to Multi-Task
- Knowledgeable in Dentrix
Languages
Spanish
Limited Working
Timeline
Insurance Specialist
House of Smiles
08.2021 - Current
Treatment Coordinator
Fusion Dental
07.2019 - 08.2021
Insurance Biller
iDental Family Dentistry, Bill
09.2016 - 07.2018
Madera High School
High School Diploma
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