DME Referral Specialist at OrthoVirginia with strong skills in insurance verification and referral management. Proven track record in improving workflow efficiency and providing outstanding customer service. Bilingual communicator with expertise in documentation review and follow-up, ensuring smooth patient experiences and prompt authorizations. Focused on achieving optimal results in high-pressure environments.
Overview
12
12
years of professional experience
Work History
DME REFERRAL Specialist
ORTHOVIRGINIA
FAIRFAX
09.2024 - Current
Ensured documentation of all DME referrals, authorizations, pre-certifications, and insurance verifications.
Managed assigned work queues to maintain workflow efficiency.
Responded to correspondence regarding DME referral and authorization requests promptly.
Communicated DME insurance verification benefits to coordinators, office staff, and patients effectively.
Assisted DME coordinator in explaining insurance benefits and collecting estimated patient responsibility pre-payments.
Patient Care Coordinator
Columbia Pike Family Dentistry and Lakeridge Smiles
Arlington
03.2024 - Current
Greeting and welcoming patients to the practice.
Scheduling, rescheduling, or canceling appointments as needed.
Assisting patients to fill out information forms.
Sending new patient forms via email or text.
Preparing patients' charts and daily schedules for the dental staff.
Updating patient records and documenting recent treatments and procedures.
Scheduling follow-up appointments and providing telephonic reminders.
Also sending patient text message reminders.
Communicating with dental insurance providers to determine if patients are required to make co-payments.
Verifying methods of payment and collecting payments as needed.
Performing general office duties, such as answering telephones, photocopying, filing, and faxing.
Patient Care Coordinator
Smile Loft Branch Ave
Camp Springs
10.2022 - 10.2023
Perform analytical and data entry task.
Answer patients calls, emails and questions, including finding insurance estimates.
Schedule patient visits and answer pre-visit questions.
Ensure compliance with professional standards and regulatory requirements.
Work as a team player to ensure each patient receives the best service possible.
Scan documents into patient charts.
Patient Care Coordinator
Winter Park Dentistry
Winter Park
02.2020 - 01.2022
Receiving visitors at the front desk by greeting, welcoming, directing and announcing them appropriately.
Checking to make sure all their paperwork is up to date.
Collecting insurance information and verify it for their treatment.
Confirm appointments and help patient reschedule if need be.
Team Leader
Greenberg Dental & Orthodontics
Orlando
02.2014 - 05.2016
Acts as the liaison between the dentist and the employees of the office.
Oversees the responsibilities and duties of all the office personnel so that the office runs smoothly and efficiently.
Provides guidance, instruction, direction and leadership for the purpose of achieving a key result or group of aligned results.
Responsible for team building and ensuring teamwork.
Acts as the liaison between insurance companies and the dental office for submitting claims.
Confirm the next day appointments.
Responsible for setting up payment plans for patients.
Order the office supplies.
Responsible for keeping the office clean and ready for the next day.
Front Desk Agent
OrthoVirginia
Falls Church
01.2014 - 02.2014
Served as the first point of contact for patients and visitors and determined the purpose of the visit.
Maintain the updates all required demographic and insurance information in a timely and accurate manner.
Communicated with customers daily, provided friendly and courteous service, and answered questions.
Education
Administrative Assistant -
Everest University
Orlando, FL
03.2024
Skills
Customer service
insurance verification
DME documentation
referral management
authorizations processing
Medical terminology
Pre-authorizations
Communication skills
Bilingual proficiency
Time management
Computer literacy
Multi-line phone systems
Microsoft Word expertise
Insurance verification
Record keeping
Organizational skills
Documentation review
Follow-up skills
Referral wait list management
Languages
Spanish
English
Timeline
DME REFERRAL Specialist
ORTHOVIRGINIA
09.2024 - Current
Patient Care Coordinator
Columbia Pike Family Dentistry and Lakeridge Smiles