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Mariela R. — Mid-Level Dental Insurance Verification Specialist from Philippines

Mariela R.

Mid-Level Dental Insurance Verification Specialist

Philippines 3-6 years
Open to offersNew to Platform
Languages
English
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About

Mariela M. R. is a detail-oriented Dental Insurance Verification Specialist with over four years of experience dedicated to supporting U.S.-based dental practices. She excels in insurance eligibility and benefits verification, managing prior authorizations, deductibles, annual maximums, waiting periods, and coordination of benefits. With proficient use of dental practice management systems such as OPEN DENTAL, Dentrix, EDS Bridge, Eaglesoft, and OrthoEdge, along with insurance portals like Humana, Availity, and DentaQuest, Mariela ensures accurate documentation and HIPAA compliance. She methodically verifies patient insurance eligibility, reviews coverage details, and submits prior authorizations, particularly for orthodontic and Medicaid cases. Additionally, as a Social Media Manager and Sales Administrator, Mariela oversees product promotions on platforms, manages customer inquiries, and supports the sales team. Her career is marked by maintaining organized patient records in remote environments, showcasing her adeptness in managing high-volume verification requests with precision and efficiency.

Experience

  • Dental Insurance Verification Specialist

    Kids Dental Brands · 2026 — Present
    Verified patient insurance eligibility and benefits through insurance portals and payer websites. Reviewed coverage details such as deductibles, copayments, coinsurance, annual maximums, waiting periods, and frequency limitations. Documented insurance information accurately in designated systems while communicating with insurance providers to clarify benefits and patient responsibilities. Supported dental insurance verification and administrative tasks to enhance office operations and maintained organized patient insurance records.
  • Social Media Manager and Sales Administrator

    Vinali Group — Independent Contractor · 2022 — 2026
    Oversaw the promotion of the company’s products and services across various digital platforms, focusing primarily on Facebook. Developed engaging content, planned and executed social media campaigns, and managed paid advertisements including budgeting, payments, and performance tracking to enhance reach and conversions. Supported the sales team through managing customer inquiries, preparing reports, coordinating schedules, and fostering strong client relationships while guiding and motivating team members.
  • Dental Insurance Verification Specialist

    MDPVENTURES INC · 2019 — 2021
    Verified dental insurance eligibility and benefits prior to patient appointments. Reviewed and documented details regarding frequency, limitations, annual maximums, deductibles, waiting periods, and patient co-pay. Contacted insurance representatives to confirm benefits, resolve discrepancies, and ensure accurate coverage information. Managed a high volume of insurance verification requests while entering and updating patient insurance information in PMS systems, such as OPEN DENTAL and Dentrix. Submitted prior authorizations for orthodontic and Medicaid cases and processed orthodontic codes while ensuring HIPAA compliance.

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