Jaquelyn Garcia
Colorado Springs
Summary
Friendly as well as hard-working and detail-focused dental administrative professional with a strong background in insurance pre-authorizations and benefits coordination. Experienced in submitting and managing multiple authorizations, following up with insurance companies, and resolving delays or denials. Known for a positive attitude, strong communication skills, and commitment to efficient patient care support.
Overview
4
4
years of professional experience
Work History
Front Desk Receptionist
Elite Dental Group
Colorado Springs, CO
01.2025 - Current
- Submitted, monitored, and followed up on pre-authorizations for a wide range of dental procedures to ensure timely treatment approvals.
- Communicated directly with insurance carriers to verify coverage, obtain authorization requirements, and resolve claim and authorization issues.
- Reviewed treatment plans and supporting documentation to ensure accurate and complete pre-authorization submissions.
- Maintained consistent follow-up with insurance representatives on pending authorizations, appeals, and claim determinations.
- Interpreted insurance policies, benefits, exclusions, and limitations to determine coverage eligibility.
- Worked closely with providers and clinical staff to gather necessary documentation and clinical notes required for authorization approvals.
- Informed patients of authorization status, insurance benefits, estimated out-of-pocket costs, and treatment coverage.
- Researched and resolved insurance discrepancies, denials, and benefit-related concerns.
- Maintained detailed records of insurance communications, authorization updates, and claim activity.
- Ensured all insurance processes were handled accurately, efficiently, and in compliance with office policies and HIPAA regulations.
Front Office Manager
Palmer Park Dentistry
Colorado Springs, CO
04.2022 - 12.2024
- Verified patient insurance eligibility, benefits, and coverage prior to appointments.
- Submitted, tracked, and followed up on pre-authorizations for dental procedures to ensure timely treatment approvals.
- Communicated directly with insurance companies to obtain authorization status, resolve claim issues, and clarify coverage details.
- Reviewed treatment plans and insurance benefits to provide accurate estimates of patient financial responsibility.
- Assisted patients in understanding insurance coverage, treatment costs, and payment options.
- Maintained accurate patient records and insurance documentation while ensuring HIPAA compliance.
- Coordinated with providers and office staff to support efficient scheduling and treatment planning.
- Managed multiple pre-authorization requests simultaneously while meeting deadlines and maintaining attention to detail.
- Followed up on pending authorizations and appeals to minimize delays in patient care.
- Delivered exceptional customer service by addressing patient questions and concerns professionally and compassionately.
Education
High School Diploma -
Vista Ridge High School
Colorado Springs, CO05.2015
Skills
- Dental Pre-Authorizations
- Insurance Verification & Eligibility
- Insurance Carrier Communication
- Treatment Plan Review for Authorization
- Claims Follow-Up & Status Checks
- Benefits Breakdown (Coverage, Deductibles, Limitations)
- Authorization Tracking & Case Management
- Denial Resolution & Appeals Support
- Dental Terminology & Procedure Coding Awareness
- Patient Insurance Explanation
- Documentation & Record Keeping
- Electronic Dental Records (EHR/EMR)
- HIPAA Compliance
- Data Entry Accuracy
- Phone & Email Communication with Insurance Companies
- Problem Solving & Issue Resolution
- Attention to Detail
- Time Management & Organization
- Multitasking in Fast-Paced Office
Timeline
Front Desk Receptionist
Elite Dental Group
01.2025 - Current
Front Office Manager
Palmer Park Dentistry
04.2022 - 12.2024
High School Diploma -
Vista Ridge High School