Hansel Rajil

Detail-oriented Dental Insurance Verification Specialist with 11 years of hands-on experience in U.S. dental insurance verification for PPO and HMO plans. Skilled in verifying patient eligibility, benefits, CDT codes, and plan limitations. Strong knowledge of major U.S. carriers and proficient in multiple dental practice management software. Committed to accuracy, efficiency, and excellent communication with dental teams and patients.

Dental Insurance Verification Specialist - Multiple U.S. Dental Offices - Remote

(2014-01)

• Verified patient eligibility and benefits for preventive, basic, and major dental services.
• Checked coverage details including waiting periods, deductibles, annual maximums, and frequency limits.
• Recorded accurate plan breakdowns using CDT codes.
• Used insurance portals and provider calls to confirm benefits for PPO and HMO plans.
• Prepared patient cost estimates and informed dental teams of coverage issues.
• Maintained HIPAA compliance and protected patient information.
• Assisted with basic claim submissions, payment posting, and resolving denials.

BSOA - Datamex Institute of Computer Technology