Jayson Alfaro
Claims Specialist • AR Follow-Up • Insurance Verification
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About
Results-driven healthcare support specialist with hands-on experience in dental insurance verification, claims processing, denial management, and AR follow-up. HIPAA-certified and skilled in coordinating with U.S. insurance payers, maintaining accurate documentation, and supporting clean claims and timely reimbursements. Recognized for strong attention to detail, workflow efficiency, and reliable support in fast-paced healthcare environments.
Experience
Dental Virtual Assistant at Confidential (2025-09 – 2026-08)
Independent Contractor
- Insurance Verification: Handled patient eligibility and benefit checks through payer portals, reviewing coverage, deductibles, copays, OOP, and remaining benefits.
- Insurance & Accounts: Compared payer information with patient records, updated insurance details, and documented verification results and follow-ups.
- Claims & AR: Supported claim submission, EOB review, denial resolution, AR follow-up, corrected claims, resubmissions, and appeals.
- Payer Communication: Contacted insurance carriers to clarify coverage, resolve claim issues, and obtain missing information when needed.
- Documentation & HIPAA: Maintained accurate patient and insurance records while following HIPAA and internal procedures.
Claims Specialist / Insurance Verification Support at Siblings International Business Solution (2024-11 – 2025-08)
- Insurance & Claims Support: Managed dental insurance verification, claims processing, AR follow-up, and denial resolution while meeting accuracy and productivity targets.
- Process Improvement: Reduced processing errors through accurate documentation and claim review.
- Communication & Coordination: Coordinated with insurance providers to verify coverage, follow up on claims, and resolve billing issues promptly.
Quality Development Specialist – Trainer at Siblings International Business Solution (2025-06 – 2025-08)
- Training & Coaching: Provided process and system training to improve team accuracy, consistency, and performance.
- Quality Monitoring: Reviewed work for compliance, identified errors, and delivered feedback to improve quality and reduce rework.
Education
Bachelor of Secondary Education in Mathematics – Laak Institute Foundation Inc. (2019 – 2023)




