Dajane Sanchez
Sutherland Global Services
West Orange ,NJ
1
Language
10
years of professional experience
Enthusiastic-highly motivated to secure a position in which I can enhance my professionalism and contribute to the company’s success.
Work History
Accounts Receivable (AR) Billing Representative
1 Year 7 Months- Managed accounts receivable activities for healthcare providers and insurance carriers.
- Reviewed and resolved denied, underpaid, and outstanding insurance claims.
- Analyzed Explanation of Benefits (EOBs) and payer remittance advice to identify payment discrepancies.
- Submitted claim corrections, reconsiderations, and appeals to insurance companies.
- Followed up with commercial, Medicare, Medicaid, and managed care payers regarding claim status.
- Maintained productivity and quality standards while managing a high-volume workload.
- Researched account issues and documented all actions accurately within billing systems.
- Communicated professionally with insurance representatives, providers, and internal teams.
- Ensured compliance with HIPAA regulations and healthcare billing guidelines.
- Collaborated with team members to improve claim resolution and account recovery.
Surgical Coordinator/Lead Patient Representative
3 Years 5 Months- Schedule patients for procedures according to doctors recommendations while ensuring surgical procedures are in appropriate block time.
- Create patient charts for nurses and provide OR staff with necessary consent forms, patient history notes and physical examinations needed for nurses assessment.
- Greet patients as they walk in, check in patients, allow patients to review patient identifier wristband prior to placing the wristband on patient.
- Collect all copays, out of pocket and deductible fees due at the time of visit.
- Inform patient of protocol for surgical procedure and next steps after check-in process.
- Obtain insurance eligibility and prior authorizations for elective surgical procedures.
- Place post-procedure calls to ensure the patient is in good health and does not require any further assistance.
Field Scheduler
4 Years 4 Months- Schedule in-house sessions and pick-ups.
- Schedule staff interviews for CNA, HHA, PRN and Caregivers.
- Verification of insurance eligibility and Medical transportation approvals.
- Assist with billing processes and paperwork.
- Access individual patients to route schedules according to disability and illness requirements and needs.
- Uploading daily schedules and in-house session plans to EMR.
Education
Diploma
Skills
Medical Billing and Coding Knowledge
Accounts Receivable Management
Insurance Claims Processing
Claims Follow-Up and Resolution
Appeals and Reconsiderations
Denial Management
EOB Interpretation
Payment Posting Review
LANGUAGES
English/Spanish
Timeline
Accounts Receivable (AR) Billing Representative
Sutherland Global Services
01.2025 - CurrentRead More
Surgical Coordinator/Lead Patient Representative
NJ Urology
08.2021 - 01.2025Read More
Field Scheduler
Central Florida Care Group, INC
02.2017 - 06.2021Read More
Boone High School
Diploma
Read More