DANNIS SAINZ
MIAMI,FL
Summary
Professional with strong expertise in medical billing, bringing reliable and adaptable approach to navigating evolving needs. Proven track record in team collaboration and achieving results through effective communication and problem-solving , claims processing, and patient account management, with keen eye for accuracy and compliance. Known for dependability and focus on efficiency, ready to contribute to streamlined billing operations.
Overview
8
8
years of professional experience
Work History
Medical Biller
Complete Medical Billing of Florida
11.2022 - Current
- Verified insurance of patients to determine eligibility.
- Delivered timely and accurate charge submissions.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Collected payments and applied to patient accounts.
- Posted payments and collections on regular basis.
- Utilized various software programs to process customer payments.
- Generated monthly billing and posting reports for management review.
Medical Biller
Community case Managment Services LLC
09.2016 - 11.2022
- Verified insurance of patients to determine eligibility and submit the claim
- Review the EOBs and communicated with insurance providers to resolve denied claims and resubmitted
- Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
- I have experience working with portals such as Avility, Magellan, beacon, Optum, Medicaid, paper 1500 form ,ECHO , Payspan , Inovalon ,Navinet ,
- Some of the insurances those I work with are Molina, careplus , doctors, Aetna, preferred, sunshine, simply, Aetna Better Health , Humana, Clear health, New Direction , Cigna Health spring
- My main experience is in the field of behavioral health, however I have knowledge in office claims.
- Ensured timely payments from insurance providers through submission of accurate and complete claims.
- Implemented quality control measures to identify potential errors before submitting claims, reducing rejections significantly.
- Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Education
Certified Mental Health Technician 2e - Mental Health
National Career Certification Board
11-2024
Medical Billing And Coding -
Florida National University
Hialeah, FL06-2022
Skills
- Medical billing
- Insurance verification
- Claim submission
- Denial management
- Payment posting
- Medical office experience
- Microsoft Excel
- Documentation review
- Data entry
- Microsoft Office
- ICD-10
- Medical collection
Languages
Spanish
Native or Bilingual
English
Full Professional
Timeline
Medical Biller
Complete Medical Billing of Florida
11.2022 - Current
Medical Biller
Community case Managment Services LLC
09.2016 - 11.2022
Certified Mental Health Technician 2e - Mental Health
National Career Certification Board
Medical Billing And Coding -
Florida National University
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