MONIR PENSADO
ROCKWALL,TX
Summary
Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
23
23
years of professional experience
Work History
Medical Insurance Specialist
University of Texas Southwestern Hospital
6201 HARRY HINES DALLAS TX 75390
05.2014 - Current
- Assisted management in developing policies and procedures for streamlined billing processes, ensuring accuracy and compliance across the department.
- Supported team members in professional growth, providing guidance on complex billing scenarios as needed.
- Streamlined claim submission process for faster turnaround times and reimbursement rates.
- Achieved timely resolution of claim issues through effective communication with insurance carriers and healthcare providers.
- Provided exceptional customer service, assisting patients in understanding their insurance benefits and financial responsibilities.
- Served as a reliable resource for colleagues, sharing expertise on industry trends, changes in coding practices, or updates to payer requirements as needed.
Owner and Operator
C&M General Contracting
DALLAS
02.2020 - 03.2024
- Progress monitoring
- Planning and managing a project’s construction phase
- Staying on top of the work done on site
- Continuously reviewing, modifying, and updating the workers of the project based on the latest changes and received feedback
- Collaborating with other contractors
- Setting time and dates for trades to work on projects
- Obtaining estimates for projects.
Patient Financial Counselor
Methodist Dallas Medical Center
1441 N BECKLEY DALLAS TX 75208
05.2001 - 04.2014
- Increased patient confidence in the billing process by providing clear explanations of insurance benefits and coverage limitations.
- Negotiated payment plans with patients, maintaining a high rate of successful payments.
- Enhanced patient satisfaction by effectively explaining financial options and answering billing inquiries.
- Developed strong relationships with insurance providers, facilitating prompt resolution of claim issues and disputes.
- Improved cash flow by proactively monitoring aging accounts receivables and implementing effective collection strategies.
Education
Associate of Science - CRIMINAL JUSTICE
MOUNTAIN VIEW COLLEGE
DALLASSkills
- ICD-10 Proficiency
- Appeals Handling
- HIPAA Compliance
- Patient confidentiality
- Insurance Verification
- Quality assurance checks
- Organizational abilities
- Critical Decision-Making
- Problem-Solving
- Time Management
- Attention to Detail
Timeline
Owner and Operator
C&M General Contracting
02.2020 - 03.2024
Medical Insurance Specialist
University of Texas Southwestern Hospital
05.2014 - Current
Patient Financial Counselor
Methodist Dallas Medical Center
05.2001 - 04.2014
Associate of Science - CRIMINAL JUSTICE
MOUNTAIN VIEW COLLEGE