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
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
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
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
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