Yenisleidy Sardinas

Preparing pre-billing for claim submission. Reviewing authorization and contracts for claims. Entering data such as demographics, diagnosis, physician, data of service, charges, and services codes according to the authorization. Processing medical claims in accordance with plan contracts including home health service for MLTC. Reviewing EOBs and posting payments to maintain AR reports. Protecting the security of records in accordance with HIPPA to ensure confidentiality is maintained.

• Maintain schedules for all therapist providing care at Dade Therapy and ensure all clients meet their recommend allotted time approved by the insurance while still meeting the needs of the patients.
• Request authorizations for patient office visits from each insurance carrier whether Medicaid or Private Insurance.
• Track and maintain logs of payment issued by the patient.
• Check claims and send medical information request by the insurance.
• Provide front desk support during office hours greeting patients and calling patients to confirm appointments and cancellations.

• Implemented individualized behavior treatment plans to support client progress and skill development.
• Collaborated with interdisciplinary teams to assess and analyze client needs effectively.
• Monitored client behaviors and documented data to ensure accuracy in reporting progress.

• Conducted regular parent training sessions to enhance home-based behavior support strategies.
• Reduced challenging behaviors through the implementation of positive reinforcement strategies.
• Improved communication skills in autistic children by utilizing evidence-based practices.

• Enhanced customer satisfaction by providing knowledgeable product recommendations and personalized service.
• Streamlined inventory management processes, ensuring accurate stock levels and timely replenishment.
• Fostered a positive shopping environment through effective communication and conflict resolution skills.
• Checked pricing, scanned items, applied discounts, and printed receipts to ring up customers.
• Increased sales by offering advice on purchases and promoting additional products.