Summary
Work History
Education
Skills
Languages
Timeline
Generic

Danny Saucedo

Winston-Salem

Summary

Bilingual Revenue Cycle Professional with extensive experience in accurate claim processing, payment posting, and full cycle insurance and Patient AR management. Skilled in verifying claim data prior to billing, reviewing coding and resolving denials to support clean revenue capture. Recognized for delivering superior customer service and clear communication to patients, providers and payors. Known for meticulous attention to detail, strong time management and consistent policy and HIPAA compliance. Proven ability to work independently, adapt quickly and collaborate effectively across departments to support workflow efficiency. Committed to maintaining accuracy, confidentiality and high standards of performance.

Work History

Senior Accounts Receivable Clerk

Optum
2012 - 2025
  • Worked all payer types from initial claim filing to denials, appeals and reimbursement resolution.
  • Verified patient demographics, insurance eligibility, coding and claim accuracy prior to billing.
  • Reviewed surgical and procedural coding for accuracy; retrieved medical records to support compliant claim submission.
  • Managed full insurance AR and Patient AR, ensuring timely follow-up on outstanding balances.
  • Posted all patient, insurance and third party payments; reconciled EOBs and processed contractual, non covered, charity and credit adjustments.
  • Processed all primary, secondary and tertiary insurance claims; addressed denials and refiled corrected claims.
  • Resolved insurance and self pay credit balances, including overpayments and adjustments.
  • Assisted in training employees on NextGen, and how to process credit cards payments.
  • Performed credit resolution and bad debt processing in accordance with organizational policy.
  • Answered phones in English and Spanish; assisted patients, insurance carriers and internal departments.

Revenue Cycle Specialist

UCLA
2007 - 2010
  • Submitted claims and followed up with insurance companies either electronically or by paper.
  • Handled all Spanish-speaking patient inquiries, including voicemail follow-up and return calls.
  • Trained new employees on how to take incoming calls, and how to close a call without a supervisor escalation.
  • Evaluated patient financial status and establish budget payment plans. Prepared, reviewed, and sent patient statements.
  • Collaborated with patients, providers, and insurance carriers to resolve billing and claim disputes.
  • Entered adjustments to accounts and provided data for follow up.

Benefit Specialist

AON
2002 - 2007
  • Received incoming calls from eligible employees and enrolled them in medical, dental, vision and life insurance.
  • Provided customer service to clients in English and Spanish and answered their inquiries and concerns.
  • Demonstrated knowledge of individual company benefits and explained thoroughly to employees.
  • Directed calls to appropriate destinations and resolved escalated calls.
  • Analyzed complex situations, identified and resolved employee benefit issues.
  • Handled Life insurance claims by confirming beneficiary information and transferring to point of contact.

Education

Career Readiness Certificate - Job Readiness Certificate

Forsyth Tech Community College
Winston Salem, NC

Basic Computer Skills and Keyboarding Certificate -

Forsyth Tech Community College
Winston-Salem, NC

High School Diploma -

Wilkes Central
Wilkesboro, NC

Skills

  • Bilingual Communication (English/Spanish)
  • Insurance Claims Processing
  • Payment Posting Accuracy
  • Customer Service Excellence
  • Insurance AR & Patient AR Management
  • Strong Interpersonal Skills
  • Patient & Insurance Communication
  • Time Management & Multitasking
  • Adaptability and Quick Learning
  • Team Support & Policy Adherence
  • Self-Motivated and Ability to Work Independently
  • Microsoft Office (Word, Outlook and Excel)

Languages

Spanish
Native or Bilingual
English
Native or Bilingual

Timeline

Basic Computer Skills and Keyboarding Certificate -

Forsyth Tech Community College

High School Diploma -

Wilkes Central

Senior Accounts Receivable Clerk

Optum
2012 - 2025

Revenue Cycle Specialist

UCLA
2007 - 2010

Benefit Specialist

AON
2002 - 2007

Career Readiness Certificate - Job Readiness Certificate

Forsyth Tech Community College

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Danny Saucedo