Sai Sanaka

Results-driven Dental Revenue Cycle Manager with 10+ years of experience leading billing operations and financial workflows. Proven track record of reducing Days in A/R by 30% and maximizing clean claim rates through strategic denial management. Adept at cross-departmental team leadership, payer negotiations, and ensuring strict HIPAA and dental insurance compliance.

Revenue Cycle Manager - Deluxe Dental - Oakpark, Michigan

(2024-02 - 2025-11)

Direct end-to-end RCM functions, including patient scheduling, insurance verification, charge posting, and A/R follow-ups across multiple dental clinics. Manage and mentor a team of 15 billing and front desk specialists, conducting regular performance audits and KPI reviews. Manage incoming calls, schedule appointments, and maintain the appointment calendar.

Handle medical records with confidentiality and accuracy, ensuring compliance with HIPAA regulations. Perform office management tasks including filing, data entry, and maintaining organized records. Utilized computerized systems for patient management and billing processes.

• Reduced average Days in Accounts Receivable (A/R) from 45 to 28 days by restructuring the follow-up protocol and implementing aggressive appeals strategies.
• Improved clean-claim rate by 18% in the first year by instituting comprehensive staff training on CDT codes and electronic claim submissions.
• Decreased claim denial rates by 22% by conducting root-cause analysis on recurring rejections and implementing targeted front-office data verification checks.

Dental Billing & Operations - Dental One Partners - Cypress, TX

(2019-10 - 2023-12)

Oversaw daily billing operations, payment postings, bank reconciliations, and patient invoicing. Good knowledge of CDT codes and billing. Used Tele-dentistry during covid-19 in the absence of general dentist and mostly depended upon dental hygienist for cleaning appointments during pandemic. Used cloud dentistry to hire temporary DA's and Hygienists.

• Resolved long-standing unapplied cash and outstanding balances, recovering over ₹10 Lakhs in previously written-off claims.
• Handled complex escalated insurance appeals, securing timely reimbursements for major restorative and orthodontic procedures.
• Audited patient charts and super bills to ensure maximum legal fee capture and regulatory compliance.
• Completed outbound collection calls & sent emails to encourage patients to pay outstanding balances.
• Coached and trained new hires and monitored their work performance to report it to hierarchy.
• Made sure the office always looked clean and tidy.

Office manager - San Leandro, Dental Studio - Sanleandro, CA

(2015-07 - 2019-08)

Led compliance training for 9 staff members and their performance evaluations. Created an effective learning atmosphere that respected people & diversity and their ideas modeling respect for all employees and conveying confidence in their self-improvement. Ensured the office had suitable and adequate resources to complete all activities, and supervised new recruits and current staff.

Record invoices, handle payments, interact with patients & create/ print check payments. Outbound calls to patients and insurance companies to pay their dues and outstanding claims.

• Reduced Accounts Receivables by 15-20% within one year.
• Processed 300+ claims monthly with 97% accuracy.

Bachelor of Dental Surgery - Dental Surgery - MIDS - INDIA (2014-04)

Master of Science - Management - Wilmington University (2020-08)