Results-driven professional with 8+ years in customer service, sales, and team leadership. Expertise in performance optimization, coaching, and aligning operations with client objectives. Proven freelance and medical interpreter with strong communication skills, focusing on process improvement and data analysis to enhance business outcomes.
Overview
8
8
years of professional experience
Work History
Medical Collections Specialist
Green MD Solutions
01.2023 - 02.2024
Update and maintain patient charts.
Resolve denied insurance claims through follow-up communication.
Submit medical records and necessary documentation for claim processing.
Apply payments and adjust balances according to insurance policies and billing codes.
Accepted and processed customer payments and applied toward account balances.
Assisted in the resolution of credit balances due to overpayment or incorrect coding issues.
Reviewed and processed patient accounts for collections purposes.
Verified accuracy of invoices prior to submitting them for payment processing.
Contacted insurance companies to check status of claim payments.
Conducted research to resolve discrepancies in billing statements.
Processed claims and forwarded information to Medicare, Medicaid and commercial insurance companies.
Monitored overdue accounts using automated information systems.
Analyzed unpaid medical bills and determined appropriate collection action.
Monitored accounts receivable aging reports on a regular basis.
Corrected, completed and processed claims for payer codes.
Wrote appeal letters to insurance companies for denial of claims.
Worked with insurance companies to ensure timely reimbursement of claims.
Sales Supervisor / Team Leader
SmartEnergy LLC
Santo Domingo, Distrito Nacional
01.2020 - 01.2023
Led a sales team to exceed productivity targets and company standards.
Monitored attendance and performance, addressing issues to maintain operational efficiency.
Analyzed sales data to identify improvement opportunities, and boost team performance.
Provided coaching, mentoring, and development sessions to enhance team skills and capabilities.
Ensured compliance with company policies and procedures related to sales operations.
Collaborated with management and executives and made strategy recommendations based on insights into sales operations.
Motivated sales professionals by delivering positive reinforcement and constructive feedback.
Demonstrated high level of customer service by engaging clients and offering sales floor assistance.
Assisted professionals by listening in on customer calls and suggesting techniques to close sales.
Conducted weekly performance reviews with the sales team to ensure goals were being met.
Social Media Post Master
Xerox/ Sprint wireless
03.2017 - 12.2019
Reviewed and verified content posted on the company's official websites and social media channels (Facebook, Twitter, Instagram).
Ensured accuracy and proper spelling of published data.
Handled customer escalations in coordination with the billing and payment department.
Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
Utilized advanced technical skills and expertise to troubleshoot complex problems and implement solutions.
Customer Service & Technical Support Representative
Alorica/Samsung Electronics
01.2016 - 02.2017
Provided information about company products and services via social media channels.
Handled warranty claims for appliances and mobile devices for customers in the USA and Canada.
Delivered technical support for hardware, networks, and systems through social media.
Read technical manuals, conferred with users, or conducted computer diagnostics to investigate and resolve problems.
Documented all customer interactions and resolutions in the ticketing system for future reference and reporting.
Demonstrated advanced product knowledge to solve customer issues.
Assisted customers with password resets, account unlocks, and security settings adjustments.
Assisted customers with installation of new hardware and software applications.
Used remote login tools to assist clients with technical and product questions.
Served as first point of contact for incoming technical service calls and emails.
Maintained up-to-date case documentation for future reference.
Education
Bachelor's Degree - International Relations
UNICARIBE
09-2022
Bilingual Student - English
Maguana English Center
01.2015
Skills
Problem Solving & Decision Making
Microsoft Office proficiency
Team Leadership and Coaching
Sales and Performance Optimization
Process Improvement
Claims processing
Insurance verification
Payment application
Billing codes
Problem solving
Customer service
Communication skills
Excellent communication
Telephone etiquette
Billing documentation
References
Luis Mordan, + 829-429-5334
Joan Prado, SmartEnergy LLC/Senior TL, +1 829-318-8536
Languages
English, Fluent
Spanish, Fluent
Languages
Spanish
First Language
English
Proficient (C2)
C2
References
References available upon request.
Timeline
Medical Collections Specialist
Green MD Solutions
01.2023 - 02.2024
Sales Supervisor / Team Leader
SmartEnergy LLC
01.2020 - 01.2023
Social Media Post Master
Xerox/ Sprint wireless
03.2017 - 12.2019
Customer Service & Technical Support Representative