ADRIANA FLORES
San Benito
Summary
I am a very hardworking employee. I will go above and beyond to achieve my goals as I am very competitive. Individual driven to lead and exceed in our companies expectation. My skills and characteristics are Portrayed by having a keen Understanding on how to complement and motivate my team and myself to perform our full potential. I have learned that providing great customer experience is the key to success. Self-directed and working with people in person or over the phone is a breeze. Bilingual in Spanish.
Overview
12
12
years of professional experience
Work History
customer service,sales and retention specialist
Qualfon USA
remote
01.2022 - 03.2026
- Engaged customers through phone, email, and various support channels to identify retention needs.
- Resolved technical and service inquiries while ensuring high customer satisfaction.
- Supported customers with billing concerns, enhancing overall resolution efficiency.
- Utilized multiple communication methods to address customer inquiries effectively.
- Created personalized communication plans for key accounts based on individual needs and preferences.
medical records and claims processing specialist
connexus resource group
remote
03.2019 - 01.2022
- Processed insurance claims to achieve timely resolutions and enhance workflow efficiency.
- Reviewed documentation for accuracy and completeness prior to approval.
- Investigated customer inquiries regarding billing issues and provided informed responses.
- Assisted in preparing documents for the appeals process as required.
- Ensured compliance with HIPAA regulations and company privacy policies.
- Performed data entry, record verification, and quality assurance tasks to uphold standards.
- Collaborated with healthcare providers and internal departments to address claim discrepancies.
Trainer/Bookkeeping Administrative Assistant
Texas Roadhouse
Harlingen
02.2014 - 03.2019
Education
San Benito High School
San Benito, TXTexas State Technical College Harlingen
Harlingen, TXSkills
- Customer Research
- Outbound Calling
- Proficiency in Software
- Credit and Collections
- Bookkeeping
- Goals and Performance
- Analytical Thinking
- Decision Making Competence
- Interpersonal Skills
- Problem Solving Abilities
- Debt Recovery Expertise
- Teamwork Orientation
- Professionalism and Ethics
- Multitasking Capabilities
- Strong Negotiation Skills
- Empathy and Tactfulness
- Active Listening Abilities
- Goal-Oriented Mindset
- Telephone Etiquette
- Adaptability and Flexibility
Timeline
customer service,sales and retention specialist
Qualfon USA
01.2022 - 03.2026
medical records and claims processing specialist
connexus resource group
03.2019 - 01.2022
Trainer/Bookkeeping Administrative Assistant
Texas Roadhouse
02.2014 - 03.2019
San Benito High School
Texas State Technical College Harlingen