ADRIAN KARL REYES
Plattsburgh,NY
Summary
Experienced in engaging patients and family members by phone to educate them about healthcare programs, explain benefits and services, answer questions, address concerns, and support enrollment decisions. Provided assistance with program apps and websites, resolved basic technical issues, and conducted both inbound and outbound calls to support patient needs. Reviewed patient eligibility and documentation, maintained accurate records including insurance, provider, and clinical information, and documented detailed call notes. Followed up with interested patients, provided educational materials, communicated with relevant healthcare teams, and consistently worked toward productivity and enrollment goals while delivering excellent customer service.
Overview
1
1
Certification
7
7
years of professional experience
Work History
Manufacturing Production Associate
Micro Bird
Plattsburgh, New York
08.2026 - 09.2026
- Supported daily throughput by completing undercoating on about 3–5 buses while meeting production and quality standards.
- Improved corrosion protection and vehicle component protection by applying undercoating and protective materials to school buses.
- Identified leaks and defects through water leak and bubble testing, ensuring product reliability.
- Delivered quality finished work through careful inspection of coverage, alignment, and workmanship.
- Maintained safe, efficient equipment use in a manufacturing setting with hand tools and equipment.
- Kept work aligned with detailed instructions, safety procedures, and production requirements.
- Collaborated with team to achieve production goals by efficiently completing assigned tasks.
- Enhanced product quality by identifying and reporting defects for timely correction.
- Supported safe, orderly operations by keeping work area clean and organized.
- Performed physically challenging duties that required stamina and strength, including lifting and bending. involving standing, bending, lifting, and repetitive work.
Institute for Advanced manufacturing (IAM) Pre-employment course
Clinton Community College
07.2026 - 07.2026
- Completed 40-hour hands-on training in mechanical and electrical assembly
- Applied precision measuring tools, including calipers and micrometers, to verify specifications and ensure quality control
- Executed basic wiring, crimping, drilling, tapping, and grinding to support assembly tasks and maintain production flow
- Operated hand and power tools, ensuring adherence to workplace safety procedures for safe equipment handling
- Read blueprints and work instructions
Licensed Respiratory Therapist Philippines
SOUTHERN PHILIPPINES MEDICAL CENTER
12.2022 - 01.2026
- Provided respiratory care to patients with acute and chronic respiratory conditions.
- Assessed patients and monitored vital signs, oxygen saturation, and respiratory status to ensure effective respiratory care.
- Administered oxygen therapy, nebulizer treatments, and other prescribed respiratory treatments.
- Assisted with airway management, suctioning, and mechanical ventilation.
- Managed and monitored CPAP/BIPAP and ventilator equipment.
- Performed respiratory assessments and supported emergency and critical-care situations.
- Educated patients and families on respiratory treatments and proper equipment use to enhance understanding and compliance.
- Documented patient care and collaborated with the healthcare team to coordinate effective treatment plans.
Medical Billing Specialist – Remote work
NIRVANA BILLING SOLUTIONS, LLC
04.2020 - 11.2021
- Followed up on unpaid claims, denials, and outstanding balances to expedite resolutions and minimize revenue loss.
- Reviewed claims for errors, correcting discrepancies to enhance billing accuracy and reduce denial rates.
- Processed medical claims, charge entries, and payment postings, ensuring accuracy and compliance.
- Used medical billing software and payer portals to verify and process claims.
- Communicated with insurance companies, healthcare providers, and patients to resolve billing issues.
- Maintained accurate, HIPAA-compliant patient and billing records.
Customer Service Advocate
Optum
Davao City, Philippines
06.2019 - 02.2021
- Managed member support for benefits claims and eligibility questions across Optum health plans.
- Handled customer issue resolution in call center systems while maintaining accurate case documentation.
- Clarified plan coverage, referral requirements, and prior authorization processes for members.
- Coordinated with clinical, billing, and provider teams to resolve service concerns and support timely follow-up.
- Supported policy compliance while handling sensitive member information with care.
- Escalated complex issues and shared updates with internal Optum departments.
- Worked closely with other departments to ensure quality customer service delivery.
- Delivered fast, friendly, and knowledgeable service for routine questions and service complaints.
- Adhered to all company guidelines when interacting with customers.
Education
Bachelor of Science - Respiratory Therapy
SAN PEDRO COLLEGE
05-2019
Skills
- Eligibility verification
- Enrollment processing
- Payer portals
- Medical billing
- Claims follow-up
- Data entry
- HIPAA compliance
- Customer service
- Attention to detail
- Effective communication
- Problem solving
- Time management
- Decision making aptitude
- Billing support
- Benefits research
- Enrollment verification
- Strong organization
- Client advocacy
- Excellent phone demeanor
Personal Information
Title: LICENSED RESPIRATORY THERAPIST
Certification
Pre-employment training for advanced manufacturing – Clinton Community College, Licensed Respiratory Therapy in the Philippines 2019-present, ACLS, PALS and BLS certification, Advanced Airway Management Certification, Basic Cardiac Rhythm recognition Certification, COVID-19 Resuscitation guidelines Certification, Electrical Therapy and AED operation Certification, Emergency Cardiovascular Medications Certification
Timeline
Manufacturing Production Associate
Micro Bird
08.2026 - 09.2026
Institute for Advanced manufacturing (IAM) Pre-employment course
Clinton Community College
07.2026 - 07.2026
Licensed Respiratory Therapist Philippines
SOUTHERN PHILIPPINES MEDICAL CENTER
12.2022 - 01.2026
Medical Billing Specialist – Remote work
NIRVANA BILLING SOLUTIONS, LLC
04.2020 - 11.2021
Customer Service Advocate
Optum
06.2019 - 02.2021
Bachelor of Science - Respiratory Therapy
SAN PEDRO COLLEGE