Salesforce
Freydy Navarrete
Nicaragua,Managua
Summary
I worked as a Front Desk Receptionist for over 4+ years, I worked for hotels and luxuries resorts, then I started to worked in different call centers since 2014, I started as a Customer service agent, then I worked as a tech support agent, after some years I get the opportunity to work as an Insurance Follow Agent, Collections agent, Medical Billing Specialist and Appointment setter. Im accurate in processing payments and efficient in completing daily tasks in fast-paced environments. I have the background offering administrative support and front office daily activity management. Im highly organized with focus on maintaining neat filing systems, electronic records and reception area. Professional when answering phones, greeting building entrants and communicating with teammates or business leaders. Also Im a dedicated Customer Service professional with knowledge of service delivery and proven multitasking abilities. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Im an agile Technical Support Representative skilled at offering clients easy-to-understand guidance and actionable advice.
Overview
8
8
years of professional experience
6
6
years of post-secondary education
1
1
Language
Work History
Appointment Setter
Alliance Health
07.2021 - 11.2021
- Acted as first point of contact and set appointments for prospective clients. Let them know about our different options for testing like the RT-PCR Covid-19 Test, Rapid Antibody Test and Rapid Antigen Test.
- Received Inbound calls of potential clients looking for the PCR Covid Test for international Travels and check general information.
- Handled and provided accurate information about the active locations or any update received about the schedule available for testing.
- Provide information about the RT-PCR Results, let them know how long it can take in order to get the information via email address.
- Scheduled and confirmed appointments through the web portal and have a control of how many appointments I complete per day.
- Have a control for potential clients, scheduled call backs if is necessary. Get as many appointments complete as possible.
- Provide update information, be in top of the daily updates, go extra miles and help clients to find the locations, giving them the directions and make sure to find the place.
Medical Billing Specialist
IntegraMDP
01.2021 - 06.2021
- Work the AR file, more than 25 lines per day, handled denial claims
- Post Payments, and send weekly payment reports to the Doctor.
- Submit Claims to the Primary insurance, with the correct Procedure Code, modifier and diagnosis code of each visit.
- Check if the remaining balance on a claim can be send to the secondary, determined if there is Patient responsibility on the claims.
- Data Entry, Update Patient demographic in the system
- Confirm that claims were paid by follow up and Check the Insurances portals or medical third party websites.
- Check Crossover claims and enter the payments manually to the AMD system
- Call insurances and verify the status of claims, appeals or asked for information related to the claim scenario
- Get in contact with the Doctor or POC in order to apply W/O, asked for authorization or referral information, besides that, check patient demographics, or missing procedure codes on a claim, in order to modify that and rebills it.
- Obtain Medical Records through the Practice Fusion system, write the Appeal letter and get Claim form to send appeals through MaxStream system.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Collected payments and applied to patient accounts.
Collection Agent
Connect International
06.2020 - 12.2020
- Make outbound calls to different patients and monitor on a daily basis.
- Helped consumers to complete payments in order to taking care of their bills and remove them from the Collection system
- Resolve Billing issue by completed Payment arrangements or applying discount in the consumer bills.
- Discuss overdue payments and credit bureau information with Consumers or attorneys, we contact attorneys only when we received a sign form from the consumer giving the authorization to do so.
- Used scripted conversation prompts to convey current account information and obtain payments.
- Used skip tracing and other techniques to locate debtors.
Insurance Follow up Agent
Connect International
Managua
01.2020 - 05.2020
- Complete a high volume of pending claims in a record of time
- We receive a report and file from the hospital in order to organized claims per insurance and DOS.
- Check different tools in order to verify why the claim was denied
- Call insurances in order to verify the TLF period for Appeals and Claim reconsideration and metro Authorization period as well
- Verify the possible options for get the claims paid, or if these claims can ben write off by the Hospital.
- Besides this I had to make sure if the referrals required for some Specialist claims can be backdated, this can be confirm only with the insurance
- Update Medicare Patient Demographic, data entry completed.
Technical Support Agent
Concentrix Corporation
Managua
01.2016 - 01.2019
- Provide directions to doctors and nurses about how to use the Navinet.net website
- Taught them, how to use different electronic transactions like, Eligibility
- Tatus, Claim Status, Authorization Status, Referral Status, EOB/EOP/ERA status, Utilization Management Request and Fee Schedule
- Handled inbound customer service calls for one year and then I was transferred to the Chat LOB, I was there for over 2 years, managed 35+ chats per day
- Technical support assistance for website transactions providing troubleshooting steps and walkthroughs
- Memorize product information efficiently for different LOBs, Billing Agency and
- Rovider office information updates
- Provided knowledgeable response to user questions regarding health plan requirements and website restrictions
- Used Salesforce to add offices into the system, we requested NPIs and Tax IDs for the registration process for Clinics, CBO Central Billing Offices, Hospitals and
- Illing Agency
- Add all the necessary Tax IDs and NPIs the Doctors or Security Officer required for the offices, in order to retrieve information about the claims and patient eligibility from different office providers.
Customer Service
Accedo Technologies
Managua
01.2014 - 01.2016
- For credit cards
- Handled issues related to pass due balances, fees and issues to use the Credit card for insufficient funds
- Received over 90+ calls per day, even this was back to back, I focus in provided a great customer service experience
- Completed payments through the phone and provided advice about how to use the credit card and take advantages of the benefits this one can offer
- Used the Store web site to complete orders online, for the customers that asked for items available in the store, handled with the different shipping periods and also with any issue for delays or inconvenience with the Packages.
Receptionist
Rancho Santana
Rivas, Nicaragua
02.2012 - 11.2013
- Complete the Check In and Check Out process, and show the Rooms and accomodations to Customers.
- Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
- Kept reception area clean and neat to give visitors positive first impression.
- Coordinated travel accommodations, agenda, and transportation for staff and out-of-town visitors.
- Resolved customer problems and complaints.
- Answered phone promptly and directed incoming calls to correct offices.
- Process payments by Cash or CC and provide physical bills to customer during the Check Out, explained them the bill and charges.
- Created tourist packages and offers for the Facebook Page and Summer activities.
Education
Sociology
Universidad Centroamericana UCA
Nicaragua 02.2016 - 12.2020
Receptionist
Escuela Nacional De Hoteleria ENAH
Nicaragua 01.2009 - 12.2009
Skills
Call center experience
Accurate payment posting
Good Telephone Etiquette
Data Entry
Guest inquiries
Payment collection
Product knowledge
Cash register operation
Customer/Client relations
Office administration
Travel planning
Organization skills
Database administration
Administrative support
Technical Support
Telephone skills
Time management
Collections duties
Database Management
Software
Advance MD
Collection System
Practice Fusion
Ggastro
ACW CRM System
Capario
VmWare
Excel, Word
Connex
Timeline
Appointment Setter
Alliance Health
07.2021 - 11.2021
Medical Billing Specialist
IntegraMDP
01.2021 - 06.2021
Collection Agent
Connect International
06.2020 - 12.2020
Insurance Follow up Agent
Connect International
01.2020 - 05.2020
Sociology
Universidad Centroamericana UCA
02.2016 - 12.2020
Technical Support Agent
Concentrix Corporation
01.2016 - 01.2019
Customer Service
Accedo Technologies
01.2014 - 01.2016
Receptionist
Rancho Santana
02.2012 - 11.2013
Receptionist
Escuela Nacional De Hoteleria ENAH
01.2009 - 12.2009