Summary
Overview
Work History
Education
Skills
Timeline
Generic

Luis Lazcano

Houston

Summary

Motivated and experienced professional seeking to contribute strong leadership, attention to detail, and a customer service-oriented background to a high-performing team. Committed to exceeding expectations and continuously improving performance and productivity.

Experienced with credentialing processes and regulatory compliance. Utilizes effective communication and meticulous documentation to manage credentialing for healthcare providers. Knowledge of industry standards and best practices ensures thorough and efficient credentialing operations.

Credentialing professional with solid expertise in managing and verifying credentials for healthcare providers. Strong focus on team collaboration and achieving results. Reliable and adaptable, meeting organizational standards and compliance requirements. Skilled in data management, regulatory compliance, and communication.

Overview

18
18
years of professional experience

Work History

Credentialing Representative

UnitedHealthcare
05.2024 - Current
  • Receive and review provider applications for credentialing with the UHC network.
  • Request and collect missing documentation to complete provider credentialing.
  • Manage time-sensitive documentation and maintain consistency across processes.
  • Utilize job aids and internal resources for efficient self-guided task completion.

Provider Service Advocate

UnitedHealthcare
10.2022 - 05.2024
  • Handled provider calls regarding claims, benefits, and eligibility.
  • Used multiple software tools to research claims and resolve processing issues.
  • Managed high-volume inquiries, focusing on claim and authorization denial disputes.
  • Became proficient in claim research, appeals, and dispute resolution.
  • Experience in M&R, utilized COSMOS and ISET

E-Services Specialist

Smart Financial Credit Union
04.2016 - 10.2022
  • Processed credit/debit card and ATM disputes, as well as fraud investigations.
  • Balanced general ledger and bill pay transactions.
  • Addressed credit card inquiries and transaction reports.
  • Managed and supported online banking platforms, including participating in a system upgrade project.
  • Proficient in Microsoft Excel, Word, and Outlook.

Senior Call Center Representative

Smart Financial Credit Union
12.2012 - 04.2016
  • Handled customer inquiries and processed time-sensitive documentation.
  • Resolved online access issues and debit card problems.
  • Multitasked across various call center duties and assisted with team metrics.
  • Served as a team lead and responded to management requests promptly.

Bank Teller

Metro Bank NA
10.2008 - 07.2012
  • Managed high-volume and high-risk cash transactions.
  • Balanced ATMs and assisted with Brinks cash shipments.
  • Provided exceptional customer service, resulting in increased client retention.
  • Completed a course in risk management and was top candidate for Lead Teller.
  • Represented the bank at community seminars.

Education

Bachelor's - Cybersecurity

Lone Star College
06-2026

Associate of Science - Computer Science

Houston Community College
01-2022

Bachelor of Business Administration - Management

University of Houston–Downtown
01-2015

Associate in Arts - undefined

Houston Community College
01-2010

Skills

  • Bilingual: Fluent in Spanish and English
  • Proficient in Microsoft Excel, Word, Outlook, and PowerPoint
  • Familiar with Adobe Photoshop and Illustrator
  • Strong leadership, organization, and customer service skills
  • Detail-oriented and adaptable in fast-paced environments
  • Provider enrollment
  • Data management
  • Credentialing oversight
  • Provider relations
  • Document review
  • Proofreading

Timeline

Credentialing Representative

UnitedHealthcare
05.2024 - Current

Provider Service Advocate

UnitedHealthcare
10.2022 - 05.2024

E-Services Specialist

Smart Financial Credit Union
04.2016 - 10.2022

Senior Call Center Representative

Smart Financial Credit Union
12.2012 - 04.2016

Bank Teller

Metro Bank NA
10.2008 - 07.2012

Associate of Science - Computer Science

Houston Community College

Bachelor of Business Administration - Management

University of Houston–Downtown

Associate in Arts - undefined

Houston Community College

Bachelor's - Cybersecurity

Lone Star College