Yris Pineda
Everett,MA
Summary
Attentive Early Childhood Educator dedicated to fostering emotional, social, and educational development in young children through nurturing and developmentally appropriate learning environments. Provided counseling on health insurance options, focusing on benefit eligibility and policy clarification, while collaborating with healthcare teams to resolve coverage issues and maintain patient confidentiality. Committed to continuous professional development to stay current with industry trends and enhance service delivery.
Overview
12
12
years of professional experience
Work History
Health Benefits Counselor
Charles River Community Health
Brighton, Massachusetts
01.2025 - Current
- Counseled patients on health insurance, Medicaid, and sliding fee options at community health clinic.
- Assisted patients with insurance applications, renewals, and coverage changes.
- Reviewed benefit eligibility and gathered documentation for enrollment support.
- Explained benefit policies, copays, and referral requirements in clear language.
- Resolved benefits questions and guided patients through coverage barriers.
- Coordinated with front desk, providers, and case managers on patient coverage issues.
- Documented eligibility details and enrollment activity in patient records and tracking systems.
- Maintained confidentiality while handling sensitive enrollment and insurance information.
- Responded promptly to customer service issues via telephone or email communication with internal and external customers.
- Assisted with open enrollment events by providing one-on-one support.
- Attended professional seminars and workshops pertaining to the benefits industry in order to stay current with trends and regulations.
- Developed and strengthened relationships with area companies.
- Collaborated closely with team members to achieve project objectives and meet deadlines.
Customer Service Representative
Charles River Community Health
Brighton, Massachusetts
12.2021 - 01.2025
- Answered customer inquiries and provided accurate information regarding products and services.
- Provided excellent customer service to resolve customer complaints in a timely manner.
- Developed strong customer relationships to encourage repeat business.
- Maintained detailed records of customer interactions, transactions and comments for future reference.
- Conducted regular follow-up calls with customers after resolving their issues.
- Resolved complaints with calm, respectful communication and active listening.
- Facilitated bilingual conversations between staff, customers, and external partners.
- Interpreted verbal conversations between individuals with limited English proficiency.
- Scheduled visits across primary care, behavioral health, and dental service lines.
- Verified insurance coverage and updated registration details in patient records.
- Supported front desk check-in, check-out, and referral coordination workflows.
- Trained new staff on patient service procedures and office systems.
Assistant Infant/Lead Toddler Teacher
Our Future Learning Center
Brighton, MA
05.2018 - 10.2019
- Organized and led activities to promote physical, mental and social development.
- Promoted positive behaviors through targeted positive reinforcement strategies.
- Created and implemented developmentally appropriate curriculum addressing all learning styles.
- Taught children foundational skills such as colors, shapes and letters.
- Identified children needing additional support for emotional, health, or developmental concerns and developed tailored improvement strategies.
- Established indoor and outdoor safe play environments for toddler-age children.
- Enhanced sensory abilities by giving children access to numerous textures and shapes.
- Created and implemented developmentally appropriate curriculum that engaged diverse learning styles.
- Developed professional relationships with parents, teachers, directors and therapists.
- Created structured classroom environments to promote effective learning. with clearly outlined rules and positive reinforcement techniques.
- Maintained daily records of individual activities, behaviors, meals and naps.
- Encouraged children to be understanding of others, show good manners and instructed in other social development behaviors.
- Supervised up to 7 children on field trips to local parks, fire stations and zoos.
Customer Service Cashier
Whole Foods Market
Cambridge, MA
06.2014 - 05.2015
- Assisted customers in locating products, addressing queries, and providing tailored recommendations.
- Issued receipts, discussed return policies, and directed customers to pickup locations for larger merchandise.
- Collaborated with front-end staff to enhance customer service experience.
- Monitored item discounts to effectively support promotional initiatives.
- Stayed up to date on current item discounts to support promotions.
- Counted drawers at start and end of shifts to validate daily records and uphold accounting accuracy.
Education
High School Diploma -
Everett High School
Everett, MACertificate - Spanish Medical Interpreter Certification
Language Connections
Boston, MACertificate - Early Childhood Education
Urban College of Boston
Boston, MASkills
- Patient consultation sessions
- Eligibility verification
- Managing enrollments
- Enrollment facilitation
- Eligibility assessment
- Policy development
- Regulatory compliance
- Insurance literacy
- Documentation and reporting
- Customer service
- Clear communication
- Effective listening
- Conflict resolution
- Cross-functional collaboration
- Team collaboration
- Partnership development
- Time management
- Assessments
- Computer-aided training
- Excellent classroom management
- Social skills development
- Parent collaboration
- Policy interpretation
- Insurance literacy
- Documentation and reporting
Timeline
Health Benefits Counselor
Charles River Community Health
01.2025 - Current
Customer Service Representative
Charles River Community Health
12.2021 - 01.2025
Assistant Infant/Lead Toddler Teacher
Our Future Learning Center
05.2018 - 10.2019
Customer Service Cashier
Whole Foods Market
06.2014 - 05.2015
High School Diploma -
Everett High School
Certificate - Spanish Medical Interpreter Certification
Language Connections
Certificate - Early Childhood Education
Urban College of Boston