Raymond Maccoy Artola
Belén,Heredia
Summary
Skilled in analytical problem solving and adaptability, I excelled at UCB by streamlining claims processing, enhancing efficiency, and securing timely reimbursements. My background spans customer service to technical support, notably improving resolution rates and customer satisfaction at Infosys (Verizon). My expertise includes medical billing and effective task management, ensuring high-quality outcomes in fast-paced environments.
Overview
3
3
years of professional experience
Work History
Telephone Operator
UCB
02.2024 - Current
- Receive and thoroughly review medical insurance claims from patients or healthcare providers, ensuring all required documentation and codes are accurate and compliant with insurance policies
- Investigate denied claims, communicate with insurance providers, and submit corrections or additional documentation to resolve the issues and secure approval
- Act as a liaison between the hospital and insurance companies to resolve claim issues, clarify policy coverage, and ensure timely reimbursement for healthcare services provided to patients
- Keep detailed records of claims, denials, and resolutions, ensuring compliance with hospital policies and insurance regulations
Senior Customer Service
Infosys (Verizon)
07.2023 - 09.2023
- Acted as the primary point of contact for customers, addressing inquiries and resolving issues promptly
- Demonstrated proficiency in problem resolution, effectively handling billing inquiries, service disruptions, and technical difficulties
- Maintained up-to-date knowledge of Verizon's products and services, guiding customers in making informed decisions
- Utilized clear and concise communication to explain complex technical concepts to customers
Customer Service Representative
Foundever (Visible by Verizon)
04.2022 - 05.2023
- Served as the primary point of contact for Visible customers, adeptly handling inquiries and resolving issues promptly
- Demonstrated expertise in problem resolution, addressing billing inquiries, service-related concerns, and technical issues with a customer-centric approach
- Maintained up-to-date knowledge of Visible's services, ensuring accurate and relevant information was provided to customers
- Utilized effective communication skills to convey complex technical information in a clear and understandable manner
Field Technician (Professional Practice)
Sistemas Euromatic
10.2021 - 12.2021
- Conducted on-site visits to diagnose, troubleshoot, and resolve technical issues related to Sistemas Euromatic's products and services
- Collaborated with clients to understand their specific needs and provided tailored technical solutions
- Executed installations of hardware and software components, ensuring optimal functionality and user satisfaction
- Conducted routine maintenance checks to identify potential issues and performed necessary repairs or upgrades
Education
Cybersecurity -
U Fidelitas
11.2029
English B2+ Certificate -
Sykes Academy
03.2022
High School Diploma -
CTP de Ulloa
11.2021
Skills
- Analytical Problem Solving
- Claims processing
- Adaptability
- Efficiency in task management
- Medical terminology
- Insurance verification
- Medical billing
Languages
Spanish
First Language
English
Advanced (C1)
C1
Timeline
Telephone Operator
UCB
02.2024 - Current
Senior Customer Service
Infosys (Verizon)
07.2023 - 09.2023
Customer Service Representative
Foundever (Visible by Verizon)
04.2022 - 05.2023
Field Technician (Professional Practice)
Sistemas Euromatic
10.2021 - 12.2021
Cybersecurity -
U Fidelitas
English B2+ Certificate -
Sykes Academy
High School Diploma -
CTP de Ulloa
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