Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

CARLOS G. POL RIVERA

Toa Baja

Summary

Detail-oriented and customer-focused professional with experience in patient account services, medical billing, and administrative support. Skilled in handling patient communications in both English and Spanish, processing medical invoices and payments, and working with computerized billing systems. Known for strong communication skills, attention to detail, and a commitment to providing high-quality service. Seeking to continue professional growth within a reputable and results-driven organization.

Overview

2026
2026
years of professional experience

Work History

Claims Representative

Assurant
2023 - Current

·Manage high volumes of inbound and outbound calls while maintaining quality, accuracy, and efficiency standards

· Review, update, and verify claim information across multiple internal systems to ensure compliance and data integrity

· Resolve complex customer concerns and claims, consistently promoting customer satisfaction and retention


Patient Account Representative

Convegent USA
01.2022 - 2023
  • Contact patients across the United States in English, providing clear and professional assistance regarding their accounts.
  • Process and review medical insurance invoices to ensure accuracy and compliance.
  • Manage payment posting and billing transactions within medical billing systems.
  • Maintain and update patient records while adhering to confidentiality and privacy standards.
  • Resolve patient inquiries related to balances, payments, and insurance coverage.
  • Utilize multiple computer systems and databases to support daily operations efficiently.

Warehouse Associate

Me Salvé
01.2021
  • Organized and stocked merchandise within the warehouse environment.
  • Performed inventory counts and assisted in maintaining accurate stock records.
  • Ensured cleanliness and organization of storage areas in compliance with safety guidelines.
  • Supported warehouse operations through efficient handling and tracking of merchandise.

Security Guard

USA Security Associated
01.2017 - 01.2018
  • Monitored and protected assigned building perimeters to ensure safety and order.
  • Controlled access points and enforced security procedures.
  • Identified, documented, and reported suspicious or unsafe activities.
  • Followed established security protocols to maintain a safe environment.

Education

Computer Programming -

American Education College (AMEDCO)
01.2017

Skills

  • Proficient in Microsoft Word, Excel, and PowerPoint
  • Medical billing and insurance payment processing
  • Patient and customer service support via phone
  • Strong verbal and written communication skills in English and Spanish
  • Experience with computerized billing and administrative systems
  • Organizational skills with strong attention to detail
  • Ability to work under pressure and meet performance goals
  • Team-oriented with a problem-solving mindset

References

Available upon request.

Timeline

Patient Account Representative

Convegent USA
01.2022 - 2023

Warehouse Associate

Me Salvé
01.2021

Security Guard

USA Security Associated
01.2017 - 01.2018

Claims Representative

Assurant
2023 - Current

Computer Programming -

American Education College (AMEDCO)
CARLOS G. POL RIVERA