Denzel G. Flores Soler

Assisted providers, Relaying claims information, Denial reasons, Escalating issues if necessary, Sending claims for reprocess and documenting all information.

• Responsible for scheduling Housecalls visits for members, entering member, PCP demographic data, validating information and documenting calls in compliances QA’s metrics.

• Customer service call center representative in charge of performing and receiving calls from and to laboratories and health plans.
• In charge of reviewing patients’ health plan eligibility and benefits.

• Voluntary work in the Municipality of Toa Baja.
• General tasks of cleaning and conditioning of green areas, beaches and other city areas.