PAOLA M. PIÑEIRO DIAZ
Bayamon
Summary
Hardworking professional with experience in office operations, administrative support, Health care claims investigations and customer service. Highly organized and selfmotivated with excellent communication and interpersonal skills. Demonstrated ability to prioritize tasks and meet deadlines. Proven ability to remain calm and professional in high-stress situations while being able to quickly and effectively resolve customer complaints. Committed to providing the highest quality service and creating a positive customer experience.
Overview
6
6
years of professional experience
1
1
Certification
Work History
Data Entry Representative TPD
Optum360
07.2023 - Current
- Daily research and update of denied bills due to patient not being covered on the date of service, error with patient information or with insurances information provided by the claim.
- Conduct basic research in computer applications for performing data entry skills (Pega, WBS, Tevix ,WPS etc).
- Enhanced overall organization by accurately categorizing and filing claims accordingly.
- Ensured compliance with industry regulations by following strict guidelines when handling sensitive information.
- Maintain a daily productivity of 98-120 cases per day and overall 100% quality.
- Acquire knowledge of various areas of case work related to claims ( West, South west and South east )
- Participated in a collaborative presentation to the teams in Quest Diagnostics PR related to mental health.
- Provide support to new and existing colleagues by offering shadowing sessions and answering inquiries.
Customer Service Representative
Pueblo Inc.
09.2020 - 07.2023
- Charged with overseeing the service front and ensuring that the customers receive high-quality assistance in a timely manner
- Maintained knowledge of company products to provide helpful suggestions and recommendations to customers
- Responded to telephone inquiries and complaints following standard operating procedures
- Managed large amounts of cash accurately during busy hours in a fast-paced environment
- Assisted with training and mentoring new team members
- Processed orders and detailed transaction information to customers in the Western Union platforms
- Updated and maintained database with accurate employee information and timely data entry regarding petty cash transactions
Cashier
Caribbean Temporary Services
12.2018 - 03.2020
- Performed opening and closing procedures, such as counting cash register, restocking, and cleaning
- Operated cash register and accurately processed payments, returns, and exchanges
- Counted and balanced cash drawer at the beginning and end of each shift
- Assisted with training and mentoring new team members
- Developed strong customer service skills by providing efficient and accurate service
- Maintained inventory and store visual presentation to meet customer needs
- Tracked inventory levels accurately to ensure adequate stock is available for sale
Education
BACHELOR OF ARTS (B.A.) - PSYCHOLOGY
UNIVERSIDAD DE PUERTO RICO
Rio Piedras, PR12.2021
HIGH SCHOOL DIPLOMA -
COLEGIO SANTICIMA TRINIDAD
05.2016
Skills
- Senior Leadership Support
- Account Management
- Report Creation
- Microsoft Word
- Deadline oriented mindset
- Research and verification
Certification
- Psychological First Aid (PFA)
- Skills for Psychological Recovery (SPR)
- New Manager Program Training
Languages
Spanish
English
Timeline
Data Entry Representative TPD
Optum360
07.2023 - Current
Customer Service Representative
Pueblo Inc.
09.2020 - 07.2023
Cashier
Caribbean Temporary Services
12.2018 - 03.2020
HIGH SCHOOL DIPLOMA -
COLEGIO SANTICIMA TRINIDAD
- Psychological First Aid (PFA)
- Skills for Psychological Recovery (SPR)
- New Manager Program Training
BACHELOR OF ARTS (B.A.) - PSYCHOLOGY
UNIVERSIDAD DE PUERTO RICO
Similar Profiles
Richene MorganRichene Morgan
Senior Sale Agent at Optum360Senior Sale Agent at Optum360
Steven CriderSteven Crider
Collections Specialist at Optum360Collections Specialist at Optum360
Stacy WarrenStacy Warren
Billing Representative at Optum360Billing Representative at Optum360