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Anyel Flores

@anyelflores

Message

I resolve healthcare claims, denials, and receivables for U.S. providers while improving revenue-cycle accuracy.

Costa Rica

Message

I've supported U.S. healthcare providers at Health Prime by resolving high-volume accounts receivable, denied claims, and unpaid balances across commercial and government payers.

I research denial root causes, verify eligibility and benefits, secure authorizations and referrals, resolve COB issues, and prepare appeals with supporting documentation. I use Epic daily and have hands-on experience with Availity, Tebra, Medicare CGS, OH Medicaid, UnitedHealthcare, and other payer portals.

As a Team Coach in revenue cycle management, I coached teams of up to 25 agents, conducted quality audits, and turned recurring documentation and data-entry issues into corrective action plans that reduced rework.

I also supported Health Prime's six-month Colombia operation launch, helping train and ramp approximately 150 agents across seven teams and three onboarding waves. Earlier, I handled high-volume live-chat customer support at Support Services Group.

Experience

Work history, roles, and key accomplishments

TeamCoach, Revenue Cycle Management

Health Prime

Aug 2024 - Oct 2025 (1 year 2 months)

Coached and developed teams of up to 25 RCM agents, conducted quality audits, and supported the launch of a Colombia RCM operation by training approximately 150 new agents.

Excel RCM Operations RCM RCM Lead Coach Lead Training and Development Transitions

Accounts Receivable

Health Prime

Feb 2024 - Aug 2024 (6 months)

Revenue Cycle Management (RCM) specialist with hands-on experience in accounts receivable management, payment follow-up, and insurance claims processing. Responsible for optimizing collections, resolving billing discrepancies, and maintaining effective relationships with payers and patients.

Accounts Receivable Excel Problem Solving Authorization Denied Unpaid Insurance Claims Claims Processing Denials Management Denial Codes Denials And Appeals Denial Prevention Insurance Follow Up Payment Posting

Customer Services Representative

Support Services Group

Jan 2024 - Feb 2024 (1 month)

Customer support specialist with experience in banking services and account management. Proficient in resolving customer inquiries, password resets, account troubleshooting, and security features management including MFA (Multi-Factor Authentication) activation/deactivation. Skilled in providing technical support and maintaining customer satisfaction while ensuring data security and compliance.

Customer Service Technical Support Account Management MFA Banking Operations Problem Solving