Fredy Jaimes

Resolved denied and underpaid professional billing claims across government and commercial payers. Analyzed EOBs and remittance data to determine root cause of denials and executed corrections, rebills, or appeals.

Provided frontline support to agents and served as backup to the supervisor when required. Developed product guidance tip sheets and facilitated feedback sessions to enhance team performance.

Processed and reviewed medical claims and billing transactions for U.S. healthcare providers. Verified insurance eligibility, benefits, and coverage prior to claim submission.

Served as reference point for consultants on internal processes, policies, and complex case handling. Built coaching and development plans that improved team productivity and key metrics.

Consistently met and exceeded collections targets through high call volume and efficient call flow management. Handled negotiation, conflict resolution, and difficult conversations with U.S. account holders.

Reviewed and processed health insurance claims for accuracy and payer compliance. Performed claim adjustments, corrections, and follow-ups on outstanding balances.

Completed a Technician in Administrative Assistance program at Servicio Nacional de Aprendizaje in 2018.