Jose Salas
@josesalas
I train healthcare agents to deliver accurate, HIPAA-compliant insurance support.
What I'm looking for
I train Teleperformance agents on Humana health insurance plans, enrollment periods, call flow, and compliant member communication. I monitor performance, address gaps with targeted development plans, and report progress trends to leadership.
Previously at Edge, I verified insurance eligibility, benefits, and coverage for scheduled services while maintaining patient financial records, authorizations, and billing documentation. I used Paragon, Availity, and TMHP to resolve discrepancies, support billing accuracy, and help reduce claim denials.
My healthcare operations background also includes supporting providers with claims, benefits, and eligibility inquiries at Teleperformance while protecting confidential information under HIPAA guidelines.
Before healthcare insurance, I worked in high-volume veterinary settings at Miami-Dade County and VCA Animal Hospitals, assisting with examinations, treatments, medical records, client education, and compassionate patient care.
Experience
Work history, roles, and key accomplishments
-Train new and existing agents on Humana health insurance plans, plan types, and enrollment periods, ensuring agents can accurately explain coverage and plan options to members.
-Deliver training on required call flow and insurance-related processes, reinforcing correct, compliant communication of insurance information to customers.
-Monitor agent performance and development, identifying performan
- Manage verification of insurance eligibility, benefits, and coverage for scheduled services (3–5 days in advance)
- Maintain accurate patient financial records, including policy details, billing information, and authorizations
- Coordinate with insurance providers, physician offices, and internal departments to ensure efficient workflow and service delivery
- Review and process documentation to
-Provide excellent customer service over the phone by assisting providers answer their claims and their member's benefits & eligibility inquiries.
-Work with confidential customer information, while treating it sensitively following HIPAA guidelines
-Aim to resolve issues on the first interaction by being proactive, patient, and understanding
-Document and update records in the required systems
-M
- Treated each patient with compassion and care, prioritizing cases based on severity.
- Effectively answered adopters questions communicating care details and educating them about concerns, treatment methods, and recovery of their pet.
- Acquired the certification of Euthanasia of Animals by The Florida Animal Control Association.
- Assisted veterinarians on the examination of animals in order to
- Effectively answered customer questions via telephone or email, communicating care details to clients while educating them about concerns, treatment methods, and recovery
- Maintained positive relationships with new and returning customers in an effort to appropriately handle their requests or concerns
- Registered and updated patient information - including consultation prices, medical records,
- Assisted veterinarians and technicians as needed - examined animals in order to determine patient’s illness, rushed patients to ICU for immediate treatment and ordered them based on the criticality of their condition
- Provided compassionate care for patients - organized examination rooms, cleaned and maintained kennels / bathing areas, fed, walked, and bathed pets boarded at the hospital
Education
Degrees, certifications, and relevant coursework
CIBERTEC
Associate's degree, Business Administration and Management, General
2025 - 2027
Penn Foster Group
Veterinary/Animal Health Technology/Technician and Veterinary Assistant
2020 - 2021
Tech stack
Software and tools used professionally
Availability
Location
Authorized to work in
Job categories
Skills
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