I’m looking for a role where I can apply my experience in healthcare customer service, medical billing, and legal support. I aim to contribute my skills in claims processing, billing systems (eClinicalWorks), and team collaboration while continuing to grow professionally in a dynamic environmentt.
JLLooking for a job
José López
@joslpez
Billingual professional with 5+ years in healthcare billing, legal support, claims and training
ColombiaWhat I'm looking for
I’m a bilingual professional with a diverse career path that demonstrates my adaptability and resilience. Originally trained in law, I studied extensively in the field but faced challenges in practicing after relocating to a new country. This shift prompted me to pivot into the BPO industry, where I’ve leveraged my legal knowledge in various roles, including healthcare customer service, wireless service tech support, and remote legal assistance.
With over 5 years of experience, I have developed expertise in medical billing, claims processing, and Medicare operations, working extensively with tools like eClinicalWorks (eCW) and Salesforce. My role in healthcare has allowed me to effectively navigate insurance verification, billing disputes, and appeals, always with a client-first mindset.
Additionally, my background in law has provided me with a strong attention to detail, excellent problem-solving skills, and a deep understanding of legal processes, which I’ve seamlessly applied in my diverse roles. I’ve also gained international experience as a corporate trainer, mentoring teams across the Dominican Republic, Colombia, and the Philippines, while creating impactful training materials and fostering knowledge transfer on a global scale.
This combination of legal training, healthcare expertise, and BPO experience has shaped me into a highly adaptable professional, skilled in navigating changing industries and environments while maintaining a focus on customer satisfaction and operational efficiency.
Experience
Work history, roles, and key accomplishments
INCurrent
Medical Billing Assistant
interstaf
Mar 2025 - Mar 2025 (0 months)
Entered and submitted insurance claims using eClinicalWorks (eCW), verified patient eligibility, and reviewed billing reports. Posted payments, ensured HIPAA compliance, and communicated with insurance companies and patients. Reduced claim rejections by 25%, improved follow-up processes, and contributed to reduced A/R days. Recognized for accuracy in data entry and payment posting.
TPProvided bilingual (English/Spanish) support to clients in immigration processes, including petitions, asylum, and work permits. Drafted USCIS and EOIR filings using Cerenade, ensuring compliance with legal protocols. Streamlined case management with Google Workspace and Microsoft Office. Improved client engagement and reduced intake processing time by 20% through efficient use of digital tools.
TTProvided expert technical support for wireless services, resolving device and account issues. Excelled in clear communication, ensuring high first-call resolution and fostering customer rapport. Identified cross-sell opportunities and maintained detailed case logs in CRM. Achieved a 92%+ CSAT score and consistently high call quality, contributing to improved customer retention and resolution.
TEDesigned and delivered healthcare training for customer service and back-office teams across multiple international sites. Designed materials aligned with CMS regulations and conducted assessments to drive performance and compliance. Led a training initiative that reduced ramp-up time by 25% and improved QA scores, recognized for fostering cross-cultural engagement and maintaining consistency
TEProvided empathetic support to Medicare members, addressing inquiries on benefits, claims, and coverage. Guided members through enrollment, appeals, and plan decisions, ensuring compliance with CMS regulations. Achieved top performance metrics in call quality and member satisfaction. Recognized for exceptional advocacy, especially for elderly and high-needs members
TEManaged provider operations using Salesforce, Convey, and HealthEdge, handling contracting, onboarding, and data management. Addressed complex billing inquiries with ICD-10, CPT, and HCPCS codes, and processed authorizations, appeals, and grievances. Improved provider satisfaction by 15% and reduced inquiry resolution time through process optimization
MALegal Assitant
MAPFRE
Jun 2014 - Dec 2017 (3 years 6 months)
I supported the legal team by managing documentation, conducting research, and drafting contracts. I assisted in preparing briefs and reports, coordinated communication across departments, and organized meetings and legal proceedings. My attention to detail and organizational skills helped improve the legal department’s productivity and client satisfaction
Education
Degrees, certifications, and relevant coursework
UZUniversidad del Zulia
Licentiate degree, Law
2010 - 2015
Obtained a Licentiate degree in Law, focusing on various aspects of legal studies including constitutional law, civil law, and criminal law.
Tech stack
Software and tools used professionally
Availability
Looking for a job
Location
Colombia
VenezuelaSalary expectations
1k-2k USD
Job categories
Skills
Communication SkillsProblem SolvingSalesforceCommunicationCustomer ServiceAnalytical SkillsAWSTime ManagementOrganizational SkillsCRMEClinicalWorks (ECW)Legal DraftingLegal ResearchLegal DocumentationMedical TerminologyMedical CodingMedical BillingMedical TechnologyMedicare MedicaidMedical Record Systems
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