Open to opportunities

Yorleni Flores

@yorleniflores

Administrative and operations professional with 7+ years managing records, enrollments, billing, and compliance for U.S. healthcare.

Guatemala

Message

What I'm looking for

I’m seeking a remote administrative position where I can contribute through organization, attention to detail, and strong operational support. My background includes records management, documentation review, insurance administration, billing support, and reporting. I enjoy helping teams stay organized and ensuring processes are completed accurately and efficiently.

I’m a bilingual (English/Spanish) administrative and operations professional with 7+ years of experience supporting U.S.-based organizations across healthcare, insurance, banking, travel, retail, and telecommunications. I’m known for accuracy, confidentiality, and attention to detail while managing high-volume administrative operations in remote environments.

In my most recent role as a Client Experience Specialist, I managed student health insurance enrollments, policy activations, billing updates, and eligibility verification for multiple U.S. universities. I reviewed and validated coverage records across multiple systems, handled refunds and enrollment corrections, maintained and retrieved medical and insurance documentation with proper retention, and partnered with carriers (BCBSTX, Aetna, UnitedHealthcare, Wellfleet) to resolve discrepancies. I also generated operational reports, monitored pending requests, tracked case progress, and maintained CRM/ticketing documentation.

Experience

Work history, roles, and key accomplishments

Client Experience Specialist

Academic Health Plans

Apr 2023 - Apr 2026 (3 years)

Managed student health insurance enrollments, policy activations, billing updates, and eligibility verification for multiple U.S. universities. Reviewed and maintained accurate coverage records, handled documentation and policy changes, and archived medical and insurance documentation in compliance with procedures.

Eligibility Verification Billing Support Medical Records Management Document Control Data Validation CRM Management Cross functional Coordination

Customer & Operations Support Specialist

Conduent

Jan 2021 - Dec 2022 (1 year 11 months)

Processed reservation modifications, refunds, documentation reviews, and account updates while maintaining accurate records. Supported operational workflows with consistent documentation and timely case handling.

Operations Coordination Document Review Refund Workflows Reservation Account Updates Data Entry Case Management Quality Assurance Customer Support

Customer & Operations Support Specialist

Atento

Jan 2020 - Jan 2021 (1 year)

Supported banking operations through claims processing, reimbursement reviews, documentation management, and compliance verification. Ensured administrative accuracy by validating supporting documents and following compliance processes.

Claims Processing Compliance Documentation Management Data Validation Quality Assurance Case Handling Administrative Support

Customer & Operations Support Specialist

Alorica

Jan 2016 - Dec 2019 (3 years 11 months)

Performed account maintenance, documentation updates, and data entry across multiple business lines while supporting customer requests. Maintained accurate records and ensured documentation was processed correctly to support ongoing operations.

Documentation Data Entry Customer Support Back Office Operations Record keeping Case Handling Data Validation Quality Assurance