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Luis S. — Junior Healthcare Case Manager from Honduras

Luis S.

Junior Healthcare Case Manager

Honduras No experience yet
Open to offersNew to Platform
Languages
EnglishSpanish
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About

Luis G. is a seasoned professional in Back Office and Case Management within the US healthcare industry, based in Tegucigalpa, Honduras. With proficiency in both English and Spanish, Luis has developed a strong foundation in healthcare advocacy and medical insurance support. His expertise encompasses the use of CRM systems such as Salesforce for managing case documentation and ensuring HIPAA compliance. As a Healthcare Advocate at ResultsCX, he has served as a key point of contact for members, expertly guiding them through health insurance benefits and resolving claim inquiries. His role involved direct communication with healthcare providers to coordinate services, alongside executing administrative tasks to enhance provider relations. Luis's ability to navigate multiple healthcare platforms and maintain meticulous case records highlights his problem-solving skills and attention to detail, making him adept at supporting quality assurance and compliance within fast-paced environments.

Experience

  • Healthcare Advocate

    ResultsCX · 2025 — 2026
    Acted as the main contact for members, assisting with health insurance benefits, coverage inquiries, and claims-related questions. Accurately managed and documented cases in Salesforce, adhering to HIPAA privacy regulations. Engaged directly with healthcare providers to confirm details, arrange services, and efficiently address member concerns. Provided high-quality customer service while handling multiple cases alongside back-office tasks. Utilized various healthcare platforms daily, including Salesforce, Avaya/Avaya Altitude, RxNova, RxConnect, and Call Connect for member and provider interactions. Conducted data entry and maintained systematic records to facilitate healthcare operations and support provider relations. Applied strong problem-solving abilities and attention to detail to resolve member issues. Reviewed case files to ensure accuracy and adherence to compliance standards.

Skills & Expertise

Education

  • High School Diploma – Sciences & Humanities
    Instituto San Francisco · — — 2023

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