S
Sebastian Moreno Lopez
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Healthcare AR Specialist · Revenue Cycle · Bilingual (C1 English)
Cali, Valle del Cauca, Colombia
Résumé
Jobs
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PRC ARHealthPrimeJun 2025 - Current (1 year 4 months)I manage accounts receivable for U.S. healthcare providers, working within Patient Responsibility Collections (PRC) to follow up on outstanding patient balances. My day-to-day includes reviewing aging AR reports, contacting insurance payers and patients to resolve unpaid claims, and verifying claim statuses through platforms like Availity and Medicare/Medicaid portals. I investigate denied or underpaid claims, correct billing errors, and resubmit claims when needed. I also document all account activity in Epic, ensuring accurate notes for audit and compliance purposes. A big part of my job is identifying trends in denials or delayed payments and flagging them to reduce future AR aging, while keeping communication clear and professional with- Prc Ar SpecialistHealthPrimeMay 2025 - Current (1 year 5 months)• Manage end-to-end Accounts Receivable operations for U.S. healthcare providers, maintaining QA and productivity scores consistently above 90%.
• Investigate and resolve billing discrepancies by coordinating with insurance carriers via Availity, UHC, Medicare and Medicaid portals, reducing denial rates through proactive follow-up.
• Process incoming payments (ERA/EOB) in accordance with internal financial policies and payer guidelines, ensuring accurate and timely posting.
• Negotiate payment arrangements with patients and guarantors while maintaining full compliance with AR policies and financial procedures.
• Identify root causes of claim rejections and implement corrective actions to reduce outstanding balances and i - RecruiterHirefinderRPOFeb 2025 - May 2025 (4 months)• Managed full-cycle recruitment for multiple open roles, sourcing and screening candidates through LinkedIn Recruiter, ZipRecruiter, and internal ATS platforms.
• Conducted structured competency-based interviews and delivered hiring recommendations; consistently met weekly placement targets.
• Produced recruitment reports and communicated pipeline status to hiring managers, streamlining collaboration across distributed teams.
• Negotiated and extended employment offers, ensuring competitive positioning aligned with market benchmarks. - Technical Support SpecialistNintendoOct 2022 - Dec 2024 (2 years 3 months)• Diagnosed and resolved hardware, software, and network connectivity issues across multiple Nintendo platforms, consistently achieving QA scores above 90%.
• Guided end users through advanced troubleshooting procedures in English, improving first-call resolution rates in a high-volume international contact center.
• Produced structured knowledge base documentation covering recurring technical issues, reducing average handle time for the wider support team.
• Configured local networks and supported end-to-end device setup and software deployment for consumer and enterprise clients. - Desarrollo de SoftwareMinisterio de Tecnologías de la Información y las Comunicaciones de Colombia (MinTIC)Sep 2021 - Dec 2021 (4 months)Personal project developing a lwayer´s website and application
- Customer Service SpecialistTeleperformanceJan 2021 - Sep 2022 (1 year 9 months)• Delivered omnichannel customer support entirely in English, resolving inquiries related to purchases, returns, and product exchanges while maintaining CSAT and QA metrics above 90%.
• Consistently exceeded individual productivity and quality KPIs in a fast-paced, metrics-driven international environment.
• Identified customer needs, recommended appropriate products and services, and followed escalation procedures to ensure complete issue resolution.
Education
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- B.S. Systems EngineeringUNADJan 2020 - Jan 2024 (4 years 1 month)
- Software Programming TechnicianSenaJan 2019 - Jan 2020 (1 year 1 month)