Anais Mercado Location: Plantation, FL ***** Tel. 954-***-**** Email: ad28ok@r.postjobfree.com

Professional Summary

I am a bilingual enrollment specialist with strong resource and personnel skills. Organized and a sales manager with 15 years of experience in the human resource department, employee recruitment, and employee benefits enrollment. Skilled at coordinating and prioritizing tasks and leading healthcare companies by keeping professionalism in stressful situations. Adept at employees’ benefits advocacy and benefits education with commitment to efficiency. Dedicated administrative professional well-versed in communication and team building. Knowledgeable in medical terminology and the interviewing preparation process with 15 years of relevant work experience. Enthusiastic about helping employees get necessary benefits support by obtaining authorizations, following procedures, and coordinating employers and healthcare paperwork. Proficient in using Microsoft Word as a tool to create and share professional documents. Implemented Microsoft Excel to create special and trained Microsoft PowerPoint presentations. Collaborative leader with dedication in acting as the liaison with insurance companies on behalf of the clients for providers enrollment issues.

Skills

Data entry skills.

Mathematics skills.

Excellent phone demeanor.

Customer service background.

Risk mitigation.

Account management.

Vision and dental insurance.

Underwriting and adjustments.

Work History

02/2022 to 02/2023 Remote Benefits Enrollment Specialist

Sagility Healthcare- (Affiliated with CVS Pharmacy & Aetna) – Plantation, FL

Coordinate, review, and analyze documentation and data entry supporting Medicare, Medicaid, and commercial payer requirements to ensure correct and prompt billing.

Alerts proper team members at the Site about late or missing documents needed for employee benefits.

Review, prepare, send, and follow up on authorization and pre-authorization requests according to applicable state and clients’ guidelines.

Participate in special benefits client specific trainings and projects and perform other duties as assigned.

Identify, analyze, and research benefits system issues and make recommendations for resolution for multiple companies and hospitals.

Obtain employees’ information to properly record and document demographics and medical histories.

07/2019 to 02/2023

Language English and Spanish Translator

Freelancer – Plantation, FL

Provided oral interpretations for clients during dedicated events, successfully keeping pace with native speakers to deliver real-time comprehension.

Utilized active listening skills and cultural sensitivity to convey correct interpretations.

Interpreted remotely through video conferencing or phone to ease communication between parties unable to meet in person.

Provided cultural input to speakers to help parties who did not speak similar languages communicate with and understand one another.

Maintained message content, tone, and emotion as closely as possible.

07/2013 to 06/2014

Teacher

Charter Schools – Tamarac, FL

Supported student physical, mental, and social development using classroom games and activities.

Collaborated cooperatively with other teachers, administrators, and parents to help students reach learning goals.

Kept students on-task with initiative-taking behavior modification and positive reinforcement strategies.

Communicated often with parents, students, and faculty to supply feedback and discuss instructional strategies.

09/2013 to 11/2013

Teacher Intern

Plantation Elementary School – Plantation, FL

Facilitated students' discussions of classroom topics, helping each explore concepts and expand horizons.

Collaborated with colleagues to design learning outcomes and thoughtfully address individual student needs.

Showed progressing knowledge and abilities by logging observations, teaching times and specific lesson plans for supervisor review.

Observed classes to find opportunities to back up teacher or help students.

07/2011 to 09/2013

Manager & Recruiter

Dominguez and Goodman – Sunrise, FL

Dedicated to strategic company accounts.

Adept at sourcing talent through networking and referral.

Accountable for supporting clients from multiple locations across the US.

Coach and counseled twenty sales employees, aiding with individual sales efforts, and helping sales representatives reach sale targets.

Recruit, coordinated interviews and train highly qualified staff by teaching best customer service practices, procedures, and sales strategies with other hiring managers.

Education

Bachelor of Arts, Elementary Education

University of Turabo, Miami, FL - 2013

3.60 GPA

Certifications

Substitute Teacher Certificate, Florida Department of Education, Tallahassee, Florida- 2014

Teacher Certificate, Elementary Education State of Florida Department of Education- 2017

Childcare Training, Department of Children and Families, Tallahassee, Florida- 2017

Leaders of Leadership Certificate, Harvard University, Cambridge, Massachusetts- 2020

Teaching English as a Second Language Certificate, ICOES,

International Open Academy, Amsterdam, Netherlands- 2020

Languages English & Spanish

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