Support Specialist Accounts Receivable

Daniel Claro

Miami, FL ***** 786-***-**** *********@*****.***

EXPERIENCED TECHNICAL SUPPORT SPECIALIST

Computer Repair Diagnostics Hardware Troubleshooting

Effective leader with a strong track record of leveraging proven methodologies and modern technologies to reduce costs, streamline operations, and drive productivity. Recognized for deep expertise in process optimization, healthcare terminology, and high-performance team leadership. Demonstrates consistent success in exceeding organizational goals and client expectations through exceptional service delivery and strategic execution. Committed to continuous improvement and fostering growth in individuals to help them achieve their highest potential.

KEY SKILLS

Accounts Receivable Administrative Operations Medical and Insurance Billing Staff Coaching and Development Contract Negotiation CPT Client Relationship Management Service Delivery Optimization Financial Reporting and Compliance HR Liaison Functions ICD-9 and 10 Inventory Oversight New Business Development Team Supervision and Training

PROFESSIONAL EXPERIENCE

United HealthCare Services Inc, Miami, FL July 2017 – May 2025

Navigator Service Advocate

Provided phone-based customer support under the Advocate4Me model, addressing complex member needs and offering recommendations to close care gaps.

Authorized claims payments or referred claims for further investigation.

Delivered direct assistance to members and their families regarding healthcare services.

Operated independently and frequently completed work without established procedures.

Served as a resource to others and coordinated team activities as needed.

Emblem Health, Hollywood, FL June 2008 - March 2017

Customer Service Advocate

Delivered high-quality service to healthcare clients and supported cross-functional collaboration to resolve issues and promote efficiency.

Oversaw and delivered exceptional service to all clients.

Collaborated with physicians' groups, doctors, managed care, and hospital administration on performance, compliance, analytics, and denials.

Applied knowledge of ICD-9 & 10 and CPT codes; handled HF 1500 and EQB'Sub 92s.

Selected to serve as Union Steward for O.P.E.I.U. Local 153.

Acted as liaison between management and human resources.

Supported contract negotiations between employees and the management team.

Built relationships through cold calls to prospective clients and promoted medical billing and accounts receivable services.

Comprehensive Health Services, Miami, FL January 2016 - January 2017

Juvenile Medical Care Associate

Monitored the safety and care of children in custody while maintaining accurate records and supporting healthcare procedures.

Supervised children and maintained line-of-sight to ensure safety and wellbeing.

Maintained case files and updated ORR database in accordance with organizational policies.

Received consistent praise for efficient handling of administrative duties.

Demonstrated proficiency in collecting medical histories and vital signs, and in conducting related tests.

Responded calmly and effectively to emergencies, providing comfort to children.

Daniel Claro *********@*****.*** Page 2

ADDITIONAL RELEVANT EXPERIENCE February 1999- June 2008

Just For Feet CO, Miami, FL

Operations Manager

Directed day-to-day operations, staff performance, and business development strategies to increase efficiency and profitability.

Generated revenue by coaching staff in prospecting and lead development.

Monitored productivity and optimized procedures to reduce operational costs.

Implemented outreach programs focused on post-delivery follow-up and new business generation.

Identified inefficiencies and recommended process improvements.

Oversaw inventory management, equipment orders, and repair schedules.

Ensured satisfactory progress of all operational activities.

Investigated and reported all instances of financial loss.

EDUCATION AND TRAINING

Bachelor of Business Administration (BBA), Healthcare Management

American Intercontinental University, Weston, FL

Associate of Arts (AA) in Business Administration, Healthcare Administration

American Intercontinental University, Weston, FL

CERTIFICATIONS

CPI Nonviolent Intervention Certification

Blood Pathogens Certification

CPR and First Aid Certification

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