Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Efrain Edgardo Aguila Rivas

Soyapango,SS

Summary

Detail-oriented professional with progressive experience in the medical remittance field, transitioning from a collections agent to backup supervisor and currently serving as a quality agent. Recognized for responsibility, logic, and analytical skills, with a strong emphasis on collaborative case resolution. Passionate about continuous improvement and standardization of processes to ensure operational accuracy. Quality assurance expert with a proven track record of maintaining high standards and delivering impactful results through strong team collaboration and adaptability to changing needs. Skilled in process improvement and root cause analysis, fostering a reliable and efficient work environment.

Overview

8
8
years of professional experience

Work History

Quality Agent

Skycom Latinoamérica
03.2024 - Current
  • Conduct quality evaluations in the remittance department to ensure payments are accurately applied to patient accounts.
  • Develop and standardize internal procedures by creating Standard Operating Procedures (SOPs) and Job Aides.
  • Provide constructive feedback to agents to enhance process understanding and accuracy.

Customer Service Agent

Concentrix
09.2019 - 02.2020
  • Handled inbound calls from customers requesting service cancellations.
  • Implemented retention strategies by offering promotions and personalized solutions.
  • Focused on customer satisfaction and reducing churn.

Collections Specialist Agent

Skycom Latinoamérica
06.2017 - 09.2019
  • Contacted insurance companies to verify payment status of claims related to clinical services.
  • Investigated and appealed denied claims to recover outstanding balances.
  • Ensured compliance with medical billing policies and quality standards.
  • Specialized in managing U.S. healthcare accounts with a focus on financial recovery processes.

Education

Technical High School Diploma - Accounting

Complejo Educativo Católico "El Carmelo"
12-2015

Skills

  • Languages: Spanish (native), English (advanced)
  • Tools & Technologies: Microsoft Office (Word, Excel, PowerPoint), Collab CMD, Salesforce CRM
  • Core Competencies: Quality assessment, medical collections, customer service, team collaboration, logical and analytical thinking, process standardization (SOPs & Job Aides), CRM and operational platform management
  • Documentation skills
  • Quality management systems

References

Available upon request.

Timeline

Quality Agent

Skycom Latinoamérica
03.2024 - Current

Customer Service Agent

Concentrix
09.2019 - 02.2020

Collections Specialist Agent

Skycom Latinoamérica
06.2017 - 09.2019

Technical High School Diploma - Accounting

Complejo Educativo Católico "El Carmelo"
Efrain Edgardo Aguila Rivas