Alma Peinado
ADP
El Paso,SLP
16
years of professional experience
Competent and reliable professional, committed to top quality work with 15 years of customer service experience and 7 years of call center experience. Able to collaborate easily with co-workers and work well independently. Strongly skilled in word processing, customer service and bilingual.
Work History
Associate Payroll Specialist
4 Years 3 Months- Process payroll and maintain accurate payroll records and reporting
- Assist with year-end balancing, filings, and payroll compliance tasks
- Resolve payroll issues and communicate with clients and internal teams
- Support payroll system updates and testing activities
Associate Accounts Receivable Representative
2 Years 4 Months- Resolved client billing and payment issues while maintain accurate account records
- Investigated account disputes and documented cases using Siebel
- Communicated with clients and internal teams to ensure timely issue resolution
Shared Service Associate I
1 Year 2 Months- Assist customer with account updates and appointment scheduling
- Answer billing and eligibility questions
- Directed calls to appropriate departments and supported issue resolution
- Worked with Epic and Passport systems to manage customer information
Member Service- Scheduler
1 Year- Assisted customers with appointments, account updates, billing, and eligibility questions
- Supported management projects and handled Care Net tasks between calls
- Directed calls to appropriate departments and maintained accurate customer information
- Worked with Epic, Touch Point, and TMHP systems
Documentation Specialist
1 Year 9 Months- Reviewed medical documentation for accuracy and completeness, including ICD-9 and ICD-10 codes
- Communicated with doctor’s offices and patients to resolve documentation issues
- Managed high-volume outbound and inbound calls while meeting daily productivity goals
Prior Authorization Specialist
10 Months- Submitted and followed up on prior authorization requests
- Verified patient eligibility and insurance information
- Assisted patients with denied authorizations and appeal process questions
Sr. Member Services Representative, Escalation Team
3 Years 9 Months- Assisted members and pharmacies with insurance, claims, eligibility, and co-pay questions
- Resolved pharmacy claim issues and provided formulary-compliant medication alternatives
- Reviewed prior authorization and eligibility status for members, providers, and pharmacies
Education
Bachelor in Business Management
Skills
Technical Skills: Epic
Siebel
TMHP
TouchPoint
Microsoft Office
Care Net
Professional Skills: Payroll Processing
Claims Resolution
Customer Service
Documentation Review
Problem Solving
Case Management
Time management
Team Collaboration
Languages
English
C1
Advanced
Spanish
C1
Advanced
Timeline
Associate Payroll Specialist
ADP
2022.03 - CurrentRead More
Associate Accounts Receivable Representative
ADP
2019.11 - 2022.03Read More
Shared Service Associate I
Dupage Medical Group
2018.03 - 2019.05Read More
Member Service- Scheduler
Texas Children’s Health Plan
2016.10 - 2017.10Read More
Prior Authorization Specialist
Medco Medical Supply
2015.05 - 2016.03Read More
Documentation Specialist
Medco Medical Supply
2014.08 - 2016.05Read More
Sr. Member Services Representative, Escalation Team
Catamaran
2010.10 - 2014.07Read More
Robert Morris University
Bachelor in Business Management
Read More