I like getting to the bottom of a problem.

I’m Jose, a bilingual healthcare operations professional in Houston. I research member issues, coordinate with the right teams, and keep members updated.

The experience behind the work

  1. Jun 2025 – Present

    HCSC (HealthSpring) — Remote (Houston, TX)

    Bilingual Customer Advocate, Medicare Advantage → Medicare Supplement

    Handling 200+ member calls per month while investigating Medicare claims, benefits, pharmacy, and billing questions; coordinating corrections and following up with members.

    Read the coverage-restoration story
  2. Jan 2024 – Jun 2025

    Bank of America

    Collections Specialist

    Resolving business and consumer account issues, including support in Spanish. Maintained a 100% quality score for seven months.

  3. Sep 2022 – Dec 2023

    Paylocity — Remote

    Account Manager II

    Helping customers use Paylocity’s payroll and HR products, set up payroll batches and codes, and troubleshoot payroll, onboarding, and reports. Handled 100+ client calls per month.

    Explore my SaaS customer-support work
  4. Aug 2021 – Sep 2022

    CVS Health / Meritain Health — Remote

    Customer Service Representative

    Handling medical claims and benefits inquiries in a high-volume environment. Reported 99%+ accuracy while meeting production requirements.

    See my approach to claims inquiries
  5. 2019 – 2021

    Phoenix College

    Academic Advising Assistant

    Supporting scheduling, student-record distribution, and enrollment and financial-aid questions.

Clear in both languages

English and Spanish are working languages for me. The goal is to preserve the meaning, explain what is still pending, and make the next action understandable.

Read a bilingual explanation sample

Where I want to contribute next

Healthcare investigation and quality

Investigating claims, benefits, and member-service issues; verifying records and documenting the next action.

Primary lane

SaaS customer support and onboarding

I’m pursuing SaaS customer and product support and customer onboarding roles, particularly with payroll and HR software. My Paylocity platform work—helping customers get acclimated, set up payroll batches and codes, and troubleshoot products—informs this direction.

Secondary lane

AI review with human oversight

Exploring how to check AI-assisted notes against source records, preserve unanswered questions, and keep people responsible for the final decision.

Learning practice