Luis Eduardo Riera

Drove sales growth and managed client relationships for a beverage distributor, consistently exceeding targets and optimizing product availability.

• Consistently exceeded sales goals for an assigned territory, achieving strong revenue growth through strategic account management and proactive client engagement.
• Expanded client base by acquiring new business and nurturing existing accounts, identifying viable growth opportunities to increase market share.
• Managed accounts receivable, ensuring timely invoice payments and improving cash flow efficiency across client portfolios.
• Cultivated strong client relationships and ensured a favorable customer experience by maintaining high professionalism during merchandise delivery and addressing client needs.
• Optimized client inventory levels through weekly monitoring, ensuring adequate product availability and preventing stockouts across all managed accounts.

Coordinated comprehensive claims processing and appeals for a pharmacy service, ensuring compliance and maximizing payment recovery.

• Ensured 100% accurate and timely submission of claims and supporting documentation by conducting thorough reviews of eligibility, proper coding (NDC, HCPC), and authorizations.
• Resolved complex insurance payment discrepancies, investigating and acquiring necessary remits to complete the posting process and recover outstanding revenue.
• Managed and submitted multi-level appeals (first, second, and third) for denied claims, successfully overturning rejections and securing appropriate payments.
• Monitored and analyzed insurance denials and payment trends to identify areas for process improvement in company billing and collection strategies.
• Maintained comprehensive and organized records for all paid claims, denied claims, and appeals, ensuring data integrity and audit readiness.

Provided critical administrative and record management support, ensuring efficient office operations and accurate financial and patient documentation.

• Proficiently operated office equipment and software (word processing, spreadsheets) to prepare accurate reports, invoices, financial statements, and medical records.
• Executed essential bookkeeping duties, including managing credits, collections, and financial record-keeping, ensuring accuracy and compliance.
• Accurately completed and processed insurance and other claim forms, facilitating timely submissions and patient care continuity.
• Conducted patient interviews to gather critical information for intake, case histories, and insurance documentation, maintaining confidentiality.
• Maintained organized medical records, technical libraries, and correspondence files, ensuring efficient retrieval and data integrity for operational needs.

Managed comprehensive warehouse and inventory operations for a medical facility, ensuring efficient stock control and adherence to quality standards.

• Managed the acceptance, processing, packaging, and shipping of incoming medical inventory and orders, maintaining accuracy and adherence to schedules.
• Conducted precise verification of lot numbers, expirations, and quantities for all received inventory, upholding rigorous quality control standards.
• Systematically accounted for and rotated stock on shelving, minimizing waste by ensuring first-in, first-out (FIFO) principles based on expiration dates.
• Performed sterilization and preventative maintenance on returned Durable Medical Equipment (DME) and ambulatory devices, ensuring readiness for reuse and compliance.
• Maintained a clean, organized warehouse environment, strictly adhering to sterilization policies for medical packing areas and safely disposing of expired products per pharmacy guidelines.