Oscar Bazua

Being part of an organization and while helping with my own knowledge and skills to improve profitability and optimize the resources available to the company at par to continue to acquiring knowledge and develop skills that benefit both my person and the same company.

Prior Authorization & Insurance Verification Specialist (Client: SuperCare Health) - IND Consulting | Call Center

(2021-04 - 2026-04)

• Managed Prior Authorizations: Spearheaded end-to-end prior authorization processes for U.S. insurance companies, successfully minimizing claim denials.
• Customer Service Excellence: Handled high-volume inbound patient calls regarding inquiries and medical refills, resolving issues on first contact or routing them efficiently.
• Portal & Platform Expertise: Utilized major medical networks and web engines (Availity, UnitedHealthcare, Astrana, MedPOINT) to submit requests, verify medical necessity, and track utilization status.
• Data Integrity & CRM Management: Navigated DocuFlow to verify demographics and updated the HDMS CRM daily to maintain accurate patient records and insurance approvals.
• Documentation Auditing: Audited medical charts and physician prescriptions to ensure strict validity and compliance before insurance submission.
• Provider & Patient Outreach: Conducted proactive outbound outreach via phone, email, and digital fax to clinics and patients to resolve expired documents and collect updated primary care physician (PCP) info.

Bilingual Customer Service Representative - Onelink (Volaris)

(2020-07 - 2021-04)

• Bilingual Support: Delivered high-quality customer service in English, resolving passenger inquiries, booking issues, and flight changes.
• Issue Resolution: Handled real-time problem-solving under pressure to maintain customer satisfaction and loyalty.

Restaurant Owner & Operator - Comidas y Desayunos Aileen

(2018-02 - 2021-01)

• Business Management: Managed daily operations, supply chain, budgeting, and customer service for an independent food service establishment.
• Inventory & Sales: Controlled food costs, negotiated with local vendors, and implemented marketing strategies to drive revenue.

Production Planner - HFI México

(2014-11 - 2017-07)

• Production Scheduling: Developed and distributed daily production programs using ERP systems (MACOLA) and MRP downloads.
• Performance Tracking: Monitored production lines, recorded delay days, and collaborated with supervisors to ensure shipment priorities and deadlines were met.
• Data Analysis: Generated daily scrap graphs, performed root-cause analyses, and presented operational metrics during unit meetings.
• Logistics & Inventory Control: Managed weekly packaging material inventories, coordinated truck shipment statuses, and processed sales and service orders.

Data Entry & Inventory Analyst - HFI México

(2012-12 - 2014-10)

• Inventory Accuracy: Tracked and audited raw materials and finished goods to ensure stock integrity.
• Database Maintenance: Input precise operational data into company systems to support the logistics team.

Production Operator (Cutting Area) - HFI México

(2012-02 - 2012-11)

• Quality & Execution: Handled materials and operated cutting machinery according to strict manufacturing standards and safety guidelines.

Title and professional certificate - Industrial and Systems Engineering - Instituto Tecnológico de Sonora, Cd. Obregón (2002 - 2011)

Lourdes College (1999 - 2002)

Jose Rafael Campoy High School No.21 (1995 - 1998)

Elementary School Fernando F. Dworak (1989 - 1995)