Leilany Mendoza
Rosharon,TX
Summary
Healthcare customer service professional with 10+ years of experience supporting patients and members, verifying insurance benefits, managing accounts, coordinating DME and medical supplies, and resolving complex service issues. Experienced in explaining coverage, eligibility, authorization requirements, and account information clearly and compassionately. HIPAA trained with remote-work experience and strong proficiency in Brightree, documentation, data entry, and patient/member support.
Overview
11
11
years of professional experience
Work History
Member Service Representative
S3 Shared Service Solutions
Baltimore, MD
09.2022 - 04.2026
- Supported members by phone regarding benefits, services, accounts, transactions, and eligibility while providing clear, compassionate, and professional assistance.
- Researched complex account issues using internal knowledge based and multiple systems to identify accurate solutions.
- Managed challenging interactions and conflicts calmly while maintaining a focus on resolution and member satisfaction.
- Documented interactions and account information accurately while handling sensitive member data.
- Worked remotely while managing a high-volume workload and maintaining productivity, accuracy, and service standards.
Customer Care Coordinator
National Seating and Mobility
Houston, TX
11.2021 - 09.2022
- Entered patient intake orders accurately into Brightree and maintained detailed patient account documentation.
- Verified insurance benefits and eligibility for durable medical equipment and medical supplies.
- Managed patient accounts, coordinated medical supply reorders, and provided support to patients nationwide.
- Applied knowledge of out-of-state insurance processes to research coverage and resolve patient account issues.
- Communicated with patients and internal teams to facilitate timely processing and resolution of requests.
Customer Service Representative
Numotion
Houston, TX.
03.2019 - 10.2021
- Entered patient intake orders accurately into Brightree and maintained detailed patient account documentation.
- Verified insurance benefits and eligibility for durable medical equipment and medical supplies.
- Managed patient accounts, coordinated medical supply reorders, and provided support to patients nationwide.
- Applied knowledge of out-of-state insurance processes to research coverage and resolve patient account issues.
- Communicated with patients and internal teams to facilitate timely processing and resolution of requests.
Authorization Representative
Medical Plus Supplies
Houston, TX
07.2015 - 01.2019
- Promoted to the Prior Authorization Department after one year, submitting authorization requests to Texas-based insurers.
- Managed authorization processes for DME rentals and medical supplies.
- Assisted customers with insurance denials, authorization requirements, and recertification guidelines.
- Maintained accurate documentation and coordinated with insurers and internal teams to resolve authorization issues.
Education
High School Diploma -
Long Island City High School
Astoria, NY06-2008
Skills
Patient Support Insurance Verification Benefits & Eligibility DME & Medical Supplies Prior Authorizations Patient Accounts Coverage & Claims Support Conflict Resolution Documentation Data Entry Brightree HIPAA Remote Support English/Spanish
Timeline
Member Service Representative
S3 Shared Service Solutions
09.2022 - 04.2026
Customer Care Coordinator
National Seating and Mobility
11.2021 - 09.2022
Customer Service Representative
Numotion
03.2019 - 10.2021
Authorization Representative
Medical Plus Supplies
07.2015 - 01.2019
High School Diploma -
Long Island City High School