Lincy Membreno
Summary
Proactive and versatile professional with a dedication to quickly adapting to new challenges. Strong problem-solving abilities and a proven track record of fostering strong relationships with clients and team members. Focused on supporting team success and achieving positive results.
Overview
2027
2027
years of professional experience
Work History
Licensed Life Insurance Broker
Self-employeed
2026 - Current
- Assessed clients' financial goals and recommended personalized life insurance solutions.
- Educated clients on policy options, benefits, and coverage, empowering informed decisions.
- Guided clients through the application process and ensured accurate documentation.
- Built and maintained strong client relationships, delivering exceptional customer service and proactive follow-up.
- Generated new business through strategic referrals, networking, and targeted community outreach.
- Maintained compliance with state insurance regulations and ethical sales practices.
Resource Specialist
Centene Corporation
08.2024 - Current
- Coordinated care for 100+ members by assessing needs and connecting with appropriate healthcare and community resources to enhance member access.
- Managed member eligibility, benefits, authorizations, and care plans to ensure seamless continuity of care and support for members.
- Conducted member outreach and documented case activities in care management systems to identify and address gaps in care.
- Maintained compliance with HIPAA, CMS, and company quality standards.
Lead Assistant Unification Manager
The Providencia Group
10.2023 - 11.2023
- Supervising Case Manager daily activities & a 20-40 caseload.
- Monitoring Unification Specialist Work Performance.
- Coordinating training and meetings with Case Managers and leadership.
- Supervising teams with Unification Specialist with different work experience and Background.
- Worked with different Programs such as, Licensed Shelters, Long Term foster care & Emergency Influx shelters.
- Coordination training and reviews with ORR Policy.
- Attended Weekly meetings with Shelters Staff, Clinical Departments and FFS to review cases.
Case Manager
The Providencia Group
01.2022 - 10.2023
- Managed cases for unaccompanied minors, conducting intake assessments, sponsor verification, and reunification planning.
- Coordinated medical, educational, and social service referrals to maintain ORR compliance and ensure child safety.
- Collaborated with multidisciplinary teams to advocate for children facing trauma and complex behavioral health challenges.
Customer Service Representative
Duke Energy
02.2021 - 12.2021
- Customer Service
- Collecting Payment.
- Connecting / Disconnecting Electrical Services.
- Settle private Billing accounts.
Front Office & Administrative Assistant
Dental Associates of Homestead & Main Street Children Dentistry and Orthodontics of Homestead
07.2017 - 05.2020
- Coordinated patient check-in/check-out, scheduling, insurance verification, and treatment coordination, ensuring HIPAA compliance.
- Processed pre-authorizations and insurance claims, facilitating follow-ups for medical and dental treatment plans.
- Delivered exceptional customer service, leveraging experience in ICD-10 coding, pediatric dentistry, and various insurance plans including HMO, PPO, and Workers' Compensation.
Education
Bachelor's - health service administration
Florida International University
Miami, FL01-2021
Associated - Arts on Health Service Administration
Miami Dade College
Homestead, FL01-2019
Certified Front office and Medical Biller -
Florida Career College
Miami, FLSkills
- Insurance needs assessment
- Insurance sales strategy
- Client acquisition strategies
- Insurance benefits verification
- Insurance claim processing
- Insurance policy review
- Medicare & Medicaid Programs
- HIPAA Compliance
- CMS Guidelines
- Care coordination
- Relationship management
- Care Management Software
- Electronic Health Records
- Customer Relationship Management Systems
- Data management
- Authorization review
- Adobe Acrobat Pro
- Microsoft Office Suite
- Microsoft Teams
- Google Workspace
- Zoom
- WebEx
- Secure messaging
- Mac/Apple Microsoft
- QSI
- CPS
- DENTACON
- Case Worthy
- UC Portal
- ORR Portal
- Field Print
- EOIR Site
- Vesta
- TRUCARE
- Impact Pro
- Centene Clinical Action
- Krames
- FLMMIS
- Avaya one-X agent
- OneNote
- Avaya one-X agent
- OneNote
Languages
Spanish
Full Professional
English
Full Professional
Timeline
Resource Specialist
Centene Corporation
08.2024 - Current
Lead Assistant Unification Manager
The Providencia Group
10.2023 - 11.2023
Case Manager
The Providencia Group
01.2022 - 10.2023
Customer Service Representative
Duke Energy
02.2021 - 12.2021
Front Office & Administrative Assistant
Dental Associates of Homestead & Main Street Children Dentistry and Orthodontics of Homestead
07.2017 - 05.2020
Licensed Life Insurance Broker
Self-employeed
2026 - Current
Bachelor's - health service administration
Florida International University
Associated - Arts on Health Service Administration
Miami Dade College
Certified Front office and Medical Biller -
Florida Career College