LIZBETH MIRANDA
Richland Hills,USA
Summary
Dedicated and driven member services representative with a proven track record of delivering exceptional customer service and making sound decisions. Possessing a strong work ethic, professional demeanor, and a proactive approach to tasks. Known for being dependable and approachable, with a knack for quickly grasping and excelling in new concepts and skills. Passionate about assisting customers and cultivating a positive work environment that fosters satisfaction and success.
Overview
11
11
years of professional experience
Work History
Talent Acquisition
Coca Cola Southwest Beverages | Commoneo
03.2025 - Current
- Assisted in talent acquisition efforts by participating in career fairs, presentations, and other recruitment events.
- Assisted in talent acquisition initiatives through candidate screening, interviewing, selection and onboarding processes.
- Evaluated and provided feedback on talent acquisition processes, identifying areas for improvement and implementing necessary changes.
- Designed targeted talent acquisition strategies that attracted top-tier candidates for key positions within the company.
- Collaborated with HR team members to develop comprehensive talent acquisition strategies that attracted top candidates from diverse backgrounds.
- Evaluated recruitment metrics to determine areas of improvement and implement necessary adjustments for continuous success in talent acquisition efforts.
- Draft offer letters and send for approval, compiling all the necessary details.
- Order Pre-Employment Screenings and verify compliance with company guidelines.
Care Navigator
UnitedHealth Group
12.2019 - 03.2025
- Reach out to doctors and healthcare providers to inquire about orders.
- Scheduled patient appointments and specific treatments.
- Handle heavy call flow inbound and outbound calls.
- Meet metrics both quality and performance
- Counseled patients on health maintenance through lifestyle modifications and medications.
- Engaged patients, healthcare providers, employers and approved parties in determination of functional abilities.
- Advocated for patient needs to healthcare professionals.
- Identified patient needs and desires and communicated to healthcare professionals.
- Documented patient information in appropriate systems to guarantee care coordination throughout patient care continuum.
- Contacted patients to provide appointment reminders.
- Confirmed patients received necessary support services such as medical care, housing and public benefits.
- Developed appropriate community resources such as mental health services, substance abuse, treatment and housing.
- Coordinated appropriate educational material for patients, families and medical staff to accomplish best possible patient care outcomes.
- Enhanced patient quality of life, sense of autonomy and self-determination for health care management by delivering educational resources and explaining outreach programs.
Advocate4me
United Healthcare
09.2018 - 11.2019
- Helped members resolve account problems and navigate internal systems to handle routine needs.
- Delivered fast, friendly and knowledgeable service for routine questions and service complaints.
- Respond to customer service inquires and issues by identifying the topic and type of assistance the caller needs such as benefits, eligibility and claims, financial spending accounts and correspondence
- Assisted in maintaining accurate records by verifying and updating member account information.
- Evaluated customer account information to assess current issues and determine potential solutions.
- Accurately documented calls and caller information, reached out to providers and discussed claim status.
- Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Member Service Representative
Molina Healthcare
08.2016 - 09.2018
- Molina Healthcare Irving TX Multitask.
- Advised member of services that are covered with being preventive services.
- Assist customers with any questions they have over their benefits, claims, eligibility, and payments.
- Assist providers with claim status and any questions providers have regarding claims information.
- Responsible with meeting quality, utilization, and adherence goals.
- Managed customer conflicts and challenging situations by staying calm and accessing internal knowledge bases to develop strategic solutions.
- Helped members resolve account problems and navigate internal systems to handle routine needs.
- Offered exceptional customer service to differentiate and promote company brand.
Sales Consultant
The Jewelry Exchange
04.2014 - 05.2016
- Consulted with customers on the latest styles and trends.
- Answered customers' questions and addressed problems and complaints in person and via phone.
- Opened and closed the store, which included counting cash drawers and making bank deposits.
- Helped customers select products that best fit their personal needs.
- Maintained visually appealing and effective displays for the entire store.
- Educated customers on product and service offerings.
- Built customer confidence by actively listening to their concerns and giving appropriate feedback.
- Organize all paperwork Filing and Folder organization Inventory Control
- In charge of all customers Special Orders going through corporate.
- Marked clearance products with updated price tags.
Education
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Birdville High
Richland, Tarrant01.2012
Skills
- MS Office
- Strong problem solver
- Computer-savvy
- Multi-line phone proficiency
- Filing and data archiving
- Strong communication skills
- Detail-oriented
- Filing
- Inventory control
- Active Listening
- Meetings
- Strong organizational skills
- Quality
- Receptionist
- Sales
- Team player
- Telephone
- Customer service
- Relationship building
- Fluent in Spanish
- Working collaboratively
- Friendly, positive attitude
- Organizational skills
- Medical filing
- Appointment confirmation
- Recording histories
- Bookkeeping support
Languages
Spanish
Native or Bilingual
Timeline
Talent Acquisition
Coca Cola Southwest Beverages | Commoneo
03.2025 - Current
Care Navigator
UnitedHealth Group
12.2019 - 03.2025
Advocate4me
United Healthcare
09.2018 - 11.2019
Member Service Representative
Molina Healthcare
08.2016 - 09.2018
Sales Consultant
The Jewelry Exchange
04.2014 - 05.2016
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Birdville High