Melanie Cisneros
San Antonio,TX
Summary
Detail‑oriented claims professional with 20+ years of experience supporting high‑volume insurance, medical records, and compliance‑driven workflows. Known for 99%+ data accuracy, HIPAA/PHI handling, and audit‑ready documentation across multiple systems. Skilled in reviewing claim information, verifying documentation, applying payer rules, and supporting timely case progression in fast‑paced environments.
Overview
26
26
years of professional experience
Work History
Donor Center Technician /Medical Support Assistant
Octapharma Plasma Inc.
San Antonio, TX
01.2026 - Current
- Enter and verify confidential medical and compensation-related data with high accuracy.
- Review documentation for completeness and correct errors to maintain audit-ready records.
- Navigate multiple clinical and administrative systems to update and reconcile sensitive information.
- Maintain structured digital and physical records in accordance with HIPAA and privacy standards.
- Verify identification and required documentation during intake to support compliance workflows.
- Identify documentation discrepancies and escalate issues to ensure timely case progression.
- Manage fast‑paced, high‑volume tasks while maintaining accuracy and confidentiality.
Administrative Assistant & Bookkeeping Support
FG III Enterprise
San Antonio, TX
04.2022 - 12.2025
- Executed precise data entry and document preparation to support daily business operations.
- Managed business documentation using Microsoft Office and Google Workspace.
- Maintained financial logs and supported bookkeeping tasks with confidentiality.
- Organized property‑related documents and updated records with attention to detail.
- Prioritized multiple tasks while maintaining complete and compliant records.
Medical Records Clerk (Contract)
Goodwill Industries of San Antonio
San Antonio, TX
03.2025 - 09.2025
- Organized, audited, and indexed medical records to support clinical and administrative workflows.
- Followed HIPAA/PHI guidelines when handling protected health information.
- Reviewed charts for completeness and proper formatting to maintain audit‑ready files.
- Scanned, labeled, and corrected documentation to support release‑of‑information processes.
- Maintained structured filing systems for timely retrieval of medical documentation.
Claims Service Rep & Agency Support Specialist
Nationwide Mutual Insurance
San Antonio, TX
02.2001 - 11.2021
- Processed high‑volume claim documentation with strong accuracy and adherence to payer rules.
- Verified claim details, identified discrepancies, and updated records across multiple systems.
- Supported adjudication workflows by reviewing documentation for completeness and compliance.
- Maintained confidential claim files and ensured audit‑ready documentation.
- Resolved routine inquiries and routed complex issues to senior claims staff.
- Navigated insurance portals to verify coverage, eligibility, and required documentation.
- Prioritized deadlines and maintained organized records to support timely case progression.
Education
Associate of Applied Science - Management
Southern Careers Institute
San Antonio, TX09-2026
Business Accounting Specialist - Bookkeeping And Administrative Assistant
Southern Careers Institute
San Antonio, TX10-2025
Skills
- Claims Documentation Support
- Documentation Verification
- Multi-System Navigation
- Confidential Record Management (HIPAA/PHI)
- Compliance‑Driven Workflows
- ICD‑10 Basics & Medical Terminology
- High-Accuracy Data Entry (99%)
- Time Management & Prioritization
- Problem Solving & Critical Thinking
- Professional Communication
- Customer & Provider Support
- Microsoft Excel, Word, Outlook
- Google Workspace (Docs, Sheets, Calendar)
Timeline
Donor Center Technician /Medical Support Assistant
Octapharma Plasma Inc.
01.2026 - Current
Medical Records Clerk (Contract)
Goodwill Industries of San Antonio
03.2025 - 09.2025
Administrative Assistant & Bookkeeping Support
FG III Enterprise
04.2022 - 12.2025
Claims Service Rep & Agency Support Specialist
Nationwide Mutual Insurance
02.2001 - 11.2021
Associate of Applied Science - Management
Southern Careers Institute
Business Accounting Specialist - Bookkeeping And Administrative Assistant
Southern Careers Institute