Minerva Valdez
Elsa,USA
Summary
To Obtain Employment As Customer Service Representative, Office/Business Management, or Sales Marketing where the opportunity is given by an employer to offer my personal dedication, responsibility, and good work ethic combined with the desire to utilize my skills obtained through my own work experience. in regards to the utilization of Medicaid technology, have used TMHP for Medicaid verification and utilization which also helps to verify whether they are active or inactive on the system.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Customer Service Representative
Eight Eleven
Indianapolis, Indiana
11.2024 - 06.2025
- Managed high-stress situations effectively, for our military and families maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved agent/members complaints with empathy, resulting in increased loyalty and repeat business. Handled Complaints Grievances and Appeals.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Worked for Military Agents , Family Members Sponsors and dependents . Advised of benefits and eligibility. Health care and vision and dental plans.
Provider Relations Associate Analyst
Cigna Healthcare (Mindlance)
05.2024 - 06.2024
- Advising information related to dental benefits and eligibility.
- Coordination of benefits.
- Strictly out of the provider line, advising them all the information regarding their members.
- Submitting info to the providers, inf regarding claims, rejection etc.
Provider Relations Associate Analyst
Cigna Healthcare (Mindlance)
05.2024 - 06.2024
- Advising information related to dental benefits and eligibility.
- Coordination of benefits.
- Strictly out of the provider line, advising them all the information regarding their members.
- Submitting info to the providers, inf regarding claims, rejection etc.
Bilingual Customer Service Advocate 1
Centene (Pyramid Consulting, Inc.)
11.2023 - 02.2024
- Assist with inbound and outbound member services calls.
- Navigating through systems and verifications of information for Ambetter.com online support services.
- Assist members with obtaining online payment, plan eligibility and benefits and more.
- Provided Excellent Customer Service and Medicare Advantage Plans /PPO.
- Enrollments and Disenrollments - Cancellations Chapter 2; during which assisted members through Ambetter Health with enrollment and disenrollment during the open enrollment seasons.
Bilingual Customer Service Advocate 1
Centene (Pyramid Consulting, Inc.)
11.2023 - 02.2024
- Assist with inbound and outbound member services calls.
- Navigating through systems and verifications of information for Ambetter.com online support services.
- Assist members with obtaining online payment, plan eligibility and benefits and more.
- Provided Excellent Customer Service and Medicare Advantage Plans /PPO.
- Enrollments and Disenrollments - Cancellations Chapter 2; during which assisted members through Ambetter Health with enrollment and disenrollment during the open enrollment seasons.
Eligibility Specialist
Maximus (Apple One temp to direct hire)
03.2022 - 10.2023
- Bilingual Eligibility Specialist with Texas Health and Human Services Commission.
- I am currently working remotely.
- Assisting the citizens of Texas with inbound calls, verification of benefits, submitting Complaints, Denials, and Appeals.
- Assisting with troubleshooting and password resets, and review of all case information as needed for clients.
- Assisted members with Medicare Advantage, PPO plans and information, and Medicaid Eligibility.
- Chapter 3- Medicare Marketing Guidelines; Providing information regarding Medicare advance plan, policies, etc.
Eligibility Specialist
Maximus (Apple One temp to direct hire)
03.2022 - 10.2023
- Bilingual Eligibility Specialist with Texas Health and Human Services Commission.
- I am currently working remotely.
- Assisting the citizens of Texas with inbound calls, verification of benefits, submitting Complaints, Denials, and Appeals.
- Assisting with troubleshooting and password resets, and review of all case information as needed for clients.
- Assisted members with Medicare Advantage, PPO plans and information, and Medicaid Eligibility.
- Chapter 3- Medicare Marketing Guidelines; Providing information regarding Medicare advance plan, policies, etc.
Customer Service Representative/ Eligibility Specialist
Advanced Call Center Technologies, LLC
09.2020 - 03.2022
- Assist with Blue Cross Blue Shield insurance, and Florida Blue.
- Assisting agents and delegates with any technical support assistance as needed with member and group inquiries.
- Advising on billing and claims details, assisting with Open Enrollment and Special Enrollment since October 2021.
- Deal with Medicare advance, familiar with 2022 and 2023 Medicare Advantage plans.
- Managed customer accounts.
- Conducted customer service surveys.
- Resolved customer issues.
- Assisted customers via live chat.
- Responded to inquiries and issues.
- Responsible for troubleshooting applications.
Customer Service Representative/ Eligibility Specialist
Advanced Call Center Technologies, LLC
09.2020 - 03.2022
- Assist with Blue Cross Blue Shield insurance, and Florida Blue.
- Assisting agents and delegates with any technical support assistance as needed with member and group inquiries.
- Advising on billing and claims details, assisting with Open Enrollment and Special Enrollment since October 2021.
- Deal with Medicare advance, familiar with 2022 and 2023 Medicare Advantage plans.
- Managed customer accounts.
- Conducted customer service surveys.
- Resolved customer issues.
- Assisted customers via live chat.
- Responded to inquiries and issues.
- Responsible for troubleshooting applications.
Sales Representative/Customer Service
Hybrid Marketing
08.2017 - 08.2020
- Providing Excellent Online Customer service and sales to Customers!
- Negotiate prices or terms of sales and sales agreements.
- Prepare and submit sales contracts for orders.
- Maintain Customer records, using automated systems.
- Resolve Customers’ service or billing concerns by performing activities such as exchanging merchandise, refunding money, or adjusting bills.
- Overlap: Hybrid Marketing was a freelance work with flexible schedule
Nurse Assistant
RGV Alliance
McAllen, TX, USA
05.2016 - 12.2017
- Assess patient health problems and needs, develop and implement nursing care plans and maintain medical records.
- Administer nursing care and medications to ill, injured, convalescent or disabled patients.
- Advise patients on health accurate, detailed reports and records.
- Take patient vital signs, phlebotomy, monitor patients, for reactions or side effects.
- Report any abnormal findings to personal physician.
Nurse Assistant
RGV Alliance
McAllen, TX, USA
05.2016 - 12.2017
- Assess patient health problems and needs, develop and implement nursing care plans and maintain medical records.
- Administer nursing care and medications to ill, injured, convalescent or disabled patients.
- Advise patients on health accurate, detailed reports and records.
- Take patient vital signs, phlebotomy, monitor patients, for reactions or side effects.
- Report any abnormal findings to personal physician.
Education
GED - undefined
State of Texas
Skills
- MS Office
- Excel Spreadsheet
- SalesForce
- Genesis
- Advanced PC Skills
- 62WPM typing speed
- Customer Service Support
- Call Center Experience
- CSR
- Bilingual
- Customer Care
- Customer Support
- Medical Billing
- Medical Terminology
- Business Management
- EMR Systems
- Vital Signs
- Medical Office Experience
- Medical Records
- Medical Coding
- Insurance Verification
- CPT Coding
- Transcription
- Medical Scheduling
- Anatomy Knowledge
- Patient Care
- Clerical Experience
- HIPAA
- ICD-10
- ICD-9
- Nursing
- Physiology Knowledge
- Triage
- ICD Coding
- Quality Assurance
- Technical support
- Software troubleshooting
- Windows
- Research
- Documentation review
- Account management
- Sales
- Cash handling
- Salesforce
- Marketing
- Negotiation
- Recruiting
- Analysis skills
Certification
CPR
Additional Information
#readytowork, Authorized to work in the US for any employer
<Enter your own>
- Visa Status: Authorized to work in the US for any employer
- Work Permit: Authorized to work in the US for any employer
Languages
English
Full Professional
Spanish
Full Professional
Timeline
Customer Service Representative
Eight Eleven
11.2024 - 06.2025
Provider Relations Associate Analyst
Cigna Healthcare (Mindlance)
05.2024 - 06.2024
Provider Relations Associate Analyst
Cigna Healthcare (Mindlance)
05.2024 - 06.2024
Bilingual Customer Service Advocate 1
Centene (Pyramid Consulting, Inc.)
11.2023 - 02.2024
Bilingual Customer Service Advocate 1
Centene (Pyramid Consulting, Inc.)
11.2023 - 02.2024
Eligibility Specialist
Maximus (Apple One temp to direct hire)
03.2022 - 10.2023
Eligibility Specialist
Maximus (Apple One temp to direct hire)
03.2022 - 10.2023
Customer Service Representative/ Eligibility Specialist
Advanced Call Center Technologies, LLC
09.2020 - 03.2022
Customer Service Representative/ Eligibility Specialist
Advanced Call Center Technologies, LLC
09.2020 - 03.2022
Sales Representative/Customer Service
Hybrid Marketing
08.2017 - 08.2020
Nurse Assistant
RGV Alliance
05.2016 - 12.2017
Nurse Assistant
RGV Alliance
05.2016 - 12.2017
GED - undefined
State of Texas