Mireil Rivera
Hampton,VA
Summary
Detail-oriented Enrollment Representative with a proven track record at United Healthcare, excelling in data accuracy and discrepancy resolution. Demonstrated strong problem-solving skills and effective communication, ensuring compliance and enhancing team collaboration. Proficient in Microsoft Excel, I thrive in fast-paced environments while maintaining high standards of quality.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Enrollment Representative
United Healthcare
05.2024 - Current
- Assessed accuracy of employer paperwork and validated completeness of essential information.
- Resolved discrepancies through proactive communication with brokers and account representatives.
- Maintained 100% accuracy during audits by emphasizing details.
- Increased responsibility by performing final reviews for installation team.
- Use Excel to encode employee data and ensure all information is accurately recorded.
- Balanced multiple priorities efficiently.
Membership Representative II
Elevance Health
02.2023 - 05.2024
- Meticulously identified inconsistencies between members' application forms and supporting documents.
- Showcased excellent problem-solving abilities to address complex enrollment difficulties.
- Reviewed applications comprehensively for accuracy.
- Ensured compliance with Medicare regulations during enrollment evaluations.
Customer Service Representative
Elevance Health
09.2021 - 02.2023
- Assisted enrollment department during peak season resulting in a promotion to Membership Representative II.
- Thoroughly investigated and analyzed claim data to determine eligibility, coverage, and payment amounts.
- Utilized interpersonal communication skills to assist Medicaid members with eligibility inquiries.
Education
Diploma -
Kecoughtan High School
Hampton, VASkills
High attention to detail and accuracy
Data entry and document review
Problem-solving and discrepancy resolution
Strong written and verbal communication
Collaboration with cross-functional teams
Time management and multitasking
Adaptability in fast-paced environments
Microsoft Excel
Certification
Business Analytics Science from the University of Virginia
Timeline
Enrollment Representative
United Healthcare
05.2024 - Current
Membership Representative II
Elevance Health
02.2023 - 05.2024
Customer Service Representative
Elevance Health
09.2021 - 02.2023
Diploma -
Kecoughtan High School