Summary
Overview
Work History
Education
Skills
Skills
Timeline

BERY CISNEROS

Villa Maria Del Triunfo

Summary

Dynamic and proactive professional with extensive experience at Centene Corporation, excelling in customer service and sales. Demonstrated strong communication and empathy while resolving complex member inquiries. Skilled in HIPAA regulations and Salesforce, I thrive in collaborative environments, ensuring efficient medical record retrieval and enhancing patient satisfaction.

Having a great opportunity working with lawyer at INSURANCE TRIAL LAWYER regards mitigation companies and client demand against INSURANCE COMPANIES denying their coverage of their client for a roof damage or kitchen damage, as case manger have responsibility to produce all legal and damage documentation as proof for to present against OC trough the PRE-LITIGATION and LITIGATION process, working along with attorneys and scheduling legal event as part of the demand process.

Overview

3
3
years of professional experience

Work History

CASEM MANAGER

ITL
07.2025 - Current
  • Partnered with mitigation companies, activity and case managers to develop and implement the welcolming warm to the lawfirm for the demand they presented against insurance companies for houses and documented all legal documentation and interventions in electronic charting systems.
  • Assisted clients in navigatin legal services and public benefits to gain their trust, updating their demand in our law firm.
  • Monitored clients' progress and tracked, interact against insurance companies (HOUSES) sending option of settlement before we go trough litigation demand in court.
  • Coordinated services with other agencies, community-based organizations.
  • Scheduling deposition, Mediations, Examination under Oath working along with attorney and attorney´s calendar, assistant attorney´s documentation requested by the OC (opposing counsel) trough the demand.
  • Calling our client giving update, separate dates and time for all event during the demand of pre-litigation and Litigation.
  • Working with legal assistant as case manager, sending invoices to INSURANCE COMPANIES regards the demand and sending letter to negotiation.
  • Worked with SUPERIOR COURT OF CALIFORNIA software to follow up cases and document the court requests

MEDICAL RECORDS RETRIEVAL AND SALES AGENT

Virtix health
02.2025 - 05.2025
  • I developed as a retrieval medical records agent for outbound calls. My duty was to call the medical health facilities to schedule packages for the patients' medical records, which we were about to send via fax.
  • I took a course on HIPAA law regulation.
  • Receive inbound from health facilities to schedule patients' medical records.
  • Outbound calls to doctor offices selling Virtix Health Services as a retrieval medical records retailer company, letting them know Virtix can do the work for them by calling the patients' hospitals they were at before, with great communication and kind attentiveness in every call.

CUSTOMER SERVICE REPRESENTATIVE AND SALES AGENT

CENTENE CORPORATION / TELEPERFORMANCE
08.2024 - 01.2025
  • WELLCARE HEALTH INSURANCE: Experience as a customer service representative, receiving inbound calls and making outbound calls across the entire country of the USA.
  • Worked for WellCare Health Insurance - Affordable Medicare Advantage Plans Part D.
    Helping members with concerns about material requests, monthly billing payments, pharmacy requests, authorizations for drug prescriptions, the enrollment process to get insurance, drug pharmacy prices, inquiries, eligibility for medical advantage plans, issues about their drug coverage plan from WELLCARE, and covered drug inquiries.

CUSTOMER SERVICE REPRESENTATIVE AND SALES AGENT

MINIPHARMACY
02.2024 - 08.2024
  • Inbound calls: Call center agent worked with web orders, medical requests, authorizations, clinical notes, and prescriptions. Shipments follow-up, fax requests, and complaints from patients due to refilling supplies, as well as follow-up cases with the medical office and insurance companies.
    Worked with interpreters from certified languages used for patients who don't speak English.
  • Take orders for diabetic medical supplies for elderly people and children.
  • Outbound calls: Called the patient to get confirmation due to refill dates for their diabetic supplies.
  • Worked with the CRM tool: Salesforce

Managing customer accounts.

Follow-up leads to customers and candidates.

Schedule the task, and document the data information.

Follow-up sales reports.

CUSTOMER SERVICE REPRESENTATIVE

Trident Care Company
03.2023 - 12.2023
  • Outbound confirmation calls / Report of medical results.
  • Worked with NURSES - DOCTORS- MEDICAL DEPARTMENTS in prisons and skilled nursing facilities.
  • Regards X-ray results - Microbiology results around the USA.

Education

Intensive course - English language

America English Institute
  • Certified in English as a second language
  • 4 years of English language

Skills

  • Collaborative worker
  • Effective communication
  • Interpreter skills
  • Teamwork
  • Empathy
  • soft skills
  • Strong collaboration and communication skills
  • Organized and proactive
  • Strong collaboration and communication skills
  • Excel skills
  • Medical records retrieval
  • HIPAA compliance

Skills

  • Strong collaboration and communication skills
  • Organaized and proactive

Timeline

CASEM MANAGER - ITL
07.2025 - Current
MEDICAL RECORDS RETRIEVAL AND SALES AGENT - Virtix health
02.2025 - 05.2025
CUSTOMER SERVICE REPRESENTATIVE AND SALES AGENT - CENTENE CORPORATION / TELEPERFORMANCE
08.2024 - 01.2025
CUSTOMER SERVICE REPRESENTATIVE AND SALES AGENT - MINIPHARMACY
02.2024 - 08.2024
CUSTOMER SERVICE REPRESENTATIVE - Trident Care Company
03.2023 - 12.2023
America English Institute - Intensive course, English language
BERY CISNEROS