Versatile Recruiting & Claims Professional (30+ Years)

Gracie Cisneros

Corpus Christi, TX ***** 361-***-****

*********@*****.***

linkedin.com/in/gracie-cisneros-66014142

Available for Remote Work Nationwide

Career Summary:

Versatile and self-motivated professional with over 30 years’ background cross-center experience in recruiting, data analysis, legal, healthcare, insurance, accounting, nonprofit government and human resource. Demonstrated track record of successfully managing small to large projects from start to finish. Core Competencies

Remote Recruiting & Onboarding

Applicant Tracking Systems (ATS)

CRM Management (Data XL, CCLM, Sircon)

Medical & Insurance Claims Processing / HIPPA compliance

Strong research and data analysis with a keen eye for details while maintaining a positive attitude and strong work ethic, regulations, audits and compliance issues. Experience:

Triple A LLC / AFLAC August 2024 - Present Corpus Christi, TX Regional Coordinator Recruiter / Medical Claims Specialist / Appointment Setter

• Utilize platforms to screen and review qualified candidates, schedule interviews for sales positions and maintain new hires transition while maintaining a track of candidates and ensuring they settle with their team

• Process all paperwork related to the claims and corroborate the accuracy of the filing and determine payouts by reviewing explanation of benefits

• Set appointments with potential customers and sales team

• Applications utilized Indeed, various Job Boards, Identgo, Sircon, CRM, CCLM, Sales Genie and DataXL

McCrann Insurance and Assoc March 2016 - August 2024 Corpus Christi, TX Recruiter / Medical Claims Specialist / Employee Benefits Assistant / Marketing

• Records management to process all paperwork related to the claims and corroborate the accuracy of the filing and determine payouts by reviewing explanation of benefits from 17 different insurance carriers

• Assist accounts and policy holders with billing issues

• Develop, implement and track marketing campaigns through social media, strategic planning and lead generator

• Technologies engaged Facebook, Instagram, Google American GI Forum, NVOP November 2009 – December 2014 San Antonio, TX Management Information Specialist / Auditor

• Proven record keeping, documenting multiphase data analysis, compliance, risk issues, quality assurance control and financial management while conducting housing assessments for continuum of care services compliance and risk issues

• Identify key facts and dimensions necessary to support the business requirements to apply for government grants and awarded 17 separate grants

• Coordinate workshops for staff to update on new policies and procedures

• Platforms implemented Access, Oracle, Microsoft Excel, Word, Microsoft Outlook and SQL Herrman & Herrman, LLP July 2004 – October 2009 Corpus Christi, TX Legal Assistant

• Implemented all civil legal procedures, legal research and operations with emphasis in all practices

• Established and integrated involvement with client, internal and outside counsel

• Requested client’s medical records, itemized billing plus subrogated with medical facilities and health insurance companies before formulating client’s settlement

• Resources accessed Microsoft Outlook, Microsoft Excel, Word and QuickBooks Coastal Plains MHMR June 2000-October 2002 Corpus Christi, TX MH Billing Coordinator

• Designed a grant application for an annual grant state fund and awarded $100, 000

• Performed all medical billing, insurance verification, generated reports and coordinated seven county clinics

• Systems leveraged Microsoft Word, Excel, Microsoft Outlook coding, ICD-10, Medical Manager, Lytec, Anasazi, TX Q Care and TX Med Net

Night Rider / IKON June 1993-March 2000 Corpus Christi, TX Administrator / Quality Assurance Specialist / Project Management

• Managed all areas of accounting, human resources, payroll and audit operations

• Revised Training book which established employee’s productivity

• Developed and validated analysis of operational expenses, labor and revenue

• Excelled in retrieving 30% of revenue in a quarter

• Exercise leadership and mentored staff

• Solutions adopted Microsoft Word, Power Point, Microsoft Excel, Peachtree accounting system plus Inventory

Volunteer Experience:

Lady Bird Johnson assistant / caretaker June 1989 – Sept 1989 Feria de la Flores Lulac Council 1 Jan 2007 – Oct 2009 Election 2009 When we all Vote June 2008 – Nov 2008 Stand-down National Veterans Outreach Nov 2010 – Nov 2013 Wounded Warriors National Veterans Outreach March 2012 – March 2014

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