Eligibility Specialist Customer Service
Resume:
F
Sandra
Franklin
*******@*****.***
Shreveport, LA 71129
SUMMARY
CAREEROBJECTIVE Diligent organized professional exhibiting Exceptional Professional Customer and Administrative skills. Eager to grow meeting future demands towards a career. SKILLS
Administrative Duties
Case Management
Bookkeeping/Filing
Contracts
CustomerService/Retention
Personnel Training/Supervision
Quality Assurance
Multitasking
Troubleshooting
Data management
Leadership
Computer skills
Decision-making
Teambuilding
Clerical
Data evaluation
Project management
Technologically savvy
Project management abilities
EXPERIENCE
Crockett, TX
S.FRANKLIN LLC, PRIVATE HOME HEALTHCARE/ Nov 2017 to Dec 2019 Providing custodial direct care for PRIVATE individuals in-home assistance of all individual needs in compliance with.
Quality Assurance.
Finance and Operations.
Direct Customer Service.
Filing claims.
Addressing Medical needs.
Administrative Supervisor/Case & Hse Manager
Crockett, TX
HOUSTON SERENITY - CROCKETT/ Jun 2016 to Sep 2017
Process intake and providing Quality Assurance of safety and proper housing assignment for staff and youths.
Established efficient workflow processes monitoring daily productivity implementing modifications to improve overall effectiveness of personnel and activities. Ensuring all enrollment activities adhere to established procedures of accountability and confidentiality accordance with contracts and regulatory entities performing ongoing assessments in multidisciplinary team.
Case Manager I/II - Juvenile Corrections Officer I/II/III Crockett, TX
TEXAS YOUTH COMMISSION/ Jul 2007 to Jul 2009
Conducted comprehensive intake admissions through interviews, assessment and overview of previous records in collaboration with other program services for youth placement evaluating medical psychological, education and evaluating behavioral social factors contributing to development of Person - Centered Plan in order to meet their community reintegration and service coordination goals. Medicaid Eligibility Specialist
Houston, TX
HEALTH AND HUMAN SERVICES/ Jul 2006 to Jul 2007
Determine eligibility services and benefits in compliance for certification/recertification.
Schedule medical appointments conducting home visits. Various administrative functions including heavy phones,filing,delivering and sorting mail and paperwork, bookkeeping and transmitting medical records. Private Healthcare Provider
Houston, TX
S.FRANKLIN LLC/ Mar 2002 to Mar 2006
Self- owned business providing excellent direct care for PRIVATE individuals in their homes through illness, hospice until demise.
Case Manager
Houston, TX
COMMUNITY IN SCHOOLS - HOUSTON/ Feb 2000 to Feb 2002 Case management of middle school at-risk students assisting with intellectual, academic and social needs coordinating public agencies and community involvement providing outreach services for families.
Liasion between school families and other social agencies with cohesive care to modify disruptive behaviors.
Sergeant/Corrections Officer I/II/III
Huntsville, TX
TEXAS DEPARTMENT OF CORRECTIONS/ Aug 1984 to Aug 1994 Trained personnel, intelligence gathering,investigation, gang activities, organized criminal activities and hostage negotiations, high risk prisoner transporting and interrogations.
Developed team communications and information for shift coverage. Supervised 4o employees/96 Building inmates.
Conduct routine and emergency counts.
Searches of buildings,ground, living quarters and work areas for contraband. Prepared, processed reports, logs,records and activity journals. Tracked inmates byhead counts,visitor logs and scheduled activities including issuing cleaning supplies and all basic needs.
EDUCATION AND TRAINING
A.A: Paralegal Studies
Kaplan University 1989
Clinton, IA
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