Service Representative Support
Resume:
JANAE SPILLMON
*************@*****.***
Irvine, CA 92618
E D U C A T I O N
Coastline College
Bachelor of Science Degree in
Science and Health
In Progress
Orange Coast College
Associate of Arts Degree in Psychology
E X P E R T I S E
Healthcare Services
Customer Service
Relationship Building
Resource Management
Scheduling & Reporting
Database Management
Research & Data Analysis
Administration & Support
Problem-Solving
Quality Control
L E A D E R S H I P
C O M P E T E N C I E S
Decision Making
Training, Coaching, & Mentoring
Strategic Thinking & Foresight
Evaluation & Assessment
Process Improvement
Team Building
P R O F E S S I O N A L S U M M A R Y
A self-motivated, resourceful, and forward-thinking healthcare coordinator with a proven track record of optimizing healthcare resources to achieve positive patient outcomes. Exemplifies a strong commitment to delivering culturally sensitive, diverse, and compassionate care to all demographics within various communities while developing rapport and providing solutions that best-fit individual needs. Detail-oriented with exceptional written and verbal skills. Possesses a high degree of creative aptitude with the ability to surpass objectives while ensuring compliance with all regulations, ethical standards, and organizational protocols. P R O F E S S I O N A L E X P E R I E N C E
OFFICE COORDINATOR
ACE Print Agency June 2022 to Present
● Deliver excellent customer service by responding professionally to incoming calls, emails, and walk-ins while determining the best solutions and alternatives
● Oversee payroll, event planning, administrative functions, and special projects HUMAN RESOURCES ASSISTANT
Asics America Corporation September 2017 to June 2022
● Utilized Successfactors, Benefitfocus, and HMO/PPO Benefits to manage and complete new hire cancellations and renewals while inputting payroll deductions into Microsoft Excel
● Faxed, scanned, and sent out emails while printing and downloading pdf documents
● Enrolled eligible new hires in diverse medical and dental coverage options including HMOs and PPOs while delivering email notifications regarding overdue payments for benefits HEALTHCARE COORDINATOR
UnitedHealthcare January 2014 to August 2018
● Conducted comprehensive research and data analysis to resolve complex healthcare claims in a high-volume call environment, resulting in increased customer loyalty and quality assurance
● Responded timely to patient communications, coordinated appointments, managed fax queue, oversaw patient discharges, and facilitated referrals by administering resources OFFICE COORDINATOR AND DATA PROVISIONING ANALYST
NWP National Water & Power January 2012 to August 2014
● Directed visitors by maintaining employee and department directories while routing incoming client information received through company email and fax server
● Processed data entry tasks by entering all account numbers and recording unique data for tracking reporting purposes with a high degree of efficiency and precision
● Monitored logbook and issued visitor badges
QUALITY ASSURANCE REPRESENTATIVE
Molina Healthcare May 2012 to November 2014
● Partnered with management to complete medical records review of MRR standards for Hedis while providing direct support to staff in Hedis MRR QA unit
● Conducted trainings and developed e coaching plans for Hedis MRR QA health plans
● Liaised with hospitals to secure medical charts for Molina healthcare through using proper medical records retrieval procedures
P R I O R R O L E S
Customer Service and Technical Support Representative, Tilly’s (2007-2011); Research Associate, SK&A
(2006-2008); Customer Service Representative, US Telecom Phone Company (2003-2006)
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