Misty Jefferson

Hard working

Albuquerque, NM ***13

adxfsr@r.postjobfree.com

505-***-****

I'm caring, honest, dependable and hard working self motivated. Willing to relocate to: None - -

Authorized to work in the US for any employer

Work Experience

Costumer Service Representative

Molina Healthcare - Albuquerque, NM

December 2020 to Present

I'm contracted to take inbound calls for Molina. I work from home. Customer Service Representative

Molina Call Center - Albuquerque, NM

December 2020 to September 2021

• Answer incoming calls and respond to customer's emails.

• Management and resolve customer complaints.

• Sell products and place customer orders in the computer system.

• Identify and escalate issues to supervisors.

• Provide product and service information to customers Customer Service Representative

Alorica - Albuquerque, NM

January 2020 to September 2020

I worked from home call center customer service

Feild Care Coordinator

AMAZING GRACE PERSONAL CARE - Gallup, NM

May 2012 to September 2018

Ensure that care is provided according to all relevant policies, procedures and regulations Ensure that Home Care Workers are trained to administer the required care Monitor and evaluate all tasks of the Home Care Worker and the program Monitor supplies and resources

Identify personal home care and member needs, make recommendations for changes and improvements to the program, as required

Schedule work assignments with regard to Home Care Worker training and experience Discus any concerns with my supervisor

Ensure that all members needing care are identified Coordinate appropriate care and equipment including other community resources, as required Establish and maintain a current, accurate, confidential client reporting system Provide information to other health care professionals, as required Consult with family members and other supports to ensure that care is on-going and that all member needs are identified and met.

Accomplishments

I am driven to care about the well-being of those I work with, and make the community a better place. Skills Used

I am responsible and organized, and have extensive experience managing files, paperwork and data entry. Coordinate care with individual Members with application to identify Members needs using assessment, care planning, implementation, coordination, monitoring and evaluate for cost effective and quality outcomes.Facilitate a team approach, to ensure appropriate interventions, effective delivery of quality care and services across the continuum. Conduct in depth health risk assessment and comprehensive needs assessment which include, but not limited to psycho-social, physical, medical, behavioral, environmental, and financial parameters.Provide care coordination to members with chronic or complex conditions which require intensive interventions and oversight include multiple, clinical, social and community resources. Implement, coordinates and monitors strategies for members and families to improve health and quality of life outcomes.Develop and communicate plan for authorization of services, and serves as point of contact to ensure services are rendered appropriately. Provides assistance to members with questions and concerns regarding care, providers or delivery system. Perform other functions as required.

Teacher

Gallup Head Start - Gallup, NM

January 2010 to May 2012

Responsibilities

I teach 3,4 and 5 year old children, basic and self help skills, writing, numbers, and assessments. Meeting with parents, home visits, and lesson plans. Lead the planning and achievement of goals and objectives consistent with the agency mission and philosophy. Accomplishments

Communication skill : I have a positive, patient demeanor that allows me to communicate calmly and effectively with my students and with people from all walks of life. Skills Used

Strong presentation skills, strategic planning capability, planning and development, recruiting. Knowledge of Medicaid statues and regulations, quality improvement competency, Medicaid management information systems, independent judgment and decision making, promote positive behavior.

Education

AA in medical billing and coding

Brookline College - Phoenix, AZ

2013 to 2014

BA in Early Childhood

Ashford university - Ohio

2010 to 2012

Skills

• Coordinator (10+ years)

• Facilitate a team approach, to ensure appropriate interventions, effective delivery of quality care and services across the continuum. (10+ years)

• Develop and communicate plan for authorization of services, and serves as point of contact to ensure services are rendered appropriately (10+ years)

• Home Care

• Medical Coding

• ICD-10

• Medical Billing

• Strategic Planning

• Medical Records

• ICD-9

• CPT Coding (2 years)

• Customer service

• Medical Terminology (1 year)

Certifications and Licenses

CPR, First Aid, AED, CompTIAA+, Food Handler

May 2019

Driver's License

Present

Microsoft Word

January 2025

Microsoft Excel

January 2025

Assessments

Call Center Customer Service — Completed

November 2020

Applying customer service skills in a call center setting Full results: Completed

Customer Service — Familiar

November 2020

Identifying and resolving common customer issues

Full results: Familiar

HR: Compensation & Benefits — Completed

November 2020

Knowledge of compensation and benefits programs

Full results: Completed

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

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