Service Representative Call Center
Resume:
Misty Jefferson
Hard working
Albuquerque, NM ***13
***********@*****.***
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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