Customer Service Health Care
Resume:
Shermaine M. Lujan
**** * **** *** ***** *, AZ **301
*****************@*****.***
Objective
A position as an intake specialist.
Ability Summary
Excellent client and employment communicator Solid foundation in customer service and clerical 10-key by touch Five years of customer service and collections Data entry familiar with computer software programs including Microsoft Word,Excel,Powerpoint and Outlook 2000 Answering multiline phone Multi task Operate all office equipment and filing Proven to lead and motivate I am a self starter Team player Dependable
Education History
Associate of Arts
Associate degree
Brookline College, Albuquerque, NM
General High School Curriculum
High School Diploma
School on Wheels High, Albuquerque, NM
Occupational Licenses, Certificates and Training
10/2015
Certified for Harm Reduction
Albuquerque Health care for the Homeless
01/2015
Trained and Certified as a Health Care Guide
Youth Development Incorporate
09/2009
Trained and Certified as a PE/MOSSA Determiner
Youth Development Incorporate
01/2004
Computer literacy
NM Commission on the status of Woman
Employment History
08/2023 - 10/2023
Enrollment Clerk
Tech Systems, Albuquerque, NM
Determined eligibility of persons applying to receive assistance from government programs and agency resources, such as welfare, unemployment benefits, social security, and public housing.
02/2016 - 03/2019
Caregiver
Heritage Home healthcare, Albuquerque, NM
Provided advocacy for clients. Took clients to doctor appointments and ran errands. Light housekeeping. medication reminders, life skills, coaching, and budgeting.
10/2015 - 12/2015
Outreach Worker
Albuquerque Healthcare for the Homeless, Albuquerque, NM
Evaluation and interviewing • Assisted Clients in application process by scanning and uploading documents on YESNM website for Medicaid, TANF, SNAP, and LIHEAP assistance. • Housing Assessments • Community Resources • Social Security Application Assistance • Certified for Harm Reduction • Outreach in the community • Provide advocacy for clients as needed • Worked with the Homeless and SMI: Serious Mental Illness population
07/2009 - 03/2015
Outreach Specialist
Youth Development Inc, Albuquerque, NM
Outreach specialist for Medicaid enrollment assisting youth and families with Medicaid, Food Stamp, TANF and Energy assistance as well as other community and State funded programs. I would help at risk youth and families with other resources such as homeless shelters, counseling and child care. I am also certified as a Health Care Counselor for the New Mexico Health Care Exchange.
07/2009 - 03/2015
Outreach Specialist
Youth Development Inc, Albuquerque, NM
Assisted in enrolling over 3,000 individuals and families in Medicaid • Assisted in enrolling and purchasing insurance for over 200 individuals and families in the New Mexico Health Insurance Exchange (NMHIX) • Assisted Clients in application process by scanning and uploading documents on YESNM website for Medicaid, TANF, SNAP, and LIHEAP assistance. • Completed intake for clients to ensure best outcome in Medicaid and NMHIX enrollment • Ensured monthly reporting was completed for Medicaid and NMHIX enrollments to supervising staff • Assisted in outreach campaigns throughout the greater Albuquerque area • Played an integral part in organizing massive enrollment events for Medicaid and NMHIX with MCO providers Blue Cross Blue Shield, Presbyterian, Lovelace and Molina Healthcare. • Completed enrollments at several sites including Planned Parenthood of Albuquerque, New Mexico Health Exchange Main Office and YDI, Midtown Public Health, North East Public Health, New Futures High School and Amistad Youth Homeless Shelter • Trained and Certified as a PE/MOSSA Determiner • Trained and Certified as a Health Care Guide. • Can navigate through the New Mexico Medicaid Portal and YESNM systems effectively • Case Management • Administered and graded youth GED pre Tests • Created Flyers and Pamphlets for the Medicaid and New Mexico Health Insurance Exchange Programs. • Performed Presentations on Medicaid and New Mexico Health Insurance Exchange Programs • Job Developer for Youth through the Work Force Investment Act (WIA) • Trained other PE-Mosaa Determiners from other organization's as well as with in my own organization • Provided information and referral services to clients and their families • Assisted clients on how to obtain Birth Certificates • Assisted clients with the Suboxone Program and needle exchange. • Evaluation and interviewing
02/2007 - 01/2008
Office Clerks, General
Income Support, Albuquerque, NM
Perform all duties within the guidelines established by the Human Service Division Code Of Conduct, ran appropriate scans on the ISD 2 system, maintain client files and office files with 95% timeliness, prepare color-coded files, transfer records to FAA workers, organize and delete records according to office standards, provide support to office management and staff, log and scan Recerts for Medicaid and TANF. Food stamps applications. Review clients completed forms for adequate information, Record fair hearings.
02/2007 - 01/2008
Unit Intake Office Clerk
Medicaid, Albuquerque, NM
Screened client application eligibility • Perform all duties within the guidelines established by the Human Services Division Code of Conduct • Screened intake applications for completeness and prior benefit history • Ran appropriate scans on the ISD2 system. • Assigned applications to FAA and route applications with case record to FAA • Answered incoming calls regarding TANF and Food stamp clients • Retrieved documents for caseworkers during interview process and scanned additional information to file. • Assisted caseworkers as a Spanish interpreter when needed • Sorted and distributed incoming and outgoing mail • Recorded fair hearings • Organize and delete records according to office standards • Provided information and referral services to clients
04/2006 - 12/2006
Youth Advocate
Hogares Inc, Albuquerque, NM
I was advocacy for children with Mental and behavioral needs, alcohol and substance abuse. Innovating fous groups, daily charting, behavioral progress notes on clients. Set appointments, transport clients to appointments and to school, participated and supervised in classroom activities, monitored behavior of all client’s activities, supervised parent/client visits. Crisis intervention, life skills, coping skills and I supervised my housing unit.
04/2005 - 12/2006
Clinical Milieu Assistant/Case Management
Hogares/Del Valle Residential, Albuquerque, NM
Advocacy for children with mental health, behavior health, alcohol and substance abuse. • Innovative focus groups, life skills, coping skills • Supervised my housing unit • Daily Charting, progress notes on clients • Transport clients to appointments and to school • Participated and supervised in classroom activities • Crisis intervention • Assisted with case management review files • Entered information into database to keep files updated • Provided information and referral services to clients • Supervised parent/client visits • Provided regular reports and documentation on client files to case managers • Answered incoming calls • Evaluation and interviewing • Deescalate and manage aggressive behavior of clients
10/2004 - 01/2005
Collections Representative
AppleOne/RMA, Albuquerque, NM
Collecting on medical bills Data entry Copying faxing filing Research on medical claims Prepare the proper documents for several departments Resubmit medical claims Contact insurance companies to see if the patient was insured Send out itemized statements to customers when needed Clerical duties
Detailed References
References Available on Request
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