Jessica Claire
  • , , 100 Montgomery St. 10th Floor
  • Home: (555) 432-1000
  • Cell:
Professional Summary

Motivated, personable Social Service professional with talent for quickly mastering technology . Diplomatic and tactful with professionals and non-professionals at all levels. Accustomed to handling sensitive, confidential records. Poised and competent with demonstrated ability to easily transcend cultural differences. Thrive in deadline-driven environments. Excellent team-building skills.

  • Strong interpersonal skills
  • Fluent in Spanish
  • Skilled problem solver
  • Social media
  • Computer-savvy
  • Reliable
  • Case management
  • Proficient in Microsoft Office Suite
  • Report preparation
  • Ability to multi-task
  • Front office operations
  • General Office Skills
  • Sandata HCOpen
  • Marketing & Sales
  • Intake and assessments
  • Medicaid understanding
Work History
Quality Assurance Specialist, 07/2015 to Current
Booz Allen Hamilton Inc.Denver, CO,

 Receive, follow-up, track and trend issues concerning consumer care, payroll and compliance matters

 Report findings of non-compliance/possible Medicaid Fraud to supervisors and appropriate social service agencies

 Conduct program orientations at the Consumers' residences or unannounced home visits to ensure the delivery of proper care

 Compose Incident/Complaint reports containing a detailed summary of investigations/routine compliance audits and their outcomes

 Ensure personal assistants comply with the regulations regarding work authorizations, physicals and other medical documents

 Document pertinent information about consumers/surrogates and personal assistants into database

 Educate consumers/surrogates and the public about the CDPAP program

 Provide guidance to consumers/surrogates and personal assistants to resolve or avoid potential problematic issues

Accounts Receivable Coordinator/ Collection Specialist, 05/2014 to 07/2015
Department Of Administrative Services, State Of OhioPerrysville, OH,

 Prepare work to be accomplished by gathering and sorting documents and related information.

 Prepare financial reports by collecting, analyzing, and summarizing account information and trends.

 Communicate with the insurance companies to resolve denials and issues that stops claims from being paid correctly and in a timely manner.

 Maintain accounting ledgers by posting account transactions.

 Submit appeals on denied claims to insurance companies.

 Secure financial information by completing data base backups.

 Contribute to team effort by accomplishing related results as needed.

 Create debit/credit uncollectible memos for submission.

Special Projects Coordinator, 07/2010 to 05/2014
Hendrick Medical CenterBrownwood, TX,

 Coordinating between all the various departments which are at work in the project and liaising with all the employees that are involved in the assignment

 Supervise and monitor the work of outside contractors, partners and vendors in relation to the projects

 Responsible for collecting the necessary data and reporting on each step in the project and use the information system within the organization to prepare reports and document the progress of the project. Documentation may also include budgets and projected budgets for the project including the cost of outside contractors and services.

 Conduct research in order to improve a process, as well as, analyzing researched data to find the root cause of a problem or defect; and using the analysis to direct the course of the project to get the desired results.

 Reporting to the Executive Director on the development of the project and following up on a project even after

Human Resources Specialist, 01/2008 to 07/2010

 Responsible for supervising all agency personnel recruitment, personnel processing and staffing development efforts, including training of newly hired home attendants.

 Establish and monitor agency interview and screening procedures.  Administer fringe benefits for Home Care Workers and interpret benefits to employees. Conducted orientation sessions for all new employees.

 Assure that the recruitment and selection activities conform to applicable Federal and State law as well as to contractual guidelines with HRA.

 Responsible for overseeing contract compliance in the areas of initial hiring procedures, job orientation, and reference verification and responsible for overseeing Home Care worker files for newly hired Home Attendants.

 In charge of hiring and monitoring the transfer of Home Care workers from other agencies during the consolidation process for the cluster care program, including review of all documentation of transferred Home Care Workers.

Bachelor of Science: Sociology, Expected in 2019
Herbert H Lehman College - Bronx, NY
Associate of Science: Business Administration with a concentration in Marketing, Expected in 2006
Bronx Community College of the City University of New York - The Bronx, NY

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School Attended

  • Herbert H Lehman College
  • Bronx Community College of the City University of New York

Job Titles Held:

  • Quality Assurance Specialist
  • Accounts Receivable Coordinator/ Collection Specialist
  • Special Projects Coordinator
  • Human Resources Specialist


  • Bachelor of Science
  • Associate of Science

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