WY Tier 1 CSR Health IT WY Medicaid Resume Example
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WY TIER 1 CSR HEALTH IT WY MEDICAID
Summary
Adept experience handling administrative matters including: screening calls and addressing client questions; professionally assist clients with issues pertaining to product or case file; plan appointments or events; compose, develop annual reports, and transcribe documents utilizing Microsoft Office; office organization; prepare reports for administrators and team members; train new-hires; write new hire manual.
Highlights
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Accomplishments
*First CSR to hit all matrices for call center at Northrop Grumman.
* 100 Club Award - recognized for consistency in maintaining work protocol at Northrop Grumman.
*Recognized for ongoing team work at Northrop Grumman.
*Chosen to work on Denver County (Child Support) Call Center annual report.
*Recognized and nominated for "Ocsars" at Denver County for work completed with team and clients (Veracity, People, Veracity, Reverence awards).
*Received "Apple of Our Eye" Award or Employee of the month at Primrose of Ken Caryl.
Experience
WY Tier 1 CSR Health IT WY MedicaidJul 2015 to Oct 2016
Company Name － City, State
Company Name － City, State
- Provide customer service to WY residents who intend to enroll for WY Medicaid benefits.
- Receive applicant information to determine eligibility for WY Medicaid programs.
- Issue correspondence pertaining to verifications needed, and or reason for approval or denial.
- Implement Medicaid criteria to enroll, renew, or discontinue services.
- Review client documentation/verifications to determine course of action in order to implement Medicaid services.
- Research client accounts and provide information pertaining to client inquiries or for internal processes to obtain pertinent case information while maintaining client case confidentiality.
- Comply with federal, state, HIPAA regulations, and company standards to convey eligibility for coverage, and or provide other options if applicable.
ParaprofessionalNov 2014 to Mar 2015
Company Name － City, State
Company Name － City, State
- Provide instructional support either one-on-one or in small group settings.
- Implement behavior and IEP goals for students.
- Assist teachers in assessing students' performance and appraisals.
- Collect and Record data pertaining to student IEP goals and or health issues.
- Interface with teachers and parents.
- Assist in obtaining modified materials, or rework material for student comprehension.
- Proctor/facilitate state testing and assist with district testing.
Child Support AssistantDec 2011 to Jul 2014
Company Name － City, State
Company Name － City, State
- Provide professional customer service via telephone and direct contact with clientele.
- Respond to client inquiries and concerns regarding child support.
- Consistently diffuse/de-escalate situations with clients who may be upset.
- Selected by supervisor to assist with writing and preparing annual report for Customer Care Unit.
- Research information utilizing child support database (ASCES).
- Accurately record and update child support database as applicable.
- Relay pertinent information about services or forms pertaining to child support case (i.e.
- services, modifications, court dates, enforcement action, and balances).
- Maintain/safeguard confidential information related to child support cases.
- Identify priority situations and route to appropriate technicians as necessary.
- Set appointments for new applicants.
- Relay laws or guidelines pertaining to client needs or case.
- Inform clients about the way TANF impacts child support case (who receives payment either client or the state).
- Notarize applicable documents.
- Assist with training new hires.
- Participate in division outreach to the Denver community via Speaker's Bureau informing public about child support services.
JTS TrainerSep 2010 to Nov 2011
Company Name － City, State
Company Name － City, State
- Assist special needs students between ages of 18 - 21 with classroom curriculum.
- Maintain & facilitate safe learning environment.
- Provide positive redirection for students required for behavioral issues.
- Provide support for students during life skills and community outings.
- Assisted in planning themes and implementing art and science projects.
- Liaise with parents.
- Log and maintain student records used for IEP's and Medicare.
Lead Teacher Kindergarten/ Assistant /After school LeadAug 2007 to Jan 2010
Company Name － City, State
Company Name － City, State
- Delegated to Lead teacher position as previous teacher left without notice.
- Implement curriculum and plan individual and group activities.
- Plan and train children for special programs (graduation, plays, science fair), as well as planning and implementing summer fieldtrips.
- Instruct children in activities designed to promote intellectual, physical, and social skills.
- Assist and work with Pre-Kindergarten students (24 students) & after-school students (ages 7-12).
- Prepare and maintain individual and group activities to stimulate growth in language, mathematical, motor, and social skills.
- Motivate and assist elementary students with homework or activities tied in with after school program.
- Compose weekly newsletter to inform parents about ongoing classroom activities, programs, and field trips.
- Document and provide assessment pertaining to pre-kindergarten student growth and development based on curriculum objectives and testing.
Office AssistantNov 2000 to Jun 2007
Company Name － City, State
Company Name － City, State
- Oversee and manage office while office manager out.
- Provide customer service via telephone and written correspondence.
- Maintain and update existing accounts, and set up new accounts.
- Perform billing, collecting, and invoicing for product.
- Train new personnel in data entry and customer service.
- Assist with writing training manual.
- Assist with database conversion during office relocation process.
- Field questions and manage difficult scenarios for data entry.
- Register participants for tour abroad, conferences, & seminars.
Education
Bachelor of Arts, CommunicationsBethany College － City, StateMinor in Music
Skills
10 Key, Art Projects, Benefits Determination, Billing, Call Center, Conferences, Customer service, Customer Care, Data Entry, Database, Documenting, Edit forms, HIPAA regulations, Invoicing, Mail Room, Access, Excel, Office, Outlook, Microsoft Word, Newsletter, Notary Public, Office Assistant, Oracle, Personnel, Speaker, Research, Seminars, Supervisor, Teacher, Telephone, Typing 60 WPM, Verifications.
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Resume Overview
School Attended
- Bethany College
Job Titles Held:
- WY Tier 1 CSR Health IT WY Medicaid
- Paraprofessional
- Child Support Assistant
- JTS Trainer
- Lead Teacher Kindergarten/ Assistant /After school Lead
- Office Assistant
Degrees
- Bachelor of Arts , Communications
