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[Type text]
Jean A. Porter
6143 Ridgewood Dr. NE Rio Rancho
505-205-4504
Sasha87111@gmail.com
BEHAVIORAL HEALTH PROFESSIONAL AND BENEFIT SPECIALIST
A record of success supporting clients with behavioral health issues, including: providing counseling,
behavior modification, treatment plans, and creating curricula for group therapy programs. Associates
Degree in Social Work.
15 years experience in the Health Insurance Industry that includes:
 Claims Analyst
 Case Management
 Strong Medicaid and Medicare Background
 CPT & ICD 9 & 10 coding
 Health Contract Compliance
 Billing
 Supervisory and Management experience
 Provided superior Customer Service
 Quality Assurance in Project Management
Education
Associates Degree in Social Work, 2014, CNM, Albuquerque, NM
UNM Continuing Education: Substance Abuse Studies Program. 2015 (completed all 16 core courses)
Continuing my Bachelor’s Degree in Social Work at University of New Mexico, Albuquerque, NM
Work Experience
United Health Care Group- Claims Analyst, Albuquerque, New Mexico. February-November 2016
 Analyzed and processed Medical, Behavioral Health, and Home Health Care claims under the
New Mexico Medicaid contract, Customer Satisfaction being my number one goal.
 Trained for remote work.
 Zero claim or financial errors.
 Met and exceeded monthly goals.
 Billing and Customer Service training.
 Current on ICD 10 coding and CPT.
 Ability to multitask during changing priorities
 Strong Customer Relations
 Able to perform with minimal supervision
[Type text]
Substance Abuse Counselor, Viewpoint Rehabilitation Center, Rio Rancho, NM, May 2015.
 Developed and ran group for up to 12 clients in different stages of recovery. IOP, Detox, Sober
Living, Inpatient Treatment.
 Created treatment plans, KRAFT and all aspects of ethical participation in helping clients achieve
sobriety.
 Developed programs such as, mindfulness, 12 Step Concepts, Relapse Prevention, Nutrition,
Mentoring, and Trauma work Anger Management for groups.
Client Services Coordinator, Catholic Charities, Albuquerque, NM, May 2014-Jan, 2015.
 Provided transportation and emotional support to elderly and substance abuse populations who did
not have money for transportation. Helped with housing and benefits.
Geriatric Caregiver, Albuquerque, NM, 2010 -2015.
 Cared for elderly, substance abuse patient and Alzheimer’s patient
 Coordinated medications, physician orders and other medical services
 Helped family members care for patients, allowing for in-home treatment
Insurance Health Claims Adjuster, Inc. Dallas, TX. 1993-2007
 Served as Claims Manager, supervising six claims adjusters
 Managed Billing, Managed Care, provided Quality Assurance for Treatment Plans.
 Handled Health Claims, Case Management, Liaison to other insurance companies
 Billing, balancing daily revenues, and formulating training skills for others.

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revisedresume2017

  • 1. [Type text] Jean A. Porter 6143 Ridgewood Dr. NE Rio Rancho 505-205-4504 Sasha87111@gmail.com BEHAVIORAL HEALTH PROFESSIONAL AND BENEFIT SPECIALIST A record of success supporting clients with behavioral health issues, including: providing counseling, behavior modification, treatment plans, and creating curricula for group therapy programs. Associates Degree in Social Work. 15 years experience in the Health Insurance Industry that includes:  Claims Analyst  Case Management  Strong Medicaid and Medicare Background  CPT & ICD 9 & 10 coding  Health Contract Compliance  Billing  Supervisory and Management experience  Provided superior Customer Service  Quality Assurance in Project Management Education Associates Degree in Social Work, 2014, CNM, Albuquerque, NM UNM Continuing Education: Substance Abuse Studies Program. 2015 (completed all 16 core courses) Continuing my Bachelor’s Degree in Social Work at University of New Mexico, Albuquerque, NM Work Experience United Health Care Group- Claims Analyst, Albuquerque, New Mexico. February-November 2016  Analyzed and processed Medical, Behavioral Health, and Home Health Care claims under the New Mexico Medicaid contract, Customer Satisfaction being my number one goal.  Trained for remote work.  Zero claim or financial errors.  Met and exceeded monthly goals.  Billing and Customer Service training.  Current on ICD 10 coding and CPT.  Ability to multitask during changing priorities  Strong Customer Relations  Able to perform with minimal supervision
  • 2. [Type text] Substance Abuse Counselor, Viewpoint Rehabilitation Center, Rio Rancho, NM, May 2015.  Developed and ran group for up to 12 clients in different stages of recovery. IOP, Detox, Sober Living, Inpatient Treatment.  Created treatment plans, KRAFT and all aspects of ethical participation in helping clients achieve sobriety.  Developed programs such as, mindfulness, 12 Step Concepts, Relapse Prevention, Nutrition, Mentoring, and Trauma work Anger Management for groups. Client Services Coordinator, Catholic Charities, Albuquerque, NM, May 2014-Jan, 2015.  Provided transportation and emotional support to elderly and substance abuse populations who did not have money for transportation. Helped with housing and benefits. Geriatric Caregiver, Albuquerque, NM, 2010 -2015.  Cared for elderly, substance abuse patient and Alzheimer’s patient  Coordinated medications, physician orders and other medical services  Helped family members care for patients, allowing for in-home treatment Insurance Health Claims Adjuster, Inc. Dallas, TX. 1993-2007  Served as Claims Manager, supervising six claims adjusters  Managed Billing, Managed Care, provided Quality Assurance for Treatment Plans.  Handled Health Claims, Case Management, Liaison to other insurance companies  Billing, balancing daily revenues, and formulating training skills for others.