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.