1. Marissa A. Welti
PROFILE:
The ability to establish positive relationships with supervisors and other professionals.
Strong bilingual communication and writing skills with an amicable personality.
Excel with organizational systems, logistics, and problem-solving
Effective in finding solutions for staff and member’s need.
Extensive track record of going above and beyond to get the job done.
Effortless multi-tasking skills and work great under pressure.
EDUCATION:
May 2006
Cerritos College, Norwalk, California
Earned AA in Liberal Arts and Sciences
June 2002
Richard Gahr High School, Cerritos, California
Earned High school Diploma
EXPERIENCE:
August 2014 – Present L.A. Care Health Plan Los Angeles, California
MLTSS Triage Coordinator - Medi-Cal services for seniors and people with disabilities
Frontline for all incoming authorization requests for MLTSS Depts; IHSS, CBAS, LTC, MSSP and SS.
o Review over 30 authorization requests daily via e-Fax, e-mail and MHC/QMEIS Report.
o Ensure all referrals are complete to triage requirement.
o Verify eligibility on MEIS, QMEIS or AEVES.
o Document on MLTSS tracker, ESSETTE or Care Plus.
o Acknowledge receipt to all incoming requests.
o Forward request to corresponding department coordinator.
Provide respectable customer services skills.
o Answer a high volume of calls from providers, hospitals, CM, UM, MS and L.A. Care members.
o Provide facilities with status of authorizations previously sent.
o Educate providers of MLTSS process for authorization requests.
o Support UM/CM with inquiries regarding authorization protocol.
o Inform members of MLTSS services and help guide them to services they are eligible for.
Enforce referrals for members who will benefit from other L.A. Care services.
o Work with PPG’s who have extended delegation regarding CM and Social Services referrals.
o Create referrals to L.A. Care’s CM and Social services.
October 2014 – August 2014 L.A. Care Health Plan Los Angeles, California
Receptionist
Provides exceptional customer service to internal/ external guests and L.A. Care member walk-ins.
o Triage 500+ calls daily and an average of over 40 guests per day.
o Guide external guests to appropriate L.A. Care Staff.
2. o Fulfill member walk-ins’ needs and requests by triaging to a member relations employee.
o Distribute accurate parking validations to guests, new hires, candidates and L.A. Care Staff.
o Communicate effectively with HR/ L.A. Care staff Re: new hires and candidate interviews.
o Outside vendor liaison.
Uphold Master Calendar for all 35 Conference Rooms.
o Coordinate meeting requests in a timely matter.
o Assist employees in urgent need to schedule/reschedule meetings on the calendar.
Maintain accurate daily records such as;
o Employee/ Telecommuter validation log
o New Hire/ Candidate validation log
o Received packages (claims) log
Update various Reception Master Templates as needed on Microsoft word and Excel.
January 2007 – June 2013 ABCUSD Cerritos, California
Para educator
Palms Elementary 2013
Teacher’s Aide in upper grade SDC classroom
Lead student work groups, maintained classroom organization and performed clerical duties.
Ferguson Elementary 2010-2012
One on one aide for student with ADHD and Teacher’s aide
Instruct small groups in mathematics and reading intervention.
Shadow student, encourage student to stay on task and maintain good behavior.
Language Assessment Department (summer 2009-2012)
Received training for California English Language Development Test (CELDT).
Facilitated a team of testers at various school sites and administered exam to children of all grade
levels.
Niemes Elementary 2009-2010
Teacher’s Aide
Perform clerical duties such as copying, filing, and faxing.
Maintain confidentiality in all aspects of student information.
Create documents using Microsoft Office and Excel.
Inclusion Program / Palms Elementary 2007-2009
One on one Aide for student with Autism, assisted in achieving IEP goals.
Received ABA (Applied Behavioral Analysis) training and made use of in school/social environments.
||11907 E 169th
St. Artesia, California 90701||562-392-0554||marissa1684@aol.com||