Jellece Ortega
Springfield,MA
Summary
Well-qualified administrative professional with remarkable typing skills, data entry expertise and goal-oriented mentality. Proficient in updating daily logs, investigating discrepancies and managing records. Focused on maximizing service and comfortable working with little oversight.
Overview
10
10
years of professional experience
Work History
Benefits and Eligibility Representative
Commonwealth Massachusetts
Springfield , MA
2023.10 - Current
- Processed paperwork related to benefit determinations within established timelines.
- Assist individuals and families, individuals with disabilities, and others to determine initial and continued eligibility for MassHealth benefits.
- Process applications and administer case management via phone or in-person.
- Assist members to navigate and complete online applications.
- Evaluate and review submitted documents to ensure accuracy and completeness of information.
- Validate customer demographic, financial, and background data through contacting applicants and collateral sources.
- Provide requested services and appropriate referrals for customers to external programs for which they may qualify.
- Validate customer demographic, financial, and background data.
- Represent the agency at hearings and explain eligibility determinations.
- Reconcile MassHealth case information with information from other agencies and sources.
- Respond to customer inquiries and provide information regarding eligibility requirements.
- Provide quality customer service by responding to inquiries in a professional, efficient, and courteous manner
Operation Associate III
Baystate Health
Springfield , Ma
2018.03 - Current
- Check patients upon arrival and discharge from Pedi emergency room unit.
- Create Death Forms for the unit .
- Direct incoming calls to appropriate staff.
- Deliver administrative support to team members by making copies, sending faxes and organizing documents.
- Screen and verify visitors for identification credentials and purpose of visit to maintain security of personnel and patients.
Clerk IV
Commonwealth Of Massachusetts
Springfield , MA
2019.06 - 2023.10
- Greet and attend to client needs
- Enter voter registration into a spreadsheet.
- Support office clerical functions, using various systems such as Microsoft word, outlook, Excel, spreadsheets etc .
- Follow confidentiality rules to preserve data quality.
- File documents according to alphanumeric system.
- Provided friendly and professional assistance to employees, visitors and customers.
- Respond to members inquiries and provide information's regarding eligibility requirements .
- Deliver administrative support to team members by making copies, sending faxes, organizing documents and rearranging schedules.
- Help customers complete eligibility forms and submit required verifications.
- Provide translation services when needed.
Health Administrator Assistant
Head Start
Springfield , Ma
2018.08 - 2019.05
- Screen kids Vision, Hearing and Blood pressure.
- Give Student proper Medical Referrals .
- Request vaccination Records as needed from providers.
- Organized and maintained files and manage system by coordinating, archiving and purging files.
- Delivered administrative support to team members by making copies, sending faxes, organizing documents and rearranging schedules.
- Provided case management services including intake, assessment, crisis intervention, advocacy, referral and monitoring of families.
Receptionist
Western Mass OB/GYN
Holyoke , Ma
2018.01 - 2018.08
- Check in and check out Patient .
- Verify Patient Insurance Eligibility daily .
- Greet Patient and visitors when entering office.
- Forward messages to providers.
- Schedule and confirm appointments.
- Answer and direct incoming calls using multi-line telephone system.
- Deliver administrative support to team members by making copies, sending faxes and organizing documents.
- Process payment and update account to reflect balance changes.
- Sort incoming mail and direct to correct personnel each day.
Receptionist
Mercy Medical Center
Springfield , Ma
2015.12 - 2017.09
- Process Medical Record request .
- Verify Insurance Eligibility.
- Create insurance referral .
- Place calls to masshealth regarding coverage .
- Respond to clients inquire regarding eligibility to Masshealth Insurance .
- Schedule and confirm appointments.
- Answer and direct incoming calls using multi-line telephone system.
- Deliver administrative support to team members by making copies, sending faxes, organizing documents.
- Sort incoming mail and direct to correct personnel each day.
- Assisted individuals with eligibility for available benefits.
- Cooperated with local service providers, outreach workers, case managers and collaborative agencies to facilitate services for members.
Office Assistant
Behavioral Health Network
Springfield , Ma
2014.06 - 2015.12
- Check Insurance Eligibility.
- Scan and attach Patient Record to their chart.
- Greet visitors and direct them to correct personal.
- Offer diverse clerical support to office team members, manage correspondence, answer telephone calls and track documentation.
Education
G.E.D -
N.E.Farm Workers Council Springfield
09.2008
Customer Service Certificate -
Future Works Career
06.2008
Skills
- Bilingual : English /Spanish
- Dependable and responsible.
- Computer literate .
- Excellent Verbal and written Communication Skills.
- Team collaboration
- Benefits Administration
- Knowledgeable in Microsoft word, Excel, Outlook.
Timeline
Benefits and Eligibility Representative
Commonwealth Massachusetts
2023.10 - Current
Clerk IV
Commonwealth Of Massachusetts
2019.06 - 2023.10
Health Administrator Assistant
Head Start
2018.08 - 2019.05
Operation Associate III
Baystate Health
2018.03 - Current
Receptionist
Western Mass OB/GYN
2018.01 - 2018.08
Receptionist
Mercy Medical Center
2015.12 - 2017.09
Office Assistant
Behavioral Health Network
2014.06 - 2015.12
G.E.D -
N.E.Farm Workers Council Springfield
Customer Service Certificate -
Future Works Career
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