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Click here or scroll down to respond to this candidate03/2012 - Current Key Carrier/Administrative CoordinatorMarshall&#Street Address ;s, Jacksonville, FLKey Carrier is the acting role in leadership capacity overseeing all aspects of the store, while conducting the Administrative Coordinator responsibilities. Which includes customer experience, human resources, store operations, merchandising, loss prevention and safety.08/2019 - 01/2022 Technical Adjudicator/ Phone Scheduler/ Triager Maximus Federal, Reston, VATriage cases that come over from MAC's to ensure information is accurate before processing to adjudicatorsServes as a support person for the reconsideration professionals and physicians reviews in the Durable Medical Equipment (DME) second level reconsideration03/2012 - 06/2019 Reconsideration Analyst 1Coast to Coast Solutions, Jacksonville, FLServes as a support person for the reconsideration professionals and physician reviews in the Qualified Independent Contractor (QIC) Durable Medical Equipment (DME) second level reconsideration Coordinate the delivery of a re-determination files and reconsideration decisions form and to the DME Medicare Administrative Build a reconsideration case file form the evidence submitted and received and analyze each case to ensure it meets the requirements for a valid reconsideration request as mandated by the Center for Medicare and PATRICIA ROBINSON5027 Campenella Drive, Jacksonville, FL 32209Phone: PHONE NUMBER AVAILABLEEmail: EMAIL AVAILABLEObjectiveTo obtain a challenging position providing the opportunity to share my knowledge and experience while continuing to enhance my abilities of the organization. Ability SummaryOffice Administrator with over 20 years of professional clerical work experience working as a constant customer focused leader, motivating others, while exceeding organizational expectations. I bring to the position a balanced mixture of skills in:Strong problem solving, excellent customer service and organizational skills, data entry, detailed and team oriented, strong verbal and written communication skills, resolving conflicts, training/development, inventory planning, coaching/feedback, self-motivation, and decision making, researching and maintaining file information, mail sorting experience.PC Applications:BCBSFL Legacy Systems, RBMS, MHS, Convergence, Siebel, GATR, Tab-Quik, Oracle (Imaging) and CaptivationOffice Equipment Experience:Fax, Calculator, Copier, Imaging Scanner, 10 keyEmployment HistoryMedicaid Services (CMS)Input appropriate data regarding reconsideration cases into the Medicare Appeals Systems (MAS)Respond to reconsideration requests from appellants Coordinate with clerical/mailroom staff to receive new casework Identify and resolve problems or refer issues appropriately Communicate effectively with internal and external customers Adapt to the needs of internal and external customers Assure compliance with regulatory, contractual and accreditation entities Maintain strict adherence to confidentiality and security policies and proceduresParticipate in special projects and perform other duties as assigned 02/2010 - 03/2012 CaregiverCaregiver, Jacksonville, FLCaregiver for Mother06/1985 General High School CurriculumHigh School DiplomaJean Ribault Sr. High, Jacksonville, FL04/2024 Certificate of Security Officer TrainingCritical Awareness & Protection Education, LLCEducation and TrainingOccupational Licenses and Certificates |
