Summary
Overview
Work History
Education
Skills
Timeline
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Charlie Fernandez

Process Engineer
Bronx,NY

Summary

Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level position. Ready to help team achieve company goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.

Overview

9
9
years of professional experience
1
1
Language

Work History

Eligibility Representative II

Centene
Queens, NY
01.2020 - Current
  • Oversee data integrity of member enrollment records and remittance files transmitted from the state
  • Maintained detailed and accurate records between multiple databases and programs.
  • Calculated adjustments, premiums and refunds.
  • Communicated effectively with staff members of operations, finance and clinical departments.
  • Notified insurance agents and accounting departments of policy cancellations and changes.
  • Maintained confidentiality of patient finances, records, and health statuses.

Enrollment Sales Representative

Metroplus Health Plan
Brooklyn, NY
10.2017 - 12.2019
  • Record and respond to all Customer contacts and update in the tracking system
  • Manage and ensure appropriate follow-up and closure for all customer contacts
  • Process and resolve complaints and record given information in the system
  • Provide all benefit/service related information to members, prospective members and providers
  • Perform retention efforts for all lines of business
  • Handle disenrollment inquiries from members, providers and regulatory agencies
  • Respond to all claim billing inquiries from providers and members

Business Development Coordinator

VillageCareMAX
New York, New York
02.2015 - 08.2017
  • Screening calls to all external referrals
  • Updating enrollment system
  • Communicating with referral sources to maximize referral close ratios
  • Working with Business Development Managers with various department projects
  • Run periodic referral source reports
  • Analyze quantity vs
  • Quality referrals
  • Work closely with enrollment department to make sure all referrals are entered in HMA

Education

Masters of Science - Chemical Engineering

Manhattan College
Riverdale, NY

Skills

    Program knowledge on MATLAB, Aspen HYSYS, and CAD file

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Timeline

Eligibility Representative II

Centene
01.2020 - Current

Enrollment Sales Representative

Metroplus Health Plan
10.2017 - 12.2019

Business Development Coordinator

VillageCareMAX
02.2015 - 08.2017

Masters of Science - Chemical Engineering

Manhattan College

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Charlie FernandezProcess Engineer