Matthew Vickers
Margate,FL
Summary
To combine my skills and knowledge along with my previous work ethics to achieve successful results in a new work environment.
Overview
15
15
years of professional experience
Work History
Grievances and Appeals Administrator
MCNA Dental
Fort Lauderdale, FL
06.2020 - 03.2024
- Resolve issues for member complaints, member appeals and provider appeals
- Checked cases to ensure accuracy of resolution before case closure.
- Identified needs of members promptly and efficiently.
- Interact with providers and members to collect information and documentation
Grievances and Appeals Coordinator
MCNA Dental
Fort Lauderdale, FL
10.2016 - 06.2020
- Open cases for member complaints, member appeals and provider appeals and assign them to an administrator to be resolved.
- Opening email, mail, fax and portal appeals in an adequate time.
- Interact with providers and members to collect information and documentation.
- Retrieve messages from phone queue and return calls in a timely manner.
Provider Hotline/Member Services Team Member
MCNA Dental
Fort Lauderdale, FL
10.2014 - 10.2016
- Successfully assist providers and members with inquiries about eligibility, claims, pre authorizations, referrals, credentialing and network functions.
- Ensure members and providers concerns get taken care of in a timely manner.
- Utilizing active listening and empathy to understand providers and members.
Assistant Manager
Rack Room Shoes Inc.
Margate, FL
02.2009 - 09.2012
- Successfully supervising employees and splitting up the work load.
- Cultivating a business summary
- Effectively keeping up with promotions and displays.
- Preparing work schedule for employees.
- Efficiently stocking and rearranging stock in a timely matter.
- Carrying out opening/closing procedures.
Guest Services
Dolphin Stadium
Miami, FL
08.2009 - 08.2012
- Performed high quality of guest services at all times by being fun, energetic and passionate while catering to each guest's needs.
- Assisting guests by checking tickets on the club level in a fast paced environment.
- Ensuring that guests take safety precautions when leaving the stadium.
Education
High School Diploma -
Marjory Stoneman Douglas High School
Parkland, FLSome College (No Degree) - Business Administration And Management
Central Piedmont Community College
Charlotte, NCSkills
- Adaptability
- Leadership skills
- Willingness to learn
- Organizational skills
- Resourceful
- Customer service-oriented
- Time management
- Microsoft word
Timeline
Grievances and Appeals Administrator
MCNA Dental
06.2020 - 03.2024
Grievances and Appeals Coordinator
MCNA Dental
10.2016 - 06.2020
Provider Hotline/Member Services Team Member
MCNA Dental
10.2014 - 10.2016
Guest Services
Dolphin Stadium
08.2009 - 08.2012
Assistant Manager
Rack Room Shoes Inc.
02.2009 - 09.2012
High School Diploma -
Marjory Stoneman Douglas High School
Some College (No Degree) - Business Administration And Management
Central Piedmont Community College
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