WALDEMAR GONZALEZ
Bronx,NY
Summary
Excels in developing and implementing operational strategies while enforcing compliance with safety regulations and medical policies. Exceptional interpersonal, organizational and problem-solving skills. Highly-motivated with a desire to take on new challenges. Strong worth ethic, adaptability and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
20
20
years of professional experience
Work History
Intake Manager
Castle Rock Home Care
Bronx , NY
04.2022 - 08.2022
- Assists potential members with NYIA assessment for HHA
- Liaise with various MLTC companies providing services and support
- Assists members with scheduling UAS appointments
- Supports coordination department with member creation/ status changes and calendar management on HHA exchange system
- Follow up of enrollment status of member with MLTC
- Provides status of Medicaid eligibility using EPACES system
- Receiving, entering and editing of approved Authorizations for new and existing members
- Maintained detailed records of all interactions between clients, families, referral sources, service providers and other entities involved in the intake process.
Claims Intake Specialist
Molina Healthcare
Bronx, NY
05.2019 - 04.2022
- Daily receiving, sorting, counting and batching of claims via mail and fax
- Identify, track and deliver interdepartmental mail, claims and/or records as needed
- Prepare, track and send paper claims weekly to Electronic Data Interchange vendor
- Performed daily inventory tracking and reporting
- Prepare daily, weekly and monthly reports as needed
- Inquire into various systems for additional information related to Providers, Members, claim data to assist processing of claims.
Records Associate
C&W Services
New York, NY
06.2017 - 10.2018
- Liaise with Iron Mountain Inc
- And Performs File System Maintenance
- Training using FileTrail OS and Performed File Logistics Timely and Efficiently
- Strict Adherence to Records Retention and Destruction Procedures
- Administrative Duties within Records Room
- Compiled and analyzed data from multiple sources to generate reports for management review
- Diligently tracked changes in regulations impacting recordkeeping processes, implementing necessary adjustments accordingly
- Served as an effective liaison between departments when resolving interdepartmental issues concerning records management.
Deposit Operations Clerk
Bank Leumi USA
New York, NY
09.2002 - 10.2016
- Daily maintenance of commercial suspense accounts via excel
- Client and Internal Records retention/destruction via Iron Mountain Inc
- With emphasis on a master excel log
- Processing and mailing of customer statements, Fraud department assist with credit card holds due to travel
- Sorting and Department Mail Distribution, creation of checks for log and deposit (commercial accounts)
- Document retrieval from system (sensitive information) when prompted by Bank Officer
- Mail and reports distribution to department and management
- Provided training to coworkers for vacation coverage
- Large projects with focus on logistics via Excel
- Ensured compliance with internal policies, procedures, and applicable laws
- Developed comprehensive knowledge of banking regulations and procedures related to deposits operations
- Trained other staff members on deposit operations processes.
Education
High School Diploma -
Seward Park HS
06.1995
Skills
- Clerical Support
- Team building
- Administrative support
- Problem solving
- Adaptability
- Microsoft Office
- Bi-Lingual fluency
- Dependability
- Reliability
- Conflict resolution
- Customer service
- Problem solving
- Organizational skills
- Time management
- Attention to detail
- Interpersonal skills
Contact
Intake Coordination, Administrative Support, Reminder Calls, Coaching New Hires, Calendar Software, Conflict Resolution, Clerical Support, Problem solving, Legal Documentation, Team Focused, Adaptability, Microsoft Office, Client Inquiries, Project Deadlines, Dependable, Spanish
References
References available upon request
Languages
Spanish
Native/ Bilingual
References
References available upon request.
Timeline
Intake Manager
Castle Rock Home Care
04.2022 - 08.2022
Claims Intake Specialist
Molina Healthcare
05.2019 - 04.2022
Records Associate
C&W Services
06.2017 - 10.2018
Deposit Operations Clerk
Bank Leumi USA
09.2002 - 10.2016
High School Diploma -
Seward Park HS
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