Health Home

Marilyn Agosto

** ******* ****** ***.**, Brooklyn, N.Y. 11206, Cell :347-***-****, Email:***********@*****.***

PROFESSIONAL HIGHLIGHTS

• Bilingual: Fluent Spanish, English

• Answered telephone and give information to callers, take accurate messages or transfer calls to appropriate

individuals

• Made copies of correspondence and other printed material

• Set up and maintain paper and electronic filing systems for records, correspondence and other material

WORK HISTORY

Childcare Provider Brooklyn, New York

02/2010 to Present

• Prepared nutritious meals based on dietary needs.

• Instilled values and social etiquette.

• Assisted with homework and prepared child for school examinations.

• Planned daily curriculum activities.

Metropolitan Jewish Health Systems/Homefirst Brooklyn, New York

Provider Services Coordinator 09/2008 to 01/2010

• Reviewed, investigated and adjudicated claims for medical, facilty, home healthcare hospice and vision

services which involved the application of contractual provisions in accordance with provider contracts,

authorizations and Medicaid regulations

• Processed adjustments to claims

• Answered high volume calls from Home Health Agencies, Durable Medical Equipment Suppliers, handle bill

collection calls and claim issues

• Prepared discharges, hospitalization and transportation for members enlisted in the Homefirst program

Metropolitan Jewish Health Systems/Homefirst Brooklyn, New York

Member Services Coordinator 12/2003 to 08/2008

• Answered high volume of members' calls on a daily basis regarding Supplies, Transportation and Social Work

or Nurse Health Partner questions

• Entered information of requests in MCO data base system

• Mailed and received correspondence from doctors and hospitals regarding member's

• Trained new employees on MCO data base system and answering telephone calls from member's or families

Metropolitan Jewish Health Systems/Elderplan Brooklyn, New York

File Clerk 10/2001 to 11/2003

• Filed over 10,000 claims per day in numerical order

• Stamped date receipt and place in folders accordantly

• Separated UB92's and HICFA claims

• Distributed claims to data entry staff and file claims after completion

• Placed claims in boxes to be sent to Time Storage facility

EDUCATION

City University of New York Brooklyn, New York

General Equivalency Diploma

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