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Medical Customer Service

Location:
Lindenhurst, NY
Posted:
January 14, 2014

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Resume:

Milagros Malca

*** ***** ******** ******

Lindenhurst, NY 11757

Cell: 631-***-****

E-mail: **********.*********@*****.***

Spanish Interpreter/Translator, Certified Paralegal, Notary Public.

2013 - Legal Language Services, NY Spanish Interpreter

. Nassau, Suffolk, and Queens Supreme Court, depositions, arbitrations,

mediations, hearings, examinations under oath, preliminary

conferences.

. IME, independent medical examinations, physical therapy, occupational

therapy, psychiatric evaluations, psychologist test examinations for

no fault cases, workers compensation, independent reviews.

2011 - Present Geneva Worldwide, NY Spanish Interpreter

. Department of Social Services Fair Hearings conducted by

Administrative Law Judges, conferences for Medicaid, SNAP, public

assistance, housing assistance Section 8, child welfare, and child

protective services for Nassau and Suffolk County.

. Social Security Administration: eligibility, hearings as well as IME

independent medical examinations eligibility for Nassau, Suffolk and

Queens County, New Jersey-Newark County.

. Criminal Court hearings DWI-DUI, preliminary conferences for Riverhead

and Carleton Suffolk County.

. Ricker's Island Jail Complex, Judicial Center handling interpretations

for parole hearings conducted by Administrative Law Judges.

Translating medical diagnostics, preliminary conferences.

. Family Court for ACS administration for children services Queens

County; probation, domestic violence, child abuse, neglect,

negligence, adoption, order protection, visitations, and other related

legal matters for Queens Family Court, Department of Probation,

Department of Parole.

. Attorney General Suffolk Regional Office, labor law cases;

conferences, cross examination, preliminary conferences, depositions

for Nassau and Suffolk County.

. New York State Division of Human Rights, depositions, cross

conferences.

. New York State Workers' Compensation Board, IME, independent medical

examinations.

. Major car insurance company NO FAULT cases, depositions, cross

conference as well as arbitrations and IME.

. Mental Health at Holliswood Hospital.

. New York University Hospital for Joint Disease.

. Freedom House, workshop for victims of domestic violence, New York.

. Sagamore Children Center, conferences with social workers and

Psychiatrics.

2010-2011 Hofstra University Law Clinic, NY Spanish Interpreter

. Depositions, Arbitration and Mediations for class actions cases.

. Translating affidavits, discovery responses, interrogatories, bill of

particulars, and motions as well as international newspaper articles

for the students.

. Responded to telephone and written inquiries regarding medical issues

and other legal matters.

2002-2008 Baker and Barshay, NY, No Fault & Personal Injury Litigation

Paralegal

. Reviewed medical records, diagnosis code, prognosis, reports,

interpretations, test results and authorizations. Follow up on

stipulations from court.

. Handled discovery responses, interrogatories, bill of particulars as

well as combined demands.

. Setting templates, production reports, posting check from insurance

companies.

1998-2002 Prudential Insurance, NY Legal Assistant

. Processed No-Fault Insurance auto claims, facilitated the technical

aspects of the claim and appropriately applied the legal and

contractual provisions. Interfaced and responded to calls from

clients, beneficiaries, and account managers within established

timeframes.

. Processed No-Fault claims NF10, authorizations HIPPA to obtain medical

records from medical providers.

. Worked on final disbursements of settlements with hospitals

representatives as well as doctor's office.

1995-1998 APP Pharmacy, NY Medical Biller

. Responsible for HIPPA submission and follow up to recover payments

from Medicaid Medicare, secondary bills, and third party bills.

Submitting medical bills to appropriate insurance through Federal

Medicaid and Medicare protocols.

. Processing medical prescriptions bills, verifying NDC, DOS, ICD 9, CPT

4 Codes for proper submission.

. Spanish Interpreter supporting Customer Service.

Education:

. Paralegal Certificate, Hofstra University, New York 2009.

. Senior at Hofstra University to graduate in Dec. 2014 with a Bachelor

of Sociology.

. University of San Martin de Porres, Lima-Peru, completed 132 credits

in Journalism School.

. ESL-Suffolk Community College, graduated NY 2000.

Internship:

. Immigration paralegal at Bendick & Nanos, PC January, 2009,

interviewed and completed applications for 300 clients for renewing

Employment Authorizations and Temporary Protective Status.

Language:

. Spanish, fluent in reading and writing.

. New York, Notary Public

Professional references upon request.



Contact this candidate