Cell 972-***-****

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

Dallas TX **249

adpv8c@r.postjobfree.com

Samuel Macias / F.O. Macias Enterprises

Objective

Pursuing a challenging position where skills of analysis, research, client relation and communications will define and promote my talents. Desire career growth based on performance and accomplishments.

ZAYO Group Aug 2019-June 2020 Fiber Optic Quality Inspector

Fiber / Copper Splicing, Handhole placements inspections, field inspection of contract work in progress covering construction of outside plant, structures, buried cable and associated facilities in accordance with practice.

Monitor construction crew daily activities, report daily crew activities.

Prepare damage reports.

Maintain construction standards and specifications.

Quality inspections on underground and aerial fiber placement.

Elite Valet Services Oct. 2018 till present

Responsible for provinding customer vehicle care upon arrival providing outstanding customer service.

Responsible for DFW locations and all seasonal private parties

UPS Sept 2018 to Nov. 2018

Package handler for Dallas Fort Worth area

Adhere to loading, unloading packages, maintain clean area and assist

United States Post Office Oct 2013 to June 2018

Letter carrier for Dallas Oaklawn area

Maintained customers satisfied, responsible for business and residential area delivery.

Experience

Walden Security Aug 2013 to Oct 2013

to observe and report duty on any malicious activity.

secure a 16,000 acre perimeter of 27 floor building.

communicate with radio, secure perimeter with golf cart if necessary.

provide excellent customer service to our clients and always make sure area is safe for work environment.

Aetna Nov 2001 to June 2013

Network Consultant for Aetna Better Health, Parkland Community Health & Christus Health Plans

lead to maintaining our 3 health plan’s web site with accurate eligibility, demographic segments for readily eligibility and claim processing process.

Provided excellent customer service to providers and members

lead and created web access for our constituents to all our 3 health plans, issued user names and password and issuing navigational guides.

lead to all financial issues to our Provider Relations department, in charge of tracing all manual, live, electronic payments, all returned payments, affidavit and forgery process in a timely manner according to our guidelines.

knowledgeable in Behavior Health benefits according to state regulations.

in charge of all data, any updates to be logged into excel spreadsheets on a daily basis.

lead to all provider data updates such as; name, address, title, specialty, license numbers, national provider identification, Texas provider identification and tax identification numbers, updates on all doing business as (DBA) names, removing and adding correct payment contracts either in network or out of network for providers, facilities, ancillary providers, durable medical equipment (DME), home health providers, etc..

Parkland Health & Hospital System Jan 1999 – Nov 2001

Patient Account Representative Insurance Verification Specialist (Dual title)

Verifies patient financial status and advises and counsels for optional financial eligibility.

Responsible for interviewing 60 potential applicants for indigent health plan. Recording patient data, obtaining verification and calculate income and resources to determine client financial eligibility.

Communicate with other counselors to provide, exchange, answer inquires, address issues, and verified information for Medicaid eligibility.

Maintain a positive relationship with patients, individuals, physicians, third party payers and clinical personnel to ensure patient accounts are handled in a professional manner.

Sears Roebuck May 1996-1997 Automotive Sales Clerk

Assigned to perform several customer service, oriented responsibilities.

Responsibilities for processing accurately and in a timely manner claims for automotive services.

Directing customers, retrieving automotive parts, and providing translations.

Education:

Sunset High School Graduated in 1998

Skills:

Bilingual (Spanish) read and speak, 10 key by touch, typing 29 wpm, various knowledge of software: Team player, great communication skills, organization skills, telephone skills, creative, good time management.

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