Mini-Profile
I am in the search for a job ( Customer Service Position or Clerical) Need help or References. Here is my resume.
Mikhael A . Osorio
(email removed)
E M P LO Y M E N T H I S T O R Y
03/08 - 08/08 Medicare Part B/EDS/NHIC, Corp. Los Angeles, CA
Provider Enrollment Department - Business Services Analyst
Compiled, sorted and assigned cases to analysts
Monitored and controlled provider enrollment work flow
Composed correspondence to providers
Researched and acquired problem cases for management’s review
Reviewed billing contracts, partnership, agreements to ensure compliance with Medicare guidelines.
Final validation of cases to ensure accuracy prior to system input utilizing the Provider Applications and Tracking System software. (PACTS).
08/07 - 02/08 Medicare Part B/EDS/NHIC, Corp. Los Angeles, CA
Overpayment/MSP Dept. - Recoupment Analyst/Debt collector
Focused on the recoupment of Medicare funds paid in error.
Analyzed and established accounts receivable upon overpayment discoveries
Composed demand letters and explained Treasury Collection Process
Performed claims adjustments, offsets and interest calculations
Determined eligible cases for entry into the Centers of Medicaid and Medicare Services’ (CMS) debt collection system
Skip Tracing
01/03 - 07/07 Medicare Part B/EDS/NHIC, Corp. Los Angeles, CA
Bilingual Customer Service Representative
Medicare Part B, government contracted high volume call center
Utilized customized software for tracking, information gathering, and/or troubleshooting Software Programs included: Multi Carrier System Desktop (MCSDT), Next Generation Desktop (NGD), Common Working File (CWF).
Prioritized tasks and met critical deadlines
Read and interpreted complex documents such as operating and maintenance manuals, procedure manuals and government guidelines
Examined and reviewed claims, applications and other correspondence for accuracy and completeness.
Applied knowledge of applicable state and federal regulations and guidelines on Medicare and Medicaid
09/02 – 01/03 Adecco Employment Services Los Angeles, CA
Bilingual Customer Service Representative (Temp assigned to EDS/NHIC, Corp.)
Handled telephone inquiries in high volume call center on Beneficiary; Provider; Fraud & Language Lines
Explained Medicare benefits, policies, procedures & offered referrals to other agencies
Acquired training on HIPPA – Privacy Act guidelines and Medicare Secondary Payer
Utilized customized government software for tracking, adjustments and troubleshooting.
Skills
Computer Literate: Microsoft, Word, Excel, Outlook, and Internet Explorer
Acquired training in ISO 9001/2000. (Share point Portal)
Type 35 wpm/10 key
Fluent in Spanish
Data Entry
Where did you grow up?
New York
Where do you live now?
Los Angeles
What is the highest level of education you have attained?
Collage
What subjects did/do you enjoy the most at school?
English
What's your favorite sport or sports?
Baseball
What kinds of jobs have you held? Industries too!
Business Analyst
What hobbies are you into?
Net working
What causes are you concerned about today?
Jobless
If you claim a political party affliation, which is it?
Neutral
Which religion (if any) do you follow?
Christian