1. Joshua Solomon
8290 Gate Parkway W
Jacksonville, FL 32216
(904) 588-2734
Josh_Solomon90@yahoo.com
SUMMARY
Over 6 Years of customer service related situations. Capable of research of multi
ple systems and insuring all applicable data has been researched. Ability to iden
tify and research Medicare (Part A and B) providers which includes: identifying is
sues, identifying where the situation under review fits with the changes. research,
analyze both current and past data, recommend, compose, respond and manag
e multiple tasks directed by management as required. Work as a team to ensure
correct procedures are being followed, which includes working with internal depar
tments (Operations, Provider Enrollment, Medicare Policy, Medicare Education, e
tc.). Generating daily/weekly/monthly SAS reports for external and internal custo
mers. Producing comparative reports for the Medicare provider community. Prep
are documentation for quality assessment of samples. Entering critical informatio
n to a log for assignment tracking.
QUALIFICATIONS
 Basic proficiency with standard office equipment (including fax, copy machines,
PC and calculators).
 Basic proficiency with PC applications including Word, Excel and E-Mail.
 2 year Basic Part A (FISS) and Part B (MCS) knowledge
 Knowledge of Medicare Guidelines and Local Coverage Determinations.
 Previous project experience and work flow coordination experience.
 Experience with statistical software such as SAS.
 Experience with report writing tools such as SAS.
 Experience working within South Florida Enrollment Project department.
 Basic understanding of SAS

2. WORK EXPERIENCE
May 2012 – Present –First Coast Service Options ~Fraud Analyst for the South Florida E
nrollment Project and SASS (Jan 2013-Present)
 Work as a team to ensure correct procedures are being followed, which includes
working with internal departments
 Research of Provider Enrollment Tracking System (PETS)
 Provider Enrollment Chain and Ownership System (PECOS).
 Working Knowledge of Part A (FISS) and B (MCS)
 Experience working in a production environment
 Current experience with Medicare Part B coverage with Provider Enrollment
Applications in order to complete research of high risk factors involving providers
within the High Risk Fraud applications during the enrollment process
 Respond to inbound and outbound calls regarding providers
 Generating reports using SAS.
 Creating Excel files containing statistical and medical data/information.
 Preparing files for storage to external site
 Running, and ensuring the data meets all requirements on monthly internal
reports based on production of part A and B
2010 – 2011 –Walgreen’s~ Photo Specialist.
 Assist the Managers
 Operate the film counter and photo machinery
 Open, close and perform all operating procedures
 Handle currency exchange
 Periodic Count and Order Inventory
2009–2013 –Abercrombie ~ Stock Lead

3.  Processed Shipment Orders
 Trained New Hires
 Maintained the Stock Room Area
EDUCATION
 2009 High School Diploma – Fleming Island High School
 Currently working on myAA Degree, at Florida State College Jacksonville.
References: Available upon request