Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.



Published on

  • Login to see the comments

  • Be the first to like this


  1. 1. Kevin Florence Marcos 91-133 Nehupala Place Ewa Beach, HI 96706 Cell No.: (808) 670-7308 Education University of Hawaii West Oahu Kapolei, HI Major: Health Care Administration, degree received Spring 2013 Overall GPA: 3.0 Waipahu High School, August 2004 to June 2008 Waipahu, HI Overall GPA: 3.0 Work Experience Hawaii Medical Services Association, February 2013 to present Kapolei, HI  Electronic Servicing Representative I o Proficient in using web applications that promote member and provider education, services, and self-servicing tools by participating in test, maintenance, documentation, and other activities o Assist with member inquiries (not limited to):  Review claims to ensure bills received from providers are accurate  Quoting and researching member benefits for medical services  Serve as a member advocate by providing all possible options by utilizing appropriate resources to achieve resolution  Complete member correspondence requests for materials such as guide to benefits, explanation of benefits, ID cards, confirmation of coverage or cancellation of coverage letters, and others  Locating primary care physician and specialist providers to ensure members receive appropriate care o Assist with provider inquiries (not limited to):  Provide payment information for claims  Review claims to advise of information needed to complete processing of denied or pended claims  Quote eligibility, benefits, pre-certification requirements, and claims filing processes
  2. 2.  Guide to medical policies, online resources, and other materials to promote provider education o Consistent in documenting member and provider interactions in an accurate manner o Able to determine urgent cases and knowledgeable of processes to expedite for members and providers o Communicate with other departments to complete tasks; route members and providers to appropriate departments regarding inquiries o Complete assignments related to project work as directed by management o Cooperate with superiors and peers in activities that support and accomplish the company’s core values o Familiar with ICD9, CPT, and HCPCS codes o Knowledge in CMS 1500 and UB04 claimforms o Versed in preferred provider (PPO) plans and health maintenance organization (HMO) plans o Participate in community events and engage with members on a personal level (AskHMSA) Banana Republic, November 2008 to November 2013 Waipahu, HI  Sales Associate o Provide excellent customer service o Perform tasks and duties in a timely manner o Cooperate and communicate well with other team members o Adhere to all company policy in terms of policy and procedure, dress code, etc. o Able to multitask in a busy store setting o Knowledgeable in most area duties of the store o Upkeep visual representation of store o Up-sell and suggest items to drive store traffic o Always ready to answer any work-related questions on the floor  Cashier Specialist o Able to perform cashier duties efficiently o Knowledgeable in cash wrap functions o Able to perform cash wrap opening and closing duties o Assists teammembers by being open to teaching cash wrap duties o Support management team o Aware of daily sales budgets and motivate all associates to reach goals  Trainer o Train new employees about the store and expected duties
  3. 3. o Able to communicate on a personal level to promote a team-oriented work environment o Support management team with ability to answer team members questions o Up-to-date with company policies and procedures to ensure correct information is given to new employees o Communicate in an efficient and effective way to use on-the-clock time wisely Volunteer Experience State of Hawaii Department of Health – Adult Mental Health Division, August 2012 to December 2012 Pearl City, HI  Student Assistant o Opening and closing office duties o Place and answer phone calls o Directly work with care home providers o Ability to operate office equipment: fax, copiers, printers o Communicate with supervisors on daily duties o Efficiently complete tasks assigned by supervisors o Narrative entries on Microsoft Word o Created a power point presentation for caregivers meeting o Responsible for RSVP lists and travel documents for Tobacco Treatment Workshop o Provided support to supervisors on tasks Jesus Cares Ministries, November 2004 to Present Waipahu, HI  Youth Ministry Leader, June 2008-February 2015 o Coordinate events and activities targeted for young people (ages 12-17) o Act as spokesperson for entire ministry with the elders of the church and other leaders outside of the organization o Advocate role on behalf of the well-being of the youth o Responsible for group’s safety in organization’s premises and at away events o Supervises volunteer kid’s ministry teachers’ lessons and schedules o Collaborates with other ministry leaders of the church for church-wide events o Work with other youth leaders on a weekly basis o Give council when approached by anyone in the youth group
  4. 4. o Report to pastors and other leaders o Coordinate fundraisers o Responsible for annual Easter shirt fundraiser o Delegate tasks and responsibilities to encourage the talents of others o Be the mediator when conflict arises  Youth Ministry Treasurer, June 2007 to January 2010 o Report funds on a monthly basis o Balance account books on a weekly basis o Coordinate fundraisers o Raise money in a timely manner for any upcoming events o Responsible for training new person(s) for the position  Daily Vacation Bible School Director, July 2010 o Responsible for entire lesson plan o Gathered all teaching materials needed o Prepared important forms and notices for parents o Completed all tasks in a timely manner prior to start date of event o Responsible for o Appointed responsible, caring, and motivated individuals for teacher positions o Coordinated graduation ceremony o Planned off-site activities related to content o Supported treasurer to raise funds for supplies and food o Worked closely with senior pastor and adult pastor during entire session Additional Skills  Knowledgeable in Microsoft Office: o Microsoft Word o Microsoft Excel o Microsoft PowerPoint o Microsoft Outlook  Ability to speak English and Filipino (Ilocano) fluently  Communicate effectively with others  Organized behavior  Detail-oriented