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