MARAD's databases and software applications:
CMS databases and software applications:
Kings Point, New York, NY 11024
Detailed to other division offices three days per week as Health Insurance Caseworker to get advanced knowledge of Health Plans Operations and Health Maintenance Organizations. I worked closely and was under direct supervision of the Branch Managers of each division.
Division of Medicaid & Children's Health:
I monitored and utilized the CMS NYROII Managed Care Contract (MMC) mailbox and notify manager of updated MMCs information. I composed OSN notifications and forward to the branch manager who follows up with Central Office (CO). When MMCs were extended and renewed, I received notification from the Branch Manager and I composed approval letters for the ARA's signature. Additionally, I mailed MMCs and utilized the Laser fiche scanning support system to scan, organize, and file all MMCs.
Division of Survey, Certification & Enforcement:
Division of Medicare & Operations:
Responded to questions and complaints received from the Medicare beneficiary hotline. These inquiries were from beneficiaries, caregiver and other individuals who advocated on behalf of Medicare beneficiaries. I examined beneficiaries Medicare status, eligibility requirements, coverage information, enrollment and dis-enrollment issues. I also coordinated with congressional offices, physicians, pharmacies, and other regional office staff to resolve Medicare Advantage Plans beneficiary issues. I enrolled beneficiaries retroactively after determining that they had met all Medicare coverage requirements. I composed beneficiary responses regarding their complaints letters which were for Branch Manager's signature.
Systems used and monitored were:
350 E 56th ST, NEW YORK, NY 10022
883 CLASSON AVENUE, BROOKLYN, NY 11225
108-22 QUEENS BOULEVARD, FOREST HILLS, NY, 11375
325 PARK AVE
NEW YORK, NY 10022
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