Marylu Gomez, FCCM
Management Review Specialist at Agency for Health Care Administration- Claim this Profile
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Bio
Experience
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Agency for Health Care Administration
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United States
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Hospitals and Health Care
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200 - 300 Employee
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Management Review Specialist
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Jun 2022 - Present
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Operations and Management Consultant I
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Dec 2018 - Present
I maintain records and confidential information; convert paper files into electronic LaserFiche documents; serve as the initial point of contact for the HIPAA Privacy Officer; receive and track mail and other correspondences; process request for protected health information of Medicaid recipients; utilize Florida Medicaid Management Information System (FLMMIS) and Decision Support System (DSS) to produce claim record reports; copy, file, and mail out-going correspondences; respond to the Agency’s HIPAA phone line and email inbox inquiries; register new Agency employees and contractors in the Agency’s online HIPAA/Security training courses and track completion; schedule meetings, take meeting notes and produce agendas and meetings summaries in a project management capacity; serve as back-up attendant to the main OIG phone line as needed; and work in My Florida Market Place (MFMP), the travel system, and the P-Card system. Show less
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Administrative Secretary
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Jan 2018 - Dec 2018
Assist in Quality Performance Review and Clinical Monitoring Unit coordinating and facilitating the administrator's calendar to arrange meetings, preparing appointments, conferences, office expenditures (e.g. supply and office needs), making travel arrangements, preparing travel documents, and preparing /updating spreadsheets. Maintain calendars of unit staff in Outlook, use the correspondence tracking system (CorrFlow), MyFloridaMarketPlace(MFMP), FLAIR, and track all documents. Draft, format and edit correspondence to comply with the Agency's correspondence guidelines. Maintain records for the units and will ensure the storage retrieval and destruction following established State procedures. Show less
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Pondera Solutions, part of Thomson Reuters
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United States
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IT Services and IT Consulting
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1 - 100 Employee
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Fraud Analyst Intern
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Aug 2017 - Dec 2017
As a Fraud Analyst intern at Pondera Solutions I analyzed and reported data for the use of combating and detecting fraud, waste, and abuse in government programs such as Medicaid, Medicare, SNAP, TANF, WIC, Tax and Revenue. I also produced analytical findings for client review in excel and word documents. Some other duties include researching, reviewing, and analyzing information associated with criminal intelligence briefings and draft reports for client review. Liaison with government teams of investigators and analytics and attend strike team meetings and/or other client elite Investigative team meetings. Show less
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Education
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Florida State University