Marc Kunze
System Configuration Analyst II at Health Plan of San Mateo (HPSM)- Claim this Profile
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English Native or bilingual proficiency
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Spanish Elementary proficiency
Topline Score
Bio
Credentials
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Certificate of Achievement in QA, Build and Release Automation
City College of San FranciscoDec, 2015- Nov, 2024 -
Certificate of Achievement in Web Application Programming
City College of San FranciscoJun, 2015- Nov, 2024 -
HIV Test Counselor
SFDPH / CA Dept of Public HealthJan, 2010- Nov, 2024 -
AWS Certified Cloud Practitioner
Amazon Web Services (AWS)May, 2021- Nov, 2024 -
Certified Phlebotomy Technician
California Department of Public HealthSep, 2011- Nov, 2024
Experience
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Health Plan of San Mateo (HPSM)
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United States
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Hospitals and Health Care
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100 - 200 Employee
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System Configuration Analyst II
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Aug 2017 - Present
* Prioritized support and change requests from multiple departments and stakeholders* Served as the primary point of contact for support of software with over 300 users.* Coordinated work both in house and with software vendor across multiple departments* Documented system enhancements and bugs in ticketing system as well as Confluence* Created Python helper scripts to generate changelogs from ticketing system data
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Claims Auditor I
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Sep 2013 - Aug 2017
* Performed internal claims review for compliance and accuracy* Reviewed and updated staff workflows to improve efficiency* Provided technical assistance in developing internal software* Reconciled claims recovery issues with external vendors
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University Healthcare Alliance
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San Francisco Bay Area
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Claims Examiner
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Mar 2010 - Aug 2013
* Responded to provider dispute resolution requests and difficult claims payment inquiries * Coordinated resolution of retro authorization requests. * Responded to health plan capitation deduction notices and provider information requests * Responded to provider dispute resolution requests and difficult claims payment inquiries * Coordinated resolution of retro authorization requests. * Responded to health plan capitation deduction notices and provider information requests
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Tenderloin Health
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United States
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Mental Health Care
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1 - 100 Employee
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HIV Test Counselor / Phlebotomist
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Jan 2010 - Mar 2012
* HIV Test counselor focusing on MSM and IDU clients. * Assisted in syringe access services to over 600 individuals. * HIV Test counselor focusing on MSM and IDU clients. * Assisted in syringe access services to over 600 individuals.
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San Francisco Department of Public Health
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United States
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Hospitals and Health Care
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700 & Above Employee
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Intern - HIV Prevention Section
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Sep 2008 - Dec 2008
* Revised policies and procedures guidelines template for use by 22 SFDPH funded agencies * Revised policies and procedures guidelines template for use by 22 SFDPH funded agencies
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MPMG
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Medical Practices
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1 - 100 Employee
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Claims Analyst
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Oct 2000 - Aug 2008
* Resolved electronic claims submission errors. * Developed multiple Access databases including benefit information (834) parsing tool. * Trained fellow staff members on various departmental processes * Resolved electronic claims submission errors. * Developed multiple Access databases including benefit information (834) parsing tool. * Trained fellow staff members on various departmental processes
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Education
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City College of San Francisco
Certificate of Achievement in Web Application Programming, Computer Science -
City College of San Francisco
Certificate of Achievement, QA, Build & Release Automation -
San Francisco State University
Bachelor of Science, Health Education