vivian cruz

Member Care Associate at Extended Managed Long Term Care
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Contact Information
us****@****om
(386) 825-5501
Location
New York City Metropolitan Area
Languages
  • Spanish Native or bilingual proficiency

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Bio

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Experience

    • United States
    • Insurance
    • 1 - 100 Employee
    • Member Care Associate
      • Jan 2019 - Present

      Works in conjunction with Nurse Care Managers to ensure delivery of high quality efficient services to all Extended MLTC members. Mails and faxes determination letters, authorizations, care plans, service changes, and other correspondence as required to members and providers. Coordinates timely delivery of DME and other items/supplies to members, obtains authorizations from Nurse Care Managers as needed. Assists Nurse Care Managers with coordination of monthly calls and communicates members’ needs to NCM in a timely fashion. Assists members in scheduling necessary medical visits and transportation. Coordinates member services with in-network and out-of-network providers. Documents all administrative activities/interventions in appropriate database (HMA, McKesson). Assists with Maximus warm transfer calls. Assists with all translation needs as needed (members, potential enrollees, Enrollment RNs, pre-enrollment screening, etc.). Assists with scanning, printing, filing, and other administrative tasks as needed. Show less

    • Teachers Assistant
      • Sep 2017 - Jan 2019

      • Work side by side with classroom teacher and other assistant• Care for children with special needs ages 3-5• Prepare classroom work, schedule and projects

    • Senior Program Receptionist
      • Jan 2016 - Aug 2017

      Responsible for greeting and answering phones Scheduled appointments for program intake Served as bi-lingual Spanish translator General office duties including handling confidential documents

    • United States
    • Financial Services
    • 700 & Above Employee
    • Bank Teller
      • Dec 2015 - Dec 2016

      • Responsible for daily customers’ banking transactions • Daily reconciliation of cash box • Assisted with overall Customer Service • Served as bi-lingual Spanish translator • Responsible for daily customers’ banking transactions • Daily reconciliation of cash box • Assisted with overall Customer Service • Served as bi-lingual Spanish translator

    • United States
    • Retail
    • 700 & Above Employee
    • Sales Associate
      • Oct 2011 - Dec 2015

      • Customer Service / Sales / Opening credit • Cash register • Customer Service / Sales / Opening credit • Cash register

  • Marcos Wine and Liquors
    • Staten Island, New York
    • Sales Associate
      • Feb 2009 - Jan 2012

      • Responsible for opening and closing store / Key holder • Responsible for tracking all inventory supplies • Responsible for payroll and scheduling • Responsible for opening and closing store / Key holder • Responsible for tracking all inventory supplies • Responsible for payroll and scheduling

Education

  • City University of New York-College of Staten Island
    Bachelor of Arts - BA, Spanish Language and Literature
    2009 - 2017

Community

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