Avp Of Claims
Current
Aug 2018 - Present
AeroLeads people directory · profile
José A. Marcano Bernard Email & Phone Number
AVP of Claims at MMM Holdings LLC
at
MMM Holdings LLC
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✓ Verified Jun 2026
2 data sources
Profile completeness 71%
Current company
Role
AVP of Claims at MMM Holdings LLC
Location
Puerto Rico, Puerto Rico, Puerto Rico
Who is José A. Marcano Bernard? Overview
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Quick answer
José A. Marcano Bernard is listed as AVP of Claims at MMM Holdings LLC at MMM Holdings LLC, based in Puerto Rico, Puerto Rico, Puerto Rico. AeroLeads shows a matched LinkedIn profile for José A. Marcano Bernard.
José A. Marcano Bernard previously worked as AVP of Claims at Mmm Holdings Llc and Claims Director at Mmm Holdings Llc.
Company email context
Email format at MMM Holdings LLC
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MMM Holdings LLC
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Profile bio
About José A. Marcano Bernard
A professional with over 18 years of experience in Claims Operations. A to Z . Strong knowledge for QNXT Configuration , Utilization, Cost Management and Financial Recovery. Medicaid and Medicare.
Current workplace
José A. Marcano Bernard's current company
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7 roles
José A. Marcano Bernard work experience
A career timeline built from the work history available for this profile.
Claims Director
- Responsible for all Claims Dept. Daily Operations: New Claims, Members Reimbursement, Claims Adjustments, Coding Audit Review, Front End, Quality, Reconcillations and Provider Care Unit Regional Offices for Medicare.
- Develop and review Claims Department Policies / Procedures.
- Represent Claims Department on the Medical Policy Committee as participant to ensure compliance with Local and National /Local Coverage Determinations (NCD/LCD)
- Work hand to hand with our Providers to support their claims submissions and Encounters.
- Leading Claims Dept to a Next Level with a comprensive and robust analisys to make sure have best KPI’s in Puerto Rico Healthcare Industry keeping in mind our Providers and Member experience.
- Support Star Rating Department and CMS Encounters Submissions.
Sep 2016 - Aug 2018
Claims Operations Manager
Claims Adjustments, Reconciliations and Provider Care Unit
Jun 2014 - Sep 2016
Business Configuration Supervisor
All related to QNXT Configuration- Benefits, Contracts, Edits, CPT, Revcodes, ICD10, EDI, Interest, Programs, Providers, Networks, Service Location, Fee schedules, Service Groups
Sep 2012 - Jun 2014
Qnxt Contracts And Claims Configuration Lead
Contracts Team Lead for QNXT Implementation - QNXT Providers Fee Schedules and Contracts
Dec 2008 - Sep 2012
Nov 2005 - Dec 2008
Field Supervisor
Consultec
Sep 2000 - Nov 2005
FAQ
Frequently asked questions about José A. Marcano Bernard
Quick answers generated from the profile data available on this page.
What company does José A. Marcano Bernard work for?
José A. Marcano Bernard works for MMM Holdings LLC.
What is José A. Marcano Bernard's role at MMM Holdings LLC?
José A. Marcano Bernard is listed as AVP of Claims at MMM Holdings LLC at MMM Holdings LLC.
Where is José A. Marcano Bernard based?
José A. Marcano Bernard is based in Puerto Rico, Puerto Rico, Puerto Rico while working with MMM Holdings LLC.
What companies has José A. Marcano Bernard worked for?
José A. Marcano Bernard has worked for Mmm Holdings Llc and Consultec.
How can I contact José A. Marcano Bernard?
You can use AeroLeads to view verified contact signals for José A. Marcano Bernard at MMM Holdings LLC, including work email, phone, and LinkedIn data when available.
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