Marilee Gonzalez Email & Phone Number

United States

Shands Uf - Archer Rd, Gainesville

•Review referrals and screen at bedside and/or at point of service for potential eligibility•Contact patient or their representative ASAP to complete the application and acquire all necessary releases, signatures, documents (including the birth certificate), etc.•Submit the application and any acquired documentation in a timely manner to the appropriate agency•Advise the applicant of all additional required documentation needs and time frames for compliance•Thoroughly enter all actions taken in the hospital account and in the internal data base/system•Maintain structured and timely contact with the applicant and responsible government agency, by phone whenever possible•Assist the applicant with gathering any additional reports or records, meeting appointment dates and times and arrange transportation if warranted•As per established protocols, inform the client in a timely manner of all approvals and denials of coverage•Thoroughly enter all actions taken in the hospital account and in the internal data base/systemCertified Application Counselor for the Health Insurance Marketplace

Tower Hill Insurance Group

Investigate and process insurance claims filed by policyholders.Interview claimant and witnesses to gather pertinent information.Handle property claims involving damage to buildings and structures, or liability claims involving personal injuries or third-person property damage.Verify that coverage applies through an insurance policy.Evaluate damages to ascertain compensation amount.Consult police records.Consult with accountants, architects, construction workers, engineers, lawyers, and physicians to get expert evaluation.Examine photographs and statements.Listen to or watch audio or video surveillance.Record data and statements in report.Evaluate all information to determine how claim should be handled.Negotiate with claimant, Public Adjusters, and/or Attorneys to settle claim.Issue payout amounts.Updated job knowledge by participating in educational opportunities.

Gainesville, Florida

Explained human resources policies and procedures to all employees.Answered employee questions during the entrance process.Offered consistent payment disbursement with accurate record keepingof employee PTO and vacation accruals.Generated employee tracking reports each month.Managed personal files according to policy and federal and state lawregulations.Completed payroll processing from start to finish for main company andtwo associated companies for a total of over 350 employees.Ran queries and reports through the ADP system.Handled the “Employee Reward Program”.

Gainesville, Florida

Determined requirements by working with customers.Answered inquiries by clarifying desired information; researching, locating, and providing information.Resolved problems by clarifying issues; researching and exploring answers and alternative solutions; implementing solutions; escalating unresolved problems.Fulfilled requests by clarifying desired information; completing transactions; forwarding requests.Maintained call center database by entering information.Kept equipment operational by following established procedures; reporting malfunctions.Updated job knowledge by participating in educational opportunities.Enhanced organization reputation by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments.

Lincolnshire, Illinois

Responded to initial incoming customer claims.Researched return material authorization requests for approval or denial.Approved and processed credit or debit adjustments for customeraccount.Contacted customer for claim resolution and customer satisfaction.Acted as liaison between customer and internal departments forclaim resolution.Prepared journal entries and adjustments to A/R.Prepared monthly statistical analysis report of claims.Assisted in cash application.Responsible for all claims and credit training.

Lincolnshire, Illinois

Manage accounts by order processing and problem resolution.Act as liaison between customer and sales department.Provide technical product assistance to all customers.Provide back-up support for Sales Specialist in processing sales quotes.Quote prices and credit terms for orders obtained.Maintain accurate account specific pricing, order and general information.