Anthony Sotelo is a Digital Navigator at Nelson Connects.
Nelson Connects
View- Website:
- nelsonjobs.com/nelson-staffing
- Employees:
- 3
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Digital NavigatorNelson ConnectsSacramento, Ca, Us -
Digital NavigatorNelson Connects Mar 2024 - PresentSacramento County, California, United StatesOutreach to disabled and senior community members about their digital device needs under the Digital Equity Act• Provide digital device options• Inform the senior community of the available resources that the agency/State of CA provides -
Contract AdministratorCentene Corporation Oct 2017 - Dec 2023Sacramento, California, United States• Provide support to contract negotiators to ensure successful completion of contracting process.• Maintain spreadsheets and databases; collect, track, prepare, compile, and distribute statistical data for daily and ad hoc reports.• Review new provider contract submissions to ensure contracts are within compliance -
Contract AdministratorCentene Corporation Oct 2016 - Dec 2023Sacramento County, California, United States -
Contract Implementation AnalystCentene Corporation Oct 2016 - Dec 2023Sacramento County, California, United StatesMaintained spreadsheets and collected, tracked, prepared, compiled, and distributed statistical data for daily and monthly reports.Reviewed new provider contract submissions to ensure contracts are within compliance.Maintained and updated on a routine basis the contract organization’s database.Support the contract submission process to ensure confirmation with corporate standards by the Health Plan(s), provided support to the Contract Case ConferencesEnsure that appropriate internal controls are established to account for, and secure hardcopy or scanned images of contracts.Coordinated the Corporate-wide data verification process for contracted providers.Updated contract organization’s databases as necessaryInterfaced with the credentialing staff to ensure all Health Plan data systems are congruent. -
Patient Access RepresentativeEgs Jun 2006 - Aug 2016Rancho Cordova, California, United States• Maintain a professional relationship with the patient while providing excellent customer service and performing assigned duties • Document pertinent patient information and all account work activity in the appropriate systems dictated by the health care facility and Company• Responsible for capturing and documenting all pertinent patient demographic, subscriber, and insurance information (i.e.): patient Policy and ID numbers, subscriber, guarantor, payer address, phone numbers, and other contact information. Documentation must include, benefit effective date, copay, deductible, out of pocket non-covered services responsibilities, co-insurance, stop loss amounts, percentage of coverage and any other pertinent information concerning the specific procedure/clinical service to be performed• Working knowledge of Protected Health Information (PHI), HIPPA
Anthony Sotelo Education Details
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Business Administration And Management, General
Frequently Asked Questions about Anthony Sotelo
What company does Anthony Sotelo work for?
Anthony Sotelo works for Nelson Connects
What is Anthony Sotelo's role at the current company?
Anthony Sotelo's current role is Digital Navigator.
What schools did Anthony Sotelo attend?
Anthony Sotelo attended Heald College-Hayward.
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1dechert.com
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Anthony S.
San Francisco Bay Area -
Anthony Sotelo
Senior Project Manager, Awci-Pm At Mowery Thomason, Inc.Los Angeles Metropolitan Area1mowerythomason.com1 +156224XXXXX
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