Denise Malone Email and Phone Number

•Instruct and review patients’ information concerning hospitalization. •Ascertain health plan status and research eligibility, and collect and copy non-Kaiser insurance information.•Identify all uninsured or under-insured patients admitted to the facility and refer them to Financial Counselors for further action.•Obtain verification and necessary pending authorizations from non-Kaiser insurers (including Medicare, Medi-Cal, and COB) on members and non-members when the Financial Counselors are unavailable. •Ensure all documentation is completed in the Member Integrated Tracking System (MITS) or the appropriate Kaiser tracking system.

Ensure staffing needs are met for hospital nurses.Understand and process staffing according to collective bargaining agreements.Answer inbound calls regarding employee schedules and report to appropriate channels.Performs other related duties as assigned.Collects information or data and performs data input to maintain established databases.

Payroll and platform support.

Statewide Medicare California Grievance Operations

Human Resources RepresentativeSubject Matter Expert for Employee Leave of Absence

Call Center environment answering calls regarding payroll, benefits, and other HR needs.

Taking inbound calls regarding benefits, claims and provider listings.Updating member contact information.Responding to request for grievance packages, I.D. cards, and notice of payment or actions.Created acknowledgement letters to written request.Scanning documents into computer system.