Elizabeth Vitale Email & Phone Number

Roseville, California, United States

Rocklin, Ca

• Contact providers, generate authorization and prepare medical records to facilitate appointments for injured workers• Coordinate medical treatment with third-party administrators and attorneys for the injured workers• Addresses and responds to incoming/outgoing calls and correspondences in a timely and professional manner while ensuring compliance with all protocols• Created and maintain Policies and Procedures handbook to facilitate the transition of employees to the department• Assisted with creating new network and provider database • Maintain providers and medical groups for the Medical Provider Network (MPN)• Generate and mail notices (Transfer of Care, Continuity of Care, End of MPN Notices)• Create, distribute and maintain Panel Cards for multiple large companies • Monitor Continuous Queries on providers in the Medical Provider Network using the National Provider Database website• Credential, contract, and maintain annual validation of existing or new providers• Access Utilization Review department’s reports on potential providers requesting to join the Medical Provider Network• Review Council for Affordable Quality Healthcare (CAQH) credentialing applications for accuracy and contract completion/commitment

Rancho Cordova, Ca

• Reviewed Provider Information Form (PIF) for accuracy and contract completion/commitment• Accurately entered provider data into iDocs and Mercury systems• Efficiently updated provider information systems• Added providers to roster in Council for Affordable Quality Healthcare (CAQH) via internet website access• Determined eligibility for Veterans to receive care in Choice program• Verified appointments and receipt of medical documentation• Communicated with Veteran Affairs to assist in Veterans receiving care• Completed urgent error reports before deadlines• Researched authorizations to resolve urgent/escalated claims and grievances• Updated computer system, with current and accurate information• Conducted Audits and Escalations reports• Ran Quality Assurance checks on employees to ensure duties were being performed accurately• Able to exceed deadlines regarding daily Veterans Episode of Care • Processed Request For Additional Service documents accurately and in a timely manner

Rocklin, Ca

• Greeted and assisted customers with locating items in the store• Displayed knowledge of stocking floor correctly and efficiently while working within a strict timeline• Unloaded truck and pushed stock onto floor prior to store opening • Trained new employees to the floor and stocking