Eliza P.

Eliza P. Email and Phone Number

In three words I can sum up everything I've learned about life: it goes on. @ Centene Corporation
Roseville, CA, US
Eliza P.'s Location
Roseville, California, United States, United States
Eliza P.'s Contact Details

Eliza P. work email

Eliza P. phone numbers

About Eliza P.

With over 5 years of experience in customer service and patient care roles, I am a dedicated professional with a passion for assisting others.In my previous role as a Patient Services Representative at Dignity Health, I honed my skills in patient communication, scheduling appointments, and updating patient information accurately and efficiently. Additionally, my experience as a Claims Examiner at Anthem Blue Cross allowed me to develop strong analytical skills, attention to detail, and the ability to process claims in accordance with regulatory requirements.Currently working as an Usher at Thunder Valley, I excel in providing exceptional guest service by assisting with seating, accommodations for ADA guests, and resolving disputes in a calm and efficient manner.I am a strong communicator, both verbally and in writing, and excel in problem-solving and conflict resolution. I am comfortable working in a fast-paced environment and am adept at multitasking and prioritizing tasks effectively. I am committed to providing excellent customer service and ensuring the satisfaction of those I serve.

Eliza P.'s Current Company Details
Centene Corporation

Centene Corporation

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In three words I can sum up everything I've learned about life: it goes on.
Roseville, CA, US
Website:
centene.com
Employees:
33823
Eliza P. Work Experience Details
  • Centene Corporation
    Centene Corporation
    Roseville, Ca, Us
  • Centene Corporation
    Appeals Coordinator
    Centene Corporation Dec 2024 - Present
    Saint Louis, Mo, Us
  • Blue Shield Of California
    Medicare Representative
    Blue Shield Of California Aug 2024 - Dec 2024
    Oakland, California, Us
  • Dignity Health
    Patient Service Representative
    Dignity Health May 2021 - Dec 2024
    San Francisco, Ca, Us
  • Anthem, Inc.
    Claims Examiner
    Anthem, Inc. Feb 2020 - Feb 2021
    Indianapolis, Indiana, Us
    Reviews, analyzes, and processes non-complex claims in accordance with external accreditation and regulatory requirements, internal policies and claims events requiring adaptation of written response in clear, understandable language. • Utilizes guidelines and review tools to conduct extensive research and analyze the correspondence and appeal issue(s) and pertinent claims and medical records to either approve or summarize and route to nursing and/or medical staff for review. • Prepares and/or initiates a variety correspondence and documents to respond to inquiries/problems• Updates/manually processes/adjusts claims and/or records as appropriate
  • Anthem, Inc.
    Inbound Customer Service Representative
    Anthem, Inc. Jan 2017 - Jan 2020
    Indianapolis, Indiana, Us
    Responds to telephone, verbal and/or written inquiries regarding claims, company offered plans, policies and/or procedures, provider contracts, eligibility and claims• Utilizes appropriate reference materials to research information respond to inquiries and resolve problems• Prepares and/or initiates a variety correspondence and documents to respond to inquiries/problems• Updates/manually processes/adjusts claims and/or records as appropriate
  • Envision Rx Options
    Pharmacy Technician
    Envision Rx Options Aug 2012 - Nov 2016
    Research claim reject messaging associated with coverage determination and redeterminationConfiguring coverage determination and redetermination outcomes in the adjudication system, per contract terms or upon client request, after completion of initial review by the pharmacist or clientRespond to routine inquires and correspondence regarding coverage determinations and redeterminations with members, providers, and pharmacies as applicable for specific clients and log all communication in customer service tracking moduleCompile data supporting detail for reporting response to the IRE for Medicare clients knowledge of federal regulations relating to COBRA, FMLA, HCFA, HIPAA, and other laws and regulations governing employee welfare benefit plansKnowledge and experience in Medicare Part D and Commercial PlansPerform user-acceptance testing on system enhancements including creating test plans, documenting and communicating test results
  • Walmart
    Pharmacy Technician
    Walmart May 2016 - Sep 2016
    Bentonville, Arkansas, Us
    Organized medications for pharmacist to dispense by reading medication orders and prescriptions; preparing labels; calculating quantities; assembling intravenous solutions and other pharmaceutical therapies.
  • Health Net
    Clinical Coordinator
    Health Net Sep 2011 - May 2012
    Woodland Hills, California, Us
    Knowledge of Coordination of Care, Medicare regulations, prior authorization, level of care and length of stay criteria sets desirableDemonstrated professional judgment, and critical thinking, to promote the delivery of quality, cost-effective care. Made clinical decisions based on medical necessities including intensity of service and severity of illness within contracted benefits and appropriate level of care
  • Filemaker Inc., An Apple Subsidiary
    Data Entry Clerk
    Filemaker Inc., An Apple Subsidiary Apr 2011 - Aug 2011
    Santa Clara, Ca, Us
    Updated information in the computer systemShipped and received Apple products Assist in maintaining the operating system and security software utilized on the network, including the addition of new users to the network and establishment rights and privilegesAdministration of company servers and user accounts/ permissions
  • Savemart Stores Inc
    Cashier
    Savemart Stores Inc Jan 2002 - Dec 2008
    Provided exceptional customer serviceMade cash transactions Managed multiple phone linesOperated cash register for the store and served about 300 customers per dayMaintained store inventory, vendor relation and customer relationCalculated total payments received during the day

Eliza P. Skills

Pharmaceutical Industry Pharmacy Pharmacology Project Management Project Planning Microsoft Project Microsoft Excel Process Improvement Appeals Medical Terminology Medical Records Clinical Research Healthcare

Eliza P. Education Details

  • Coursera
    Coursera
    Information Technology
  • Folsom Lake College
    Folsom Lake College
    Project Management
  • Folsom Lake College
    Folsom Lake College
    Associate'S Degree
  • Asher College
    Asher College
    Medical/Clinical Assistant
  • Asher College
    Asher College
    Pharmacy Technology
  • Oakmont High School
    Oakmont High School
    General Studies

Frequently Asked Questions about Eliza P.

What company does Eliza P. work for?

Eliza P. works for Centene Corporation

What is Eliza P.'s role at the current company?

Eliza P.'s current role is In three words I can sum up everything I've learned about life: it goes on..

What is Eliza P.'s email address?

Eliza P.'s email address is da****@****ail.com

What is Eliza P.'s direct phone number?

Eliza P.'s direct phone number is +191658*****

What schools did Eliza P. attend?

Eliza P. attended Coursera, Folsom Lake College, Folsom Lake College, Asher College, Asher College, Oakmont High School.

What are some of Eliza P.'s interests?

Eliza P. has interest in Health.

What skills is Eliza P. known for?

Eliza P. has skills like Pharmaceutical Industry, Pharmacy, Pharmacology, Project Management, Project Planning, Microsoft Project, Microsoft Excel, Process Improvement, Appeals, Medical Terminology, Medical Records, Clinical Research.

Who are Eliza P.'s colleagues?

Eliza P.'s colleagues are Rachel Bennett, Ryan Litteken, Austin Greer, Suvash Gautam, Jon West, Amphawan Soisak, Nicole Kaplan.

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