Eric Andal Email & Phone Number

Orange County, California, United States

Orange County, California Area

Orange County, California Area

Provide coordination of administrative functions for the Executive and associated department staff that is responsive to customer needs and supports fulfillment of Heritage Provider Network and Regal Medical Group mission and values. Assist in Network growth and development.Maintaining and updating the appropriate databases and department tools with statuses. Coordinate receipt and processing of all provider contracts, credentialing, and correspondence. Responsible for initial review of all credentialing applications prior to submission to RMG Contract for completion and accuracy. Working collaboratively with Network Managers during the contracting process to ensure department goals and requirements are being met. Daily interaction with regional providers. Ensure contract compliance and adherence to DMHC, DHS, CMS and oher regulatory agencies as required by contracting HMOs. Internal network liaison for Database, Claims, Customer Service, Medical Management, and Provider Relation Departments. Perform on-site visits to physicians, physician groups, hospitals and ancillary providers.Maintain patient confidentiality so that HIPAA compliance is observed at all times.

Covina, Ca

Vital Care High Risk Case Management DepartmentAssist nurse case managers in developing a comprehensive care plan for high-risk patients. Coordinating nurse-care outreaches and facilitate PCP and specialist appointments. Monitoring the members compliance with physician's orders, referrals, and generating authorizations. Participating in patient education regarding urgent care, hospice, and other issues related to chronic disease care while the primary patient goal is to reduce and prevent re-admissions. Requesting hospice evaluation orders, H&P notes, hospital DC summary, and other medical records. Adaptation to working with Special Needs Program (SNP) and Cal Medi_connect (CMC) members.

Rancho Cucamonga

Development and implementation of coordination for patient therapy which included physical, occupational, and speech therapy. Handled home care nurse assistance objectives. Supervised and coordinated external field nurses. Office duties including but not limited to filing, data entry, generate patient charts,etc. Entered payroll notes weekly.

Temecula

Worked closely with the case management program for home health cases. Liaison to patient/patient care giver and office personnel. Worked closed with recruitment team to seek potential nurses for staffing. Oversee facility accounting and payroll submissions.

Walnut And Hacienda Heights

Handling of accounts receivable, collections, billing, and various financial reporting. Provided assistance in customer service programs. Assisted with claims department on certain cases.

Bachelor'S Degree, Business/Managerial Economics

Bachelor’S Degree, Economics/Administrative Studies

Activities and Societies: Alpha Phi Omega