Kate Knutson Email & Phone Number

Manages the Compliance function, HIPAA Program, Internal Audit and Monitoring Program, Program Integrity Program (anti-Fraud, Waste and Abuse function), and the Delegate Oversight Program. Oversees a team of six while acting as a subject matter expert for the organization on Compliance functions and departmental operations.

Scotts Valley, California

Daily supervisory oversight of the Compliance function, the Health Insurance Portability and Accountability Act Program, the Internal Audit and Monitoring Program and regulatory audit processes, the Delegate Oversight Program, the Program Integrity function as well as All Plan Letter/Legislation implementation and the plans Policy processes. - Supported.

Supervised the day-to-day activities related to the plan’s Special Investigations Unit and the Fraud, Waste & Abuse Prevention program. This included training, mentoring and managing the performance of the Program Integrity Specialists through the evaluation and resolution of approximately 550 referrals of potential fraud, waste and/or abuse..

Conducted investigations into potential fraud, waste and/or abuse referred to/identified by the plan’s Special Investigations Unit. Assisted with conducting program training/education to new hires and undertook administrative and staffing duties in support of Compliance leadership.- Leveraged excellent analytical and critical thinking skills to identify.

Watsonville, CA

• Provided case management and mental health services for eight clients in a 16 bed facility. Developed and maintained positive relationships with clients and respective treatment teams. Managed heavy administrative.
• Processed all necessary documentation (insurance forms, mental health case work, collecting identification.)
• Met and exceeded daily billing requirements and completed MediCal… Show more Provided case management and mental health services for eight clients in a 16 bed facility. Developed and maintained positive relationships.
• Met and exceeded daily billing requirements and completed MediCal documentation within deadline parameters (daily progress notes, services plans, assessments, etc.)
• Collaborated with client’s treatment team inside and outside facility in person, over the phone and via email correspondence.
• Arranged and attended meetings, as necessary, with various team members to strategize and resolve occurring or potential issues regarding client’s mental health stability.

Los Gatos, CA

• Full time care of non-verbal 7 year old with low functioning Autism Spectrum Disorder and seizure disorder.
• Developed and applied a communication system to more easily identify child’s needs.
• Created and implemented tracking procedures to record and chart child’s daily developmental progress.
• Reduced negative behaviors and increased social interactions by developing a customized language tool.
• Supervised teaching methods utilized by alternate… Show more Full time care of non-verbal 7 year old with low functioning Autism Spectrum Disorder and seizure disorder.
• Supervised teaching methods utilized by alternate staff.

San Francisco Bay Area

• Managed heavy administrative duties including handling multiple phone lines, tracking and distribution of incoming mail, producing and preparing marketing tools, and performing research for associates as assigned.
• Accurately transcribed and edited court documents.
• Answered phones, assisted clients and directed calls to staff.
• Planned, coordinated and scheduled travel arrangements as well as trip planners and calendaring.
• Efficiently managed office… Show more Managed heavy administrative duties including handling multiple phone lines, tracking and distribution of incoming mail, producing and preparing marketing tools, and performing.
• Efficiently managed office correspondence and maintained client records/files. Show less

Scotts Valley, CA

• Digitized documents to identify and store online in AcceLIM’s web-based data repository for retrieval continued work.
• Managed accounts payable processing against purchase orders.
• Notified customers of discrepancies and assisted in resolving issues.