Kenny Chen Email & Phone Number

United States

Receive, review and respond to internal and external eligibility/OHC inquiries.Analyze, report root cause and trending of eligibility file processing errors; apply appropriate resolution.Reconcile member eligibility from various reports to ensure accuracy.Identify human errors in member’s eligibility and PCP assignment.Research, update, and report OHC information to DHCS.Implement or update desktop procedures to improve efficiency and services.Contact member for eligibility, demographic and PCP update.

San Mateo County, California, United States

• Identify and report eligibility discrepancies• Confirm OHC with members and summit add/removal request• Reassign PCP to members after OHC removal• End date PCP for member due to OHC addition• Research and response to eligibility emails from members or other departments• Verify, research eligibility for incoming bills from members• Provide high standard customer services on the phone• Resolve issues by researching varies resources and communicating with other departments • Document member conversation and internal workflow thoroughly• Constantly adapt to Medi-Cal benefit changes and operational changes• Explain benefits and educate members for their health plan information and network• Report work process improvement recommendations to supervisor/manger

• Answer calls and process patients and MD office's request• Call insurance companies to resolve claim rejection and verify eligibility • Verify prescriptions and request new refills for patients• Create and update patient's profiles• Type and fill prescriptions following laws and regulations• Assign, supervise and help customer service clerks perform different tasks • Maintain cash flow and balance in store• Provide customer service in store and on phone• Perform routine merchandise on-hand verification and correction• Scan out and order merchandise• Receive warehouse distribution and update on-hand availability

Bachelor'S Degree, Biochemistry, 3.73

Associate Of Science - As, Biology/Biological Sciences, General, 3.66