Kimberly Le Email & Phone Number

Orange, Ca

Guide members in understanding and accessing the benefits they are entitled to under the OneCare Connect program. Provide members with information to help them distinguish between Medi-Cal and Medicare benefits/claims processed through the OneCare Connect program. Maintain documentation of member cases within the FACETS system. Participate in departmental phone outreach campaigns on a regular basis. Other projects and duties as assigned.

Sacramento, California

· Preparing workshops and classes· Emailing and contacting clients· Advertising and Public Relations· Attending Events· Attending and assisting with workshops and classes· Evaluating health information· Posting and updating materials on social media sites· Online Advertising and emailing marketing· Other clerical tasks including but not limited to: sorted mail, cleaned conference and mail rooms,assisted/greeted visitors, and supported other department managers, staff, faculty, and students.

Cypress, Ca

Answer phones and respond to customer requests. Provide customer with product and service information. Provide explanation of benefits and plan documents.Identify, research, and resolve all member and provider issues.Resolve benefit and claims issues.Incorporate plan policies and procedures for the operation of daily activities. Respond to requests concerning the interpretation of plan policies and procedures.Screen, examine, and verify documents for correctness, appropriateness, adequacy, andconformity to establish requirements and follow up on discrepancies.Follow up on member inquiries not immediately resolved using established guidelines.Complete call logs and reports.Assist with all aspects of enrollment and eligibility including but not limited to, enteringenrollment applications, enrollment and disenrollment procedures, appeals and grievanceprocedures, demographic changes, etc.Respond, research, and fill requests for informational materials as well as ensure adequateinventory of materials concerning the service.Understand regulations surrounding the capitation process.Recognize, document, and alert the manager of trends in customer calls.Recommend process improvements. Ensure the privacy and security of Protected Health Information (PHI) as outlined in theCompliance Program.Other duties as assigned.

Fresno, California

· Provide medical and social interpretation services for patients and health care professionals in hospitals, clinics, and medical offices throughout Northern California, including interpreting clinical procedures, health information, medical treatment, lab results, policies, and procedures.· Provide sight medical translations.· Promote professional interpreting standards adhering to the Interpreting Code of Ethics.· Assist medical staff and/or patients to schedule various medical and/or community resource appointments by telephone/or letter.· Assist clients with any health services forms and application.

Stockton, California

· Provides excellent customer service to elderly with multi disabilities through telecommunications.· Follow procedural scripted activities with each customer call.· Aids customers with phones troubleshooting and operations.· Provide program information to eligible customers.· Managed customers expectations by clarifying needs and identifying options.· Ensures all customers are satisfied with program.· Create well documented, grammatically correct call activity notes.

Stockton, California

· Engage with customers in order to provide to them what they need in terms of product and quality services.· Maintain work area in according to company standards cleanliness and hygiene.· Identified customer needs and respond accordingly.· Worked closely with Sales Managers and Department Manager.· Worked effectively under pressure.· Organized inventory and prepared for the opening and closing of the store site.· Provided customer service in the form of POS transactions, fittings, merchandising, and inventory.· Receiving and stocking new merchandise on the sales floor.

Stockton, California

· Developed and organized lesson plans, materials, and program's functions/events for students and parents; assisted students with homework, and directed/instructed volunteers where needed.· Cleaned, secured, and maintained safety of facilities at all times, greeted and assisted parents with sign out procedures.· Monitored students' attendance records, academic progress, and social behaviors; notified parents and teachers when needed.· Provided positive solutions and feedback to students

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Associate'S Degree, Business Administration And Management, General, Liberal Arts And Science

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