Lesette E. Email & Phone Number

San Jose, California, United States

• Act as the primary point of contact and liaison for SCFHP members and providers contactingthe plan regarding general inquiries, concerns or requests for information.
• Answer inbound calls and/or place outbound calls in a high call volume environment and workdirectly with members and providers to accurately and completely answer inquiries involving SCFHPprogram services and.
• Attend and actively participate in daily, weekly, and monthly departmental meetings, in-services,training and coaching sessions. Follow established guidelines and resources to respond to member and provider inquiries.

San Jose, California, United States

PROFESSIONAL BILLING-Responsible for the timely and accurate processing of patient accounts for PB-Follows up on unpaid accounts with the payers either by phone or via websites-Work payer denials based on claim process adjudication; Review accounts for possible underpayments; research contracts, guidelines and resolve payment with payer-Perform appeals and.

Mountain View, California, United States

FACILITY BILLING-Claim denial-HCPC, Rev Coding-Appeals -Contract knowledge

San Jose, California, United States

Register patient demographic, verify health insurance, general admitting and Emergency room experience, admit labor and delivery patients, transfer patients on emr,HMO vs PPO, knowledgeable of authorization approvals, able to multitask efficiently

Cupertino, California, United States

Check in patients for healthcare services, register worker compensation paperwork, file medical records, verify all insurance eligibility, collect cash payments, following HIPPA guidelines, updating patient demographics

San Francisco Bay Area

Register and update patient insurance and demographics, Verify health insurance over the phone and via website, contacting third party administrator for instance, typing WPM over 55, knowledge in all insurance plans and type of plans such as HMO vs PPO, POS, EPO and in network- out of network eligibility