Lisbeth Corral Email & Phone Number

Long Beach, California

Verify member eligibility and benefitsRespond to requests for authorization of services submitted to CAM via phone, fax and mail according to Molina operational timeframes. Contact physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director. Notify Care Access and Monitoring Nurses and case managers of hospital admissions and changes in member s status Training new employee’sProcess 70-80 Md’s Returns/ Process 200 Authorizations/ Process Retro Authorizations

San Pedro, California

Identified lack of reimbursement and prompted appropriate appeal strategy for the workers' compensation accounts of doctors, hospitals and surgery centersKept account demographic information current, with an emphasis on adjuster informationGenerated patient files and entered confidential data, ensuring privacy and accuracyManaged insurance claims, dealing with worker's compensation accounts that were assigned to meMonitored inquiries related to billing, insurance, and general informationDeveloped and implemented policies and procedures for collections, insurance claims processing, outstanding collections and data entryResponsible for communicating with the insurance companiesProcessed mail the incoming mails to the appropriate collector