Lorena Lipovetsky Email & Phone Number

United States

Scotts Valley, CA

I ensure the accuracy and completeness of provider dispute case documentation and compliance with regulations and requirements related to the Alliance Provider Dispute Resolution process. I develop and oversee the quality assurance function. I supervise, mentor and train team members. I am grateful to continue to support the mission and vision of Central.

Scotts Valley, CA

Scotts Valley, CA

• I support the administration and / or resolution of high complexity cases in support of the Alliance Grievance function.
• Work within established guidelines and procedures to resolve all assigned cases using the Alliance complaints and disputes tracking system.
• Maintain and measure compliance with regulatory timelines and notification requirements for case resolution.
• Electronically house and distribute dispute cases to the appropriate departments within the Alliance.
• Research the details and history of a case and create a clear timeline of events.
• Communicate, both orally and in writing with Alliance providers when needed.

Scotts Valley, California

I supervised the daily activities of the Customer Service Representatives.I developed, implementedand participated in both departmental and cross-departmental projects, work groups and committees. I hired, trained and oversaw the CSRs in their daily operations.I monitoref and evaluated the day-to-day work of the CSRs.I conducted regular one on one staff.

Scotts Valley, California

Under supervision, I represented the Central California Alliance for Health (the Alliance) as the first line of contact for members, providers and community partners. I responded to and resolved customer inquiries and requests through a variety of portals including in-person, phone, e-mail, fax, web, and written correspondence. I assisted members with.

San Salvador, El Salvador, Central America

Purchasing Manager: I purchased educational materials from vendors in the United States. I was responsible for appropriate, timely payment to these vendors. I coordinated shipment of the materials to El Salvador. I checked each order for accuracy upon receipt and finally delivered materials to the appropriate department. In close communication with the.