Sergio B Email & Phone Number

Arcadia, California, United States

Arcadia, California, United States

• Responsible for enabling the member’s connection with (PCP) Primary Care Physician in our medical group and helping schedule their first PCP appointment if needed.
• Responsible for educating members on medical group and program services using compassion and respect to ensure each new member is positioned for long term wellness.
• Assess member’s needs for personalized onboarding to appropriate resources and services
• Interact harmoniously and effectively with others, focusing upon the attainment of organizational goals and objectives through a commitment to teamwork.
• Investigate and direct member inquiries to appropriate staff and follow up to ensure satisfactory resolution.
• Identify common barriers to member retention such as: member engagement with Primary Care Provider, specialists, identify pending authorization/referral transfers to new medical group, and maintenance of up-to-date.

Arcadia, California, United States

Arcadia, California, United States

• Managed operations of East West/San Gabriel IPA provider networks in the region.
• Direct interface between Optum and provider offices.
• Distributed financial payments to providers and other program incentives.
• Delivered continuous education to providers/staff on policies procedures defined by Optum and contracted Health plans.
• Resolved network and member complaints regarding IPA networks.
• Liaison between central departments and East West/San Gabriel IPA networks.

Alhambra