Stephen Chamroeun Email & Phone Number

Rancho Cucamonga, Ca, Us

- Collaborated with team members to create or update training material.- Established learning objectives with new hires to ensure expectations are understood.- Initiated practice scenarios and questionnaires to ensure that training delivery is efficient.- Collected feedback by sending out surveys to new hires to determine additional needs for future training.- Identified trending learning opportunities for future training by collaborating with the Grievance & Appeals Quality Assuance team.

Rancho Cucamonga, Ca, Us

- Assist in forwarding Member complaints to physicians issues are in regard to.- Indicate whether additional cases are required to investigate multiple issues against physicians. - Determine if immediate assistance is sought out for within the Member grievance statement and route accordingly to appropriate teams.- Investigate Member and physician statements to substantiante or unsubstantiate the stances of both parties involved. - Provide education based on determination of grievance resolution when necessary.

Rancho Cucamonga, Ca, Us

- Accurately documented material requests to ensure that cases were presented properly when issues arise.- Utilized effective problem solving skills to assist members with IEHP Health Account issues.- Consulted with the Pharmacy, Behavioral Health, Health Education, Grievance, and Care Management departments in regard to member care.- Developed understanding of evidence of coverage handbook in order to reduce average handle time with customers. - Collaborated with Quality Assurance team on audit issues to ensure appropriate standard workflow is followed.

Franklin, Tn, Us

- Informed members nationwide of their silver sneakers gym benefit.- Efficiently checked member eligibility for benefit by utilizing excel sheet of health plans that qualify.- Ensured qualified fitness locations are determining eligibility properly by outbound calling.- Actively participated in fitness classes with members to build effective relationship for member satisfaction. - Responsible for processing requests for fitness program dvd, medicinal ball, free weight, and member pamphlet.