Trisha Le Email & Phone Number

San Francisco, Ca, Us

-Develop, manage, and monitor operational processes supporting the HSF Program including billing, communications, medical home management, inquiry management, participant eligibility and enrollment, utilization of services, and reporting.-Participate in HSF strategic planning, including development of annual project and initiative road maps.-Lead and manage complex projects and initiatives related to HSF billing improvements, system enhancements, user experience research, technical updates, HSF provider network changes, participant communications, and all other program operations.-Create and maintain documentation for the program, including desktop procedures, process flows, user guides, data definitions, and business rule documents. Review documentation on a quarterly basis.-Provide subject matter expertise to internal partners, such as HSF Customer Service, Enrollment Services, Coverage Programs, Marketing, ITS, and enrollment and eligibility.-Provide support and feedback to the program specialists and serve as an escalation point for complex cases and process questions.-Manage escalation and issue resolution with internal and external vendors and stakeholders.-Coordinate resolution of operational issues with external partners and/or SFHP departments as needed.-Serve as the liaison to Marketing, and assume responsibility for the implementation of standard HSF participant and provider communications, collateral updates, website scrubs, and ad-hoc outreach campaigns-Collaborate with data analysts to ensure accurate and relevant data reporting to support daily operations, program monitoring, and compliance. Review monthly and quarterly reports to the SFDPH-Effectively use data and metrics to inform program and process design.-Serve as primary point of contact for internal and external vendors and stakeholders, including managing recurring meetings and developing relationships.

San Francisco, Ca, Us

-Develop, manage, and monitor operational processes supporting the HSF program. This includesparticipant eligibility and enrollment, utilization of services, communications, billing, andreporting.- Participate in HSF strategic planning, including development of annual project and initiativeroadmaps.-Lead and manage projects such as health policy or HSF provider network changes, participantcommunications, user experience research, systems enhancements, technical updates, billingimprovements, etc.-Oversee the development and delivery of training materials. Ensure internal staff are adequatelytrained on Healthy San Francisco program rules and systems.-Create and maintain documentation for the HSF Program, including desktop procedures,process flows, user guides, data definitions, and business rule documents.-Provide HSF subject matter expertise to internal partners such as HSF Customer Service,Enrollment Services, Policy Department, Marketing, ITS, enrollment and eligibility.-Coordinate resolution of operational issues with external partners and/or other SFHPdepartments, as needed.-Responsible for HSF participant and provider communications.-Collaborate with data analysts to ensure accurate and relevant data reporting to support dailyoperations, program monitoring, and compliance.-Effectively use data and metrics to inform program and process design.-Serve as primary point of contact for internal and external vendors and stakeholders including marketing projects, managing recurring meetings, and developing relationships.-Manage escalation and issue resolution with internal and external vendors and stakeholders.-Supported HSF Billing UAT and validation for HSF Connect Phase 2 system enhancements.-Leading payment options expansion project for HSF

San Francisco, Ca, Us

Additional responsibilities include: -Assist with delivering New Assistor Trainings quarterly -Point of contact for HSF Billing and Eligibility issues -Process financial assistance requests from participants dealing with hardships from the COVID-19 pandemic -Assist and provide feedback with One-E-App and billing processes and system improvements -Assist with participant noticing regarding pharmacy changes, participant extensions, and reinstatement’s -Assist with HSF collateral and website updates -Escalate and resolve HSF complaints within 45 days-Assist with drafting and reviewing monthly and quarterly reports for HSF-Assist with provider and assistor inquiries via email or phone queue -Update HSF Medical Home Network bi-weekly (M/F) of medical home open/close status (monthly capacity limits)-Support with reviewing provider invoices and confirming encounter data -Respond to liens and subpoenas received on behalf of HSF participants -Research and resolve issues around system discrepancies between One-E-App and the HSF Premium Billing System-Perform Dual Eligibility Audits between HSF and SFHP Medi-Cal-Point of contact for all HSF Marketing requests

San Francisco, Ca, Us

-Support Healthy San Francisco (HSF) with daily billing functions for all Healthy San Francisco participants. This ensures HSF participant invoices are generated and that HSF waivers, ESR discounts and waivers, credit memos are applied to appropriate participants utilizing Microsoft Great Plains (GP)-Support San Francisco City Option (SFCO) with remote employer check processing utilizing programs such as ESR-Support with Medical Home Management by sending bi-weekly medical home capacity status-Assist with provider calls and escalated issues-Support with provider grant payment verification and approval-Support HSF Program Management with various projects and on-going efforts.-Assist with monthly quarterly, and annual HSF Operations reporting-Respond and resolve all HSF email inquiries from internal and external inboxes within two business days-Respond and resolve all HSF Assistor inquiries within two business days

San Francisco, Ca, Us

-Verify eligibility for San Francisco CCHIP/Healthy Kids (HK) members through transactions received from Department of Health Care Services (DHCS)-Merge transactions onto the HK Ops Team's working file to process eligible, discontinue, and conditionally eligible transactions with given turnaround times-Research and resolve CCHIP/HK eligibility discrepancies during renewals, children transitioning from Medi-Cal to HK, or with new applicants applying for coverage through Covered CA-Utilize critical thinking skills and analysis to resolve eligibility discrepancies that may affect household's eligibility for health care coverage through Covered CA-Conduct outreach calls and provide assistance for potential and existing CCHIP/HK members-Escalate eligibility inquiries to Covered CA's County Liaison Helpline (CLH) to report changes or updates to CCHIP/HK applications -Provide administrative support to the Coverage Programs team, including scheduling, coordinating meetings, and completing project tasks- Updated internal systems to reflect the information provided from outreach or resolution of CCHIP/HK cases-Assist with processing Premium Assistance forms for households facing financial hardships-Maintain and update household information of outreach outcomes, eligibility discrepancies, demographic discrepancies, and findings for CCHIP/HK members-Assist HK Ops Team with updating CCHIP/HK Desktop Procedures (DTPS) with current standard recurring processing

-Manage dentists' and hygienist schedules by confirming and scheduling patient appointments -Contacted patients for reminder calls for upcoming appointments-Managed a multi-line phone system and greeted all patients upon arrival-Verified patient's eligibility and claims status with insurance agencies-Accurately maintained all patient records including personal and medical information with HIPPA guidelines-Upkept office cleanliness standards by organizing and filing patient files properly -Assisted Dental Hygienists with Periodontal charting and inputted patient's periodontal data into Easy Dental -Calculated insurance copays for basic and major dental procedures

Neuilly Sur Seine, Ile De France, Fr

-Achieved certification as a Certified Color Consultant-Set personal customer service standards ensuring trust, respect, and comfort with clients-Attended and responded to client inquiries on beauty products to all clientele-Educated clients on beauty products that best fit their coloring, skin-type, and facial shape-Conducted custom make-overs and mini-make overs on clients, utilizing artistic skills to create customized looks for clients based on prior consultations-Maintaining high standards of a safe, clean environment to drive a positive client experience-Given the opportunity to be Operations Director in Charge, which assists the store with inventory, stock checks, and back of house operations-Maintained standards of cleanliness and stock for each display-Maintained an awareness of all promotions -Assisted with client transactions via cash register and mobile devices-Awarded Via Monthly Winner of October 2017-Awarded Most Successful BOP Owner 2017

San Francisco, Ca, Us

-Created patient profiles for patients of San Francisco Health Plan-Completed data entry for all patients demographic and insurance-Educated patients via outreach about asthma, diabetes, and hypertension screenings-Scheduled and cancelled appointments based on patient's and staff's availability-Established and increased long-term patient relationships through customer service to callers via telephone-Completed 240 hours of voluntary service

San Francisco, California, Us

-Quickly established credibility with clients, creating a friendly rapport with customers-Demonstrated outstanding customer service, resolved customer concerns, and helped build customer loyalty-Assisted Service Manager and Lead Teller with daily vault balancing and bank deposits-Performed as a team member in cross-selling bank products to customers at every opportunity regarding accounts, credit cards, and loans-Ensured cash drawer was balanced and all supporting documentation was accurate with client transactions-Responded to client inquiries while identifying critical transactional issues or discrepancies to provide solutions-Adhered to strict, safe deposit box operations and guidelines-Greeted and assisted customers in a friendly and professional manner-Accurately processed cash withdrawals and deposits, cashier checks, statement transactions, and merchant cash orders

Tokyo, Jp

-Ensured that each customer received outstanding service by providing a clean, friendly environment-Processed all customer transactions, returns, and alterations-Maintained company's expectations of cleanliness of all clothing displays and store hygiene -Assisted with morning and evening bank deposits, paperwork, and balancing all register tills-Assisted with daily store opening and closing procedures-Organized clothing stations with high standards-Trained employees in sales techniques, providing excellent customer service, problem solving and daily operations-Remained flexible and adjusted to environmental and customer service situations-Promoted to Cashier to Cashier Supervisor and Manager on Duty in 2014-Employee of the month in September 2014

Lynnwood, Wa, Us

-Strong product knowledge and understanding of target customers-Completed all tasks assigned by manager in a prompt manner-Organized and maintained a safe work environment to drive customer experience-Operated cash register receiving and processing funds-Helped drive company's daily sales goals by selling merchandise to customers based on their needs

Chicago, Illinois, Us

-Ensured area was clean and up to company standards-Provided excellent customer service while taking orders and handling money-Handled currency and credit transactions quickly and accurately-Followed procedures for safe food preparation, assembly, and presentation-Able to work amongst with a diverse staff and resolve issues that arise in the workplace-Obtained skills to operate beverage machines and deep fryer