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Work Background
Warner Pacific Insurance ServicesTraining Specialist
May. 2022Westlake Village, California, United States
L.A. Care Health PlanLearning And Development Specialist
Jan. 2019 - Apr. 2022
Molina HealthcareLearning Facilitator
Dec. 2015Greater Los Angeles Area-Conduct training courses for claims department -Develop curriculum for future training courses -Prepare claims staff to perform efficiently and accurately on the floor. -Train Medicaid, Medicare, and Marketplace guidelines and regulations for multiple health plans across the country via classroom setting and Web ex -Create knowledge assessments to test leaners level of comprehension -Conduct post audit coaching to claims personnel -Maintain the training request intake site to ensure the learning team is up to date with all training request -Assist in developing systematic approaches for claims process improvement. -Communicate with claims department leadership regarding training needs and training best practices -Assist technical writing team with creating claims processing guidelines and standard operating procedures, as well as ensuring documents outline current and proper protocols.
Molina HealthcareCorrespondent
Nov. 2014 - Dec. 2015Greater Los Angeles Area-Utilization management triage
-Processing Prior Authorizations for Outpatient and Inpatient medical services -Ensuring that HIPPA protocols and procedures are followed -Corresponding with providers about the status of member authorizations
Molina HealthcareStaffing Coordinator
Apr. 2014 - Dec. 2014Greater Los Angeles Area-Corresponding with Hospital Administrators and Registries to address nurse staffing needs -Inputting Acute Care Department Schedules and communicating with department mangers to make sure that scheduling policies are adhered to - Creating reports using Microsoft Excel to demonstrate acute care department stats, staffing variance, and staffing hours.bb -Corresponding with human resources in order to make sure that all staff credentials are up to date. -Reconciling Invoices -Organizing nursing administration files, and following proper HIPPA protocols and procedures - Filing Death Certificates - Corresponding with The Public Administrator and the Los Angeles County Morgue for deceased patients who become a Public Administrator case.
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