DAVIENG LINTHALATH
Lakeville
Summary
- To secure a position within an organization where I will utilize my skills and knowledge while becoming a valuable asset in a diverse environment.
- Provides enrollment support to operations of contracted plans related to Minnesota Senior Health Options (MSHO), SNBC and PMAP.
- Reviews and analyzes data/information received relating to MSHO, SNBC, PMAP and Medicare enrollment and outcomes by the deadline. Meeting compliance and regulations rules.
- Innovative problem-solving skills with the aptitude to understand and communicate issues in a professional and respectful manner.
- Detail-oriented individual who can adeptly handle multiple projects, priorities, and personalities, and works well with minimal supervision.
- Highly flexible team player who creates a positive work environment and provide exceptional customer service.
- Strong computer skills with proven ability to develop, create, and maintain technological systems.
- Inter-culturally competent with a strong commitment to cultural, religious, and ethnic diversity.
- Works well independently when it comes to investigate, analyze documents for discrepancy.
Overview
24
24
years of professional experience
Work History
RiverView Electronic Enrollment Rep
HealthPartners
01.2014 - Current
- Prepare and monitor file schedule for HealthPartners Medicaid products and FEHGB and request electronic enrollment and payment files according to schedule
- Follow up with supervisor, Adminnistrative Operational Development team and other electronic enrollment file established within timeframe
- Independently investigate and correct electronic enrollment errors through analysis of electronic reports and tape data
- Select clinics for members who do not have a clinic on the electronic record based on established guidelines
- Provide quality customer service to State of Minnesota and County Public Programs contacts, FEHB contacts, and other departments within HealthPartners to resolve enrollment and or eligibility issues regarding membership records
- Review enrollment records, identify enrollment discrepancies and follow up with the State or County benefits contacts or the FEHB contacts as necessary to resolve discrepancies
- Responsible for the accurate and timely distribution of the monthly capitation received from the State of Minnesota within established deadlines
- This includes posting payment, ordering premium billing statements for internal files, payment distribution, creating a payment breakout, and reconciliation of retroactive payment adjustments
- Process manual member enrollment transactions in the event of an emergency or if requested by the County or State enrollment representative or FEHB contact
- Download client enrollment files from internet
- Perform linking of duplicate member records
- Generate reports in various formats as requested by internal and external contacts
- Contact Pharmacy line to update pharmacy system in emergencies
- AHF Production: Used to reference and update HealthPartners Membership, Billing and electronic enrollment records
- MN-ITS: DHS billing system used to verify Medicaid eligibility
- CLER: Federal Health Benefits Centralized Enrollment Clearinghouse System
- HCSS: HealthPartners Customer Service System used to communicate with services and other internal HP departments regarding member status
- Lasherfishe: Systems to track scanned documents (enrollment applications, disenrollment requests, member correspondence, etc.)
- Surround Letter Systems (SLS) used to produce and track written member communications
Administrative Technical Assistant
HealthPartners
01.2003 - 01.2013
- Systems security authorized requester for Epic, Health Plan Systems (Ahfprd/Snow), and Windows (Network/Outlook)
- Formerly owner of the Call Dbase and Ridecare domain group
- Submit requests that are appropriate to user's job function, requesting the minimum amount of access necessary
- Arrange for user training for the access requested
- Safeguard the user credentials (username and password) after receiving confirmation from the security administrator, and provide these credentials to the new user, preferably upon or during new user system training
- Submit request promptly to remove access for users who change job function and no longer need all of the access that they had in previous position
- Notify IS&T Security Administration of any users going on an extended leave and their anticipated return date so they may temporarily disable the user's accounts in their absences and enable system upon their return
- Call the HealthPartners IS&T Support Center for assistance with troubleshooting user system access issues on behalf of staff in the department
- Request password resets only for staff at department location, as necessary and appropriate
- Never allow a user to another user's account
- Never access, or attempt to access, another user's system account or system access privileges
- Provide confidential administrative support to the Call Center Director, CareLine Manager and the Nurse Supervisor (serve as back up support to Appointment Center Supervisor and Manager)
- Perform a variety of administrative tasks such as maintaining smooth operation of all office functions, calendar management, coordinating meetings and other activities/events as assigned, respond to any and solve all Call Center related issues, maintains accurate recordkeeping, and distribute mails and packages
- Be present at weekly department meetings with management to observe and taking notes for meeting minutes
- In charge of new employee training materials and access, along with editing and updating documents
- Metrics
- Provide assistance to the Lead Nurses in responding to emails, phone inquiries, call changes, and other correspondence
- Responsible for updating patient information on Epic as requested by case managers within the HealthPartners Group with precision and confidentiality
- Create and proofread documents such as memos, spreadsheets, power-point presentations, and other interoffice correspondence
- Maintain a highly complex database which stores schedules and call changes for over 300 physicians within the HealthPartners network of clinics
- Data entry to the database requires great detail and precision
- Perform research and analysis as assigned by the Management Team
- Maintain and monitor staffing schedules for over 70 RNs, Clinic Assistants and Ride Care staff for our 24 hour 365 days department that is opened
- Work collaboratively with the Senior Administrative Assistant and Lead Nurses to meet the needs of the day-to-day operations such as accommodations, supplies, resources, etc
- Serve as a liaison between the Call Center and other departments at HealthPartners and outside constituents
Scheduling Assistant
HealthPartners
01.2001 - 01.2003
- Provide customer service for each person as he/she would like to be cared for by listening, understanding, showing concern and acting individually and with others to meet each patient's need
- Register patients by identifying appropriate account type, workers compensation, etc
- Collecting and verifying insurance and utilizing the HPMG registration and scheduling computer systems
- Initiate financial discussion based on patient's insurance review according to policy and procedures
- Utilize various tools such as HPMG scheduling and registration system
- Maintain knowledge of appointment scheduling practices for more than 500 physicians in more than 25 locations
- Complete the registration and verification process, including reviewing the registration information for completeness and accuracy
- Inform patients if the clinic will need to obtain further information at time of visit
- Contact appropriate sources for registration and insurance information from multiple areas, eg insurance companies, patients, on-line data sources, etc
Education
AAS degree - Accounting
Dakota County Technical College
06.2025
Diploma - Business System Specialist
Minnesota School of Business
01.2002
Skills
- Microsoft Word
- Excel
- PowerPoint
- Access
- Outlook
- Adobe Acrobat Pro
- Lawson
- Epic
- Web Now
- Amion
- PC
- Multitask copier
- Digital scanner
- Polycom
- Fax machine
Timeline
RiverView Electronic Enrollment Rep
HealthPartners
01.2014 - Current
Administrative Technical Assistant
HealthPartners
01.2003 - 01.2013
Scheduling Assistant
HealthPartners
01.2001 - 01.2003
AAS degree - Accounting
Dakota County Technical College
Diploma - Business System Specialist
Minnesota School of Business