Pheng Lee
Coon Rapids
Summary
Accomplished SNBC Enrollment Coordinator with 3 years of experience contributing to outstanding success working in the Healthcare industry for close to decade. Confident in abilities to effective communication, data analysis and critical thinking. Comfortable collaborating with others and working independently in a variety of settings including within a team and remotely. Committed to lifelong learning and contributing to team success.
Overview
11
11
years of professional experience
Work History
SNBC Enrollment Coordinator/Security Liaison
UCare
08.2022 - Current
- Increase accuracy of UCare rosters by pre-validating program participant data using DHS and CMS systems to eliminate errors and improve the quality of the monthly UCare Master Roster.
- Ensure timely SNBC outreach in compliance with state and federal requirements by creating monthly SNBC Enrollment Rosters via merging relevant data from multiple sources.
- Safeguard ongoing data accuracy in accordance with UCare policies through analyzing monthly roster data to identify discrepancy and trends while updating UCare systems with accurate information.
- Maintain professional relationship with contracted delegate partners by providing prompt responses to all inquiries regarding enrollment and eligibility issues as well as ensure payment with verifying and uploading delegate Monthly Activity Logs into UCare systems.
- Provide all users access to necessary DHS system as a Security Liaison to document outreach outcomes per DHS policies. This increased member contact as new enrollment of more member due to varies Managed Care Organizations leaving the market.
Authorization Specialist
Coram Specialty Infusions LLC
09.2020 - 07.2022
- Impact patient care by obtaining authorizations needed for home infusion therapies to rehabilitate illness by owning personal actions to obtain the documentations required and contacting the MCO for authorization.
- Assist in increasing authorization completion rates by providing all statics successful or not to upper manage to determine trends and redefine processes.
Night Shift Manager/Production Manager Assistant
Smart Data Solutions
06.2014 - 02.2018
- Ensure workflow for all Data Entry Partners by maintaining escalation ticketing system and provide the necessary support that led to 45% less downtime.
- Maintain production quality by tracking production statistics to determine trends and continuously identify methods to optimize workflow and processes.
- Uphold company production quota with ensuring all staffing needs are met leading to a 25% production increase.
- Present all production statistics and trends to senior management and owner during weekly meetings.
- Develop and maintain training documents for all departments and future projects which increase production quality of all Data Entry Partners.
- Ensure all staff meets government HIPAA regulations by regulating the necessary yearly testing which resulted in 100% HIPAA compliance.
- Train Data Entry new hires and provide comprehensive testing to ensure new staff meets company production goals.
Education
High School Diploma -
Continental Academy College
MNMN Transfer Curriculum -
Normandale Community College
MNUniversity of Minnesota -
Duluth
Skills
- Strong Verbal Communications
- Data Analysis
- MS Office
- Customer Service
- Critical Thinking
- Process Improvement
- DHS and CMS systems
- Self-Starter
- Enrollment compliance
- Reporting and analytics
Timeline
SNBC Enrollment Coordinator/Security Liaison
UCare
08.2022 - Current
Authorization Specialist
Coram Specialty Infusions LLC
09.2020 - 07.2022
Night Shift Manager/Production Manager Assistant
Smart Data Solutions
06.2014 - 02.2018
High School Diploma -
Continental Academy College
MN Transfer Curriculum -
Normandale Community College
University of Minnesota -
Duluth