Alena Yermalitskaya

Pull reports using MIS DSS system and analyze data, perform extensive research of claims inquiries, respond to providers, DHCS, and other stakeholders, such as legislators and provider associations via email, respond to providers via written correspondence within 15-business days from the date of receipt, join conference calls to discuss billing issues with the customer and provider community, provide training to new employees, create pivot tables using Microsoft Excel, create PowerPoint decks and provide training to team members, submit claims on behalf of providers, identify system problems and initiate problem statements using ServiceNow, utilize multiple Medi-Cal systems, such as CA-MMIS, EDMS, CRM, ServiceNow, SURGE and SharePoint, complete other duties as necessary.

Reserve conference rooms for IBM staff, respond to Medi-Cal provider community via written correspondence, assist with chair-side training, respond to escalations received from legislators and provider associations via email, identify system problems and create problem statements, research provider claim issues, submit claims on behalf of providers, void erroneously paid claims, utilize multiple Medi-Cal systems, such as SURGE, ClearQuest, EDMS, Siebel, CA-MMIS and SURGE, attend meetings with the customer and IBM to discuss claim issues and possible resolutions, assist with other duties as required.

Answer incoming telephone calls with multiple lines, daily use of Microsoft Office Suite, including Word, Excel, Access and Outlook, respond to TAR/appeal inquiries received from beneficiaries and providers via email, complete On-Boarding and Off-Boarding forms, fill out requisition forms for the TAR Processing Center and scanner supplies, attend meetings to take notes, gather and create reports in preparation of the SURGE Newsletter with DHCS customer.