Marcella Williams

• Reviews health care provider applications and disclosure statements for enrollment into the Medi-Cal fee-for-service program.

• Acts as lead AGPA Analyst for the Pharmacy, Transportation, Durable Medical Equipment (DME) unit of the Provider Enrollment Division of Medi-Cal.

• Examines the validity and consistency of documents supplied by providers, along with other records required for Medi-Cal provider enrollment and re-enrollment.

• Verifies the licensure and permit statuses for all health care provider applicants.

• Conducts background research for information on the provider with a full analysis of the data for consistency within the application.

• Identifies and notifies providers of deficiencies that must be remediated for enrollment.

• Assesses provider's applications against known fraud risk factors and makes investigation referrals.

• Evaluates whether the provider meets statutory and regulatory requirements for Medi-Cal participation and provides recommendations of approval or denial based on each evaluation.

• Creates documents, correspondence, and memos to update leadership and team members with pertinent information, including the Audits and Investigations division.

• Compiles data and submits weekly reports for the tracking of reviewed applications.

• Updates the Provider Application and Validation for Enrollment (PAVE) with any actions taken regarding applicant.

• Responds to provider inquiries sent through the PAVE system.

• Assists other analysts with information regarding appeals filed, secondary reviews, and deficiencies, etc.

• Facilitates team meetings and collaborates with colleagues to discuss business processes and analyze procedures to align with changing business needs.

• Supported the Centralized Application Branch (CAB) with reviewing and analyzing prospective licensee's performance and ownership in health facilities.

• Recommended approvals/denials of provider applications for state certification and licensing.

• Ensured all required documents are correct, complete, and approved by management prior to approving applications and referring to the district office.

• Provided assurance that all health facilities and providers have submitted completed applications that meet State and Federal Laws/Regulations.

• Researched various topics related to health facility licensing and certification.

Prepared correspondence in response to inquiries from stakeholders and the public.

• Drafted letters to notify facilities and staff of program changes or implementation of new statutory provisions.

• Responded to inquiries regarding current CA state licensing requirements and Federal certification requirements.

• Conducted nationwide UCC, tax lien & judgment, and litigation searches of both individuals and business entities.

• Assisted clients with document preparation for corporate filings and/or processing of document retrievals with the CA Secretary of State, as well as with other SOS State offices nationwide.

• Investigated to find the most reliable and cost-effective court runners to retrieve civil and family court documents needed for clients.

• Answering of incoming calls relating to corporate filings, retrievals, and other business related transactions.

• Created results reports and invoices for completed searches and retrieval requests.

• Assessed customer housing needs and advised with the best corporate options and services.

• Provided specific and timely information regarding the quality of corporate housing product and services, location, cost, and the company's ability to deliver services.

• Assured complete and accurate information was obtained and entered for each apartment booking to allow timely and accurate delivery of product and services.

• Maintained continuous communication and working relationships with each corporate client served.

• Negotiated rents and lease terms with various apartment communities.

• Answered incoming phone calls relating to current or future corporate apartment stays.