Svetlana Kisiyan

• Review monthly Acute Care Episode report for discrepancies
• Keep a log on Medicare Advantage members’ admissions and collect data of weekly trends
• Notify providers of new patients’ admissions
• Obtain authorizations for inpatient stay and skilled nursing facility transfers
• Arranging home health services, and durable medical equipment delivery
• Initiate letters of agreement between Cedars-Sinai Medical Delivery Network and non-contracted providers
• Verify members’ eligibility, health plan benefits, and co-payments
• Verify providers’ network affiliation
• Direct health plan requests for updated clinical notes and denials to care managers
• Train new members of the department
• Ensure that appropriate documentation is uploaded as part of the electronic medical record
• Coordinates follow-up care and appointments with pts care team

• A liaison between providers, patients, health plans and other internal departments
• A first point of contact for patients accessing Cedars-Sinai Medical Group and Cedars-Sinai Health Associates
• Educating patients about the group’s programs and services
• Answers patients’ questions regarding CSMG/CSHA, its specialty network and contracted hospitals
• Provider liaison with the Claims and Physician Billing Departments
• Receive all member, provider and health plan inquiries, concerns, complaints and grievances

Promoted to Senior Patient Liaison 2011

• Welcoming new Senior patients to the group
• Attending community Medicare Advantage Plan Meetings to represent Cedars-Sinai Medical Group
• Representing Cedars-Sinai Medical Network at various Health Fairs
• Training department’s new employees
• Covering for the Department manager when needed
• Teaching Cedars-Sinai Medical Network New Employee Orientation Customer Service class

Recognitions and Awards

Standing Ovation recognition for excellent quality service (Cedars-Sinai Medical Center)

Employee of the Quarter Award (Cedars-Sinai Medical Network)