CHANMEE LEE
Anaheim
Summary
Experienced Korean bilingual healthcare professional with a strong background in Medicare. Skilled in quality improvement initiatives, data abstraction, and patient outreach to close care gaps and improve health outcomes. Proficient in working with EMR systems, tracking quality measures, and navigating insurance-related workflows. Detail-oriented and committed to delivering high-quality care through effective communication and collaboration with patients, providers, and payers.
Overview
4
4
years of professional experience
1
1
Certification
Work History
Bilingual Concierge Advocate
SCAN Health Plan
03.2024 - Current
- Act as a key point of contact for Medicare Advantage members, addressing inquiries related to benefits, claims, and coverage.
- Collaborate with care teams to identify and resolve quality gaps, advocating for initiatives to improve patient care and satisfaction.
- Provide education to members regarding preventive care measures, ensuring adherence to healthcare plans and promoting wellness initiatives.
- Track and report quality measures data, including Stars ratings, to ensure the accuracy and timeliness of submissions.
- Communicate effectively with members in both English and Korean, ensuring clear and culturally sensitive outreach and support.
Administrative Assistant
Leaders Academy
05.2021 - 02.2024
- Assisted with scheduling and coordinating events, including parent meetings, staff training, and extracurricular activities
- Managed administrative tasks for an afterschool program serving K-12 students, ensuring smooth daily operations
- Maintained accurate student records, including attendance and progress tracking, and prepared reports for staff and leadership
Education
Psychology -
Cal State University, Fullerton
05.2023
Skills
- SME in Medicare part C and D
- Compliance & Confidentiality
- EMR System
- Phone System Operation
- Customer Support Expertise
- Microsoft Excel, PowerPoint,Teams,Word
Certification
Certified Medical Assistant, In the process of obtaining CMA thru US Career Institute 05/01/2025.
Languages
Korean:Berlitz Test CEFR:Hb2
Timeline
Bilingual Concierge Advocate
SCAN Health Plan
03.2024 - Current
Administrative Assistant
Leaders Academy
05.2021 - 02.2024
Certified Medical Assistant, In the process of obtaining CMA thru US Career Institute 05/01/2025.
Psychology -
Cal State University, Fullerton
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