Leslie Foreman

Contracted by the staffing firm to perform a temporary assignment related to Payer Specialist duties for McKesson Specialty.

• Oversaw enrollment applications for the patient support program related to specialty medication
• Verified eligibility, benefits, and cost-sharing details through direct calls to payers and specialty pharmacies
• Collaborated with healthcare plans and specialty pharmacies to obtain prior authorization for outpatient diagnostic services and specialty medication
• Expedited appeals and grievances processes
• Maintained a private and secure remote workspace to allow appropriate maintenance of confidentiality as required by HIPAA

Contracted by the staffing firm to perform multiple assignments related to Benefit Administrator duties for Benefitfocus.

• Served as the main contact for employee benefit inquiries, resolving questions and issues via phone, email, and chat
• Provided clear and accurate information to assist employees with enrollment processes, benefit changes, and claims inquiries
• Stayed informed about changes in laws and regulations related to employee benefits
• Managed relationships with third-party vendors such as insurance carriers, retirement plan administrators, and wellness program providers
• Handled and organized client files and documentation effectively

• Clearly explained all benefits options to plan participants in simple terms to help them understand their available choices
• Acted as the primary point of contact for employee benefits inquiries, addressing issues promptly and accurately
• Ensured compliance with federal and state regulations by maintaining accurate records of all benefits-related documentation
• Observed strict procedures to maintain data and plan participant confidentiality
• Located providers for employee medical, dental and life

• Delivered personalized care to enhance overall well-being
• Organized and provided transportation for medical appointments
• Completed laundry, grocery shopping, and additional light housekeeping tasks
• Assisted in placing my sibling in a permanent facility after discussing various placement options with family members

• Performed thorough medical examinations and diagnostic tests on patients
• Triaged phone calls from patients and outside contacts, and handled them in order of importance
• Scheduled appointments and provided counseling to patients who are preparing for upcoming surgery
• Verified patient insurance coverage and obtained cost-sharing details
• Managed referrals and prior authorizations
• Assisted with medical coding and billing tasks

• Conducted comprehensive examinations and various diagnostic tests on patients
• Demonstrated proficiency in the MedFlow EMR system for seamless access to vital patient information during examinations or consultations
• Cleaned or sterilized ophthalmic or surgical instruments
• Educated patients and relations on ocular health and safety, promoting good eye care
• Prioritized and triaged phone calls from patients and external contacts
• Assisted the physician with retinal laser procedures conducted in the office

• Charted patient encounters by recording information such as diagnosis, treatments, and prescriptions
• Aided in surgical preparation, gathering necessary instruments and equipment for efficient use during ocular procedures
• Scheduled appointments with subspecialists and imaging centers as needed
• Ensured accuracy in billing processes, diligently verifying insurance coverage, and obtaining necessary authorizations for procedures
• Verified the accuracy of patient information and medical records to avoid discrepancies and maintain consistency
• Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks