Leslie Freeman
Ashburn,VA
Summary
Self-motivated professional accustomed to handling sensitive and confidential records while thriving in deadline-driven environments. Polished in developing information systems for medical establishments to provide top-quality care. Valued contributor focused on accurately capturing, storing, securing and wielding healthcare data.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Provider Relations Representative
Russell Tobin Agency
12.2023 - 03.2024
- Managed provider relations mailbox by triaging inquiries, facilitating resolution of incoming requests and forwarding requests to appropriate parties.
- Contributed to and enhanced audit processes to maximize quality management standards.
- Answered provider inquiries via email, telephone and written correspondence.
- Supervised and maintained all utilization review documentation.
- Devise or identify solutions for irregular requests and issues.
Customer Seervice Representative
Liveops
12.2021 - 12.2022
- Answered constant flow of customer calls with minimal wait times.
- Updated account information to maintain customer records.
- Provided primary customer support to internal and external customers.
- Answered customer telephone calls promptly to avoid on-hold wait times.
LPN
Abacus Staffing
11.2019 - 03.2020
- Assessed patient health status based upon presented symptoms and directed patient to appropriate level of care or acceptable alternative venue.
- Sterilized instruments and equipment and stocked unexpired supplies and medications to prepare patient care areas.
- Educated patients and families on disease processes, medications and treatments.
- Prepared and administered vaccines and medications, collected specimens and performed other patient care tasks to assist physician with examinations and procedures.
- Performed admission reviews based on medical necessity.
LPN Office Nurse
Bachrach Group
10.2017 - 05.2018
- Assessed patient health status based upon presented symptoms and directed patient to appropriate level of care or acceptable alternative venue.
- Submitted cases for criteria failures and helped facilitate resolutions and approvals.
- Prepared and administered vaccines and medications, collected specimens and performed other patient care tasks to assist physician with examinations and procedures.
- Tracked, reviewed and monitored diagnostic test results and assisted in management of patient care between visits.
- Performed prior authorization review of services requiring notification.
LPN Charge Nurse
Towne Nursing Services
11.2014 - 03.2018
- Assembled and used equipment such as catheters, tracheotomy tubes, or oxygen suppliers to effectively manage patient care.
- Promoted patient independence by teaching self-care skills and explaining conditions and medications.
- Assessed patients' temperature, pulse, and blood pressure and recorded in electronic medical records.
- Documented vitals and medical histories in patient charts when assessing patients and communicated patient information to physicians and other nurses for care continuity.
Paraprofessional Substitute
NYC Dept Of Education
04.2013 - 09.2015
- Reported on student progress, behavior, and social skills to parents.
- Kept classrooms clean, neat, and properly sanitized for student health and classroom efficiency.
- Tailored lesson plans for students with emotional and cognitive disabilities.
- Oversaw students in classroom and common areas to monitor, enforce rules, and support lead teacher.
Betting Clerk
NYC Off-Tracking Betting
01.2002 - 04.2012
- Managed payouts or collection of amounts at conclusion of wagers.
- Collected and managed house percentages from betting pots.
- Collected cash bets from players and documented amounts in records.
- Oversaw betting at events such as races and recorded values of payouts.
Education
Certificate - Case Management And Utilization Management
Case Management Institute
Online03.2024
Certificate - Utilization Management
Relias Academy
Online10.2022
Certificate - HEDIS- Chart Chaser
Care National
Online09.2022
Certificate - Practical Nursing
VEEB
Uniondale New York09.2007
Skills
- Vital Signs Monitoring
- Chronic Disease Management
- HIPAA Compliance
- Mental Health Care
- Nursing Ethics
- Medicaid Knowledge
- Utilization Review
- Documentation and Reporting
Certification
- LPN License - 15 yrs
- HEDIS- Scheduler, Chart Chaser
- Utilization Review
- Medicare
- Licensed Insurance Agent Health & LIfe
Timeline
Provider Relations Representative
Russell Tobin Agency
12.2023 - 03.2024
Customer Seervice Representative
Liveops
12.2021 - 12.2022
LPN
Abacus Staffing
11.2019 - 03.2020
LPN Office Nurse
Bachrach Group
10.2017 - 05.2018
LPN Charge Nurse
Towne Nursing Services
11.2014 - 03.2018
Paraprofessional Substitute
NYC Dept Of Education
04.2013 - 09.2015
Betting Clerk
NYC Off-Tracking Betting
01.2002 - 04.2012
Certificate - Case Management And Utilization Management
Case Management Institute
Certificate - Utilization Management
Relias Academy
Certificate - HEDIS- Chart Chaser
Care National
Certificate - Practical Nursing
VEEB
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