Shelley Comeaux

• Contact injured party and/or attorneys to gather injury and treatment information.
• Evaluate and investigate Med Pay claims for eligibility, and medical necessity in accordance with state fee schedules.
• Determine the appropriateness of treatment based on injury.
• Make payment decisions based on policy provisions, state mandates, departmental policies and fee schedules.
• Initiates and conduct follow ups with injured parties and/or attorneys.
• Contact billings departments for hospitals, urgent care locations and doctors offices to request medical information needed to properly pay claims.
• Partner with SIU and Subrogation to identify fraud and subrogation opportunities.
• Communicate regularly with policyholders, agents, and providers through telephone calls and letters.

• Worked under the direction of Director of Contract Management and In-House Counsel.
• Prepare, examine, analyze, negotiate and review contracts to ensure compliance with company for all Hospice, LTAC and Pharmacy locations.
• Maintain both pending and completed contracts in an organized and accessible system.
• Ensure that all contracts are signed, shipped, countersigned and processed.
• Managed special projects, and performed other related duties as assigned.
• Provided training to new agencies via Teams and/or Web Ex.
• Manage and train other paralegals within the department.
• Assist with mergers and acquisitions, due diligence, closing documents.

• Prepare, follow up and track various agreements including Business Associate Agreements, Billing Services Agreements, Scriber Services & Internal Staff Leasing Agreements.
• Research, gather information and draft responses to garnishments, records requests and subpoenas. Coordinate with other departments to obtain needed information.
• Review Concursus filings made on patient accounts, access claim amounts, and communicate back to patient billing on how to handle.
• Distribute mail throughout the Legal Department.
• Back up for Legal Executive Assistant as needed

• Review and redline vendor contracts to ensure compliance with company policy.
• Facilitate negotiations on vendor contracts and obtain signatures.
• Draft and review a variety of legal documents including Operating Agreements, Lease Agreements, Business Associate Agreements and Physician Agreements and obtain signatures.
• Assist with compliance related issues, including monitoring compliance hotline for company, interviewing callers, investigating complaints, and prepare summaries of all compliance calls for quarterly MEC meetings.
• Assist the Director of Human Resources on any employee terminations, including sitting in as a witness for discipline or termination reasons, and drafting termination/severance letters.
• Maintained State filings for all entities.

• Handle confidential and sensitive information with discretion and tact.
• Manage executive calendars, scheduling meetings/appointments and coordinating travel arrangements.
• Organized and coordinated conferences and monthly meetings.
• Process travel expenses and reimbursements for executive team and senior management group.
• Maintained AT&T cell phone account for entire company.
• Attend monthly and quarterly meetings and scribe minutes.
• Coordinate all HR/Administrative Assistant conferences and CEO conferences.
• Answer a multi-line phone system
• Daily tracking of census reports for all facilities.
• Assist with setting up interviews and travel arrangements for potential new hires.
• Assist the Director of Human Resources with drafting offer letters for new hires.

• Attend monthly meetings and scribe minutes.
• Review contracts to ensure compliance with company policies.
• Draft a variety of legal contracts, including Home Health and Hospice Contracts.
• Reviewed, redlined and negotiated all Home Office and Vendor contracts.

Travel Specialist

• Review and audit expense reports.
• Distribute department mail.
• Maintain expense reports in excel spreadsheet.
• Order and activate company credit cards.
• Answer calls and help employees reconcile expense reports on Bank of America software.