Bianca Benson Email & Phone Number

Winter Haven, Fl, Us

Facilitate amendments to existing agreements for price changes, product adds/deletes/changes, extensions and facility updates working with Vendors, Members, and Internal Teams to process requests timely and accurately for S2s, Custom and Local agreements across all HealthTrust portfoliosEvaluate vendor price files by analyzing, researching, and correcting the information to ensure that all fields are properly completed for accurate loading of pricing. Information verified in the vendor price file for data integrity includes contract number, vendor number, effective/expiration dates, and tiersInitiate agreements in the Contract Lifecycle Management tool for appropriate approvals and documentation through the system ensuring accuracy of the data entered as it drives downstream systems and member visibility.Upon receipt of S2s and Custom agreements, compare the completed template to the legal approved template. If there are variations in legal language from the standard template for S2s and Customs, Contract Administration will work with legal for approval or rejection of the documentInitiate agreement for signature approval from vendor, member, and HealthTrustWork with the Legal Team to assist in the preparation and review of any and all legal requestsManage the onboarding of new member’s S2s, Customs, and Local agreements by participating in implementation meetingsManage member visibility utilizing the Pricing and Eligibility systemLiaison between the Member Services Department, Legal, and Vendors in regard to any member/vendor issues.

Follows standardized workflow policies and procedures for the Physician Onboarding Process.Initiates physician employment contracts which include ensuring the contract is in line with pre-approved Compensation gridsUtilizes pre-established contract templates along with offer documents to create contracts.Utilizes legal resources and knowledge to update contracts with variations.Prepare various contracts, amendments, addenda, memoranda, and other legal documents.Provides clarification and guidance on policy inquiries from internal departments; policies can include, but not limited to Compliance, Credentialing, Licensing, Employee Handbook, as well as Legal guidelines.Liaison between Provider, Operations, Credentialing, Legal, Provider Enrollment, HR, IT, Payroll, Recruitment, and Executives for Physician new hires and existing physicians.Direct contact with New/Existing Providers throughout the Onboarding process answering any questions or concerns regarding contracts and HR and pay-related issues.Primary contact for the initiation of several processes to ensure a smooth Onboarding process including cross credentialing process of Existing Providers.Review contracts for any deviations to ensure the timely payment of bonuses and salary increases; enter pertinent pay and dates into Clinician Support Services calendar (where applicable).Partner with other departments to facilitate start-ups and acquisitions.Adhere to Information Security Policies and ensure that Envision remains as secure as possible.

Orlando, Florida, United States

Evaluates and authorizes approval of prior authorization pharmacy requests from prescribers received by telephone and/or facsimile using client clinical criteria.Determines appropriateness for medications. Communicate decisions to physicians, physician`s office staff, medical management staff, and/or pharmacists. Researches, resolve, and documents prior authorization outcomes in the pharmacy system.Communicates selected prior authorization criteria, pharmacy benefit coverage, and formulary alternatives to physicians, physician`s office staff, medical management staff, and/or pharmacists.Escalates requests to Pharmacists when request requires extensive clinical review or denial.Monitors telephone system to ensure adequate staffing to maintain client services levels

Orlando, Florida, United States

Responsible for data entry. Third party exceptions member outreach, and prescriber outreach, ensuring all service expectations are metEnter patient demographics and prescription information into the data processing systemAssist with inbound and or outbound patient or physician calls Process prescriptions across various reference categories and assist in other pharmacy technician function as necessary Other responsibilities as judgement or necessity dictate

Winter Park, Florida, United States

8427 Southpark Circle Suite 400, Orlando, Fl 32819

•Patient Adjustments/ reconciling adjustment amounts•Assistance with EOB searching for collectors/Cash posting team•Ran patient activities reports for collectors in database Scriptmed•Depositing patient/insurance checks via online banking•Sorting and passing out correspondence to collectors•Assistance with adding payments to the payment table for cash posters•Sorted out returned patient statements•Faxing, scanning, and emailing documents•Audits for Finance Department

1200 N Alafaya Trail, Orlando, Fl 32828

•Handled money transactions in a fast paced environment•Provided customer service to patrons•Prepared food menu items per order•Assisted with opening and closing with restaurant•Maintained cleanliness of workplace•Successfully multi-tasking and performing actions under pressure•Assisted with leading team to achieve an outstanding dining experience for guests•Greeted and seated guest as they walk through the restaurant •Promotions Team; promoting events and beverages at the restaurant or events around Orlando area.

464 N Alafaya Trail, Orlando, Fl 32828

•Prepared food menu items per order•Assisted with opening and closing with restaurant•Maintained cleanliness of workplace•Handled money transactions in a fast paced environment•Provided customer service to patrons

12791 E Plaza Dr, Orlando, Fl 32816

•Prepared food menu items per order•Assisted with keeping team members on task to achieve a successful close•Maintained cleanliness of workplace•Mastered multi-tasking and performing actions under pressure•Assisted with leading team to achieve an outstanding dining experience for customers

Bachelor'S Degree, Health/Health Care Administration/Management

Associate Of Science - As, Pharmacy

Activities and Societies: Student Government Association, VP Pharmacy Tech Club

High School Diploma

Activities and Societies: Golf Team Flag Football Team Weightlifting TeamAVID Success Program