Leslie Laidlow Email & Phone Number

Seffner, Fl

Responsible for compliance with internal policies and procedures related to client protocols.• Ensure all transactions are handled in a professional and ethical manner according to corporate and departmental policies and industry standards.• Adhere to corporate and departmental policies and procedures.• Obtain pertinent information from outside sources via correspondence and telephone.• Process documents for preparation and submission to Medicare.• Prepare cover letters using computer database.• Perform Data Entry Quality Assurance checks to ensure data is accurate.• Review and reply to incoming emails and voicemails related to Medicare.• Process documents for preparation and submission to Medicare.• Provide status updates on existing claims to customers and third party representatives

New York, Ny

• Prepared written responses reporting the details of an investigation or resolution of a case to attorneys, employers, insurers, Congressional Offices, and Medicare Contractors in accordance with the Health Insurance Portability and Accountability Act and Internal Revenue Services rules and regulations regarding confidentiality of information.• Investigated and made discretionary decisions to resolve disputes received from Medicare Contractors, Regional Offices, Managed Care Organizations and Congressional offices relating to data applied to the Common Work File (CWF). Audited and assured the validity of the records on the CWF File.• Initiated calls to Medicare Contractors and Regional Offices to resolve disputes or further develop a Medicare Secondary Payer (MSP) agreement.• Handled inquiries and calls from CMS Regional Office Staff escalated from the Customer Service Department and through the Electronic Correspondence and Referral System (ECRS).• Responsible for maintaining the integrity of the MSP records housed at the CWF. • Reviewed and validated cases and ensured the timely processing of Workers’ Compensation Medicare Set-Aside (WCMSA) cases.• Performed extensive analysis and/or studies when required

.• Determined Medicare’s responsibility for complex cases such as Group Health Plan, Worker’s Compensation, Auto/Liability/No Fault, Disability, ESRD (End Stage Renal Disease), Black Lung and Veteran Administrations (VA) which include adjusting debts, applying checks and corresponding with employers for further information if necessary.• Personally responsible for managing accounts worth an average of three million dollars annually. Managed individual workload of cases with minimal supervision. • Rendered decisions and interpretations based on federal law and CMS instructions.• Acted as a liaison to CMS to provide assistance in cases related to the MSPRC contract responsibilities.• Compiled data from Medicare records, beneficiaries, providers, attorneys and other insurance companies to determine possible secondary payer interest.• Researched available data, and collaborate with subject matter experts in order to analyze and interpret Medicare Secondary Payer regulations.• Coordinated efforts with beneficiaries, attorneys and other insurance companies to ensure compliance with time and quality regulations to facilitate cost savings.• Mentored and trained colleagues including, senior supervisors and new hires.

• Responsible for implementing the Medicare repayment process and conveying that information to customers. • Reviewed beneficiary Medicare Secondary Payer records for accuracy. • Interpreted all Medicare Secondary Payer rules and regulations to incoming callers. • Processed and filed beneficiary documentation. Audited documentation and compared to the stated bylaws for reimbursement. • Accessed computerized system to document conversations and ask relevant questions in regards to Medicare records. • Communicated professionally on the phone with beneficiaries, providers, attorneys and Medicare departments to ensure the customer received excellent service.• Successfully completed all special projects assigned by Supervisor or Manager

Responsible for all aspects of day-to-day operations· Accountable for the coordination, planning and placement ofincoming merchandise onto the selling floor· Guided staff on Circuit City's philosophy of merchandisingproducts· Assisted customers with knowledge of the products· Performed and maintained cycle counts of inventory· Tracked and analyzed sales, traffic and marketplacedevelopments· Worked with other product teams and retail colleagues tomaximize sales opportunities· Monitored product productivity, merchandise placement andreplenishment

Involved in all aspects of the business - sales andmarketing, customer service, reservations· Ensured fleet of vehicles were properly maintained, servicedand operational for customer rental· Delivered and retrieved vehicles to and from customers· Explained terms and requirements for use of rental cars tocustomers

Provided open floor supervision of all clients in addition toproviding one-on-one training· Worked with Exercise Physiologists to facilitate personalprograms· Supervised staff and assigned daily tasks· Motivated clients toward interim and long-term goals· Ensured safe and effective training through form andtechnique correction as well as best use of equipment and training time· Assisted in training of athletes· Responsibilities included ensuring all weight room equipmentwas properly maintained