Melissa Foret Email & Phone Number

Metairie, Louisiana, United States

Responsible for the development, maintenance, monitoring and documentation activities related to key projects, processes and operational flows. Responsible for identifying issues with current systems and processes and assisting in implementation of new processes/templates to ensure compliance with business needs and regulatory requirements.Lead or participate in applicable projects related to business needs and procedures Assists in the development of new processes and corresponding policies and procedures. Develops training manuals and sub-department training programs as necessary to enhance staff knowledge and understanding. Obtains data, verifies validity of data, analyzes data and documents trends as required – both internal data and from delegated entities. Resolves data issues as appropriate Analyze and interpret data to identify trends, patterns, opportunities, and risks Analyzes network availability and access Analyze and address provider data integrity issues

West Bank Service Center

• Supervises the daily operations of the Service Center including ensuring appointment goals are on target. Produce, analyze and proactively communicate with Clinical Services Manager on areas needing attention and is able to readily give the detailed status.• Manages the schedules for the Market field Nurse Practitioners on a daily basis.• Ensures the center is functioning effectively and safely for the members. • Manages time and attendance of the hourly team members and the staffing needs.• Works with Clinical Services Manager to provide cross coverage to other Service Centers when needed.• Supervises the human relations and team building side of the Service Center.• Participates in the hiring process of the Service Center. Responsible for training all new staff on daily operational responsibilities, processes and workflows.• Participates in employee evaluations providing input on areas for employee development as well as capturing areas of excellence.• Addresses inquiries, concerns, grievances and appeals and takes action to resolve complaints ensuring member retention and satisfaction. • Ensures supplies are sufficient to perform their duties, maintains equipment in proper place after usage and maintains workspace in an orderly fashion. • Collaborate with medical assistants to complete chart preparation and manage inventory of those records.• Works with Navigators and Care Coordination team to ensure Comprehensive Wellness Assessments are scheduled and completed. Ensures follow up activities are completed for no shows, cancellations, and rescheduling opportunities.• Ensure physical requirements and equipment is set for events.• Serve as liaison with vendors and senior staff in regard to event-related matter.• Assist with the development and coordination of PHN interdepartmental processes.• Assists in the creation and monitoring of systems that will ensure continuous improvement and efficiency within department.

Gretna, Louisiana

• Addresses inquiries, concerns, grievances and appeals and takes action to resolve complaints ensuring member retention and satisfaction. • Prepares electronic medical chart to include: Member demographics, primary care physician information and schedule appointments with the appropriate Nurse Practitioner.• Verification of member coverage and plan enrollment for coordination of services.• Collaborate with medical assistants to complete chart preparation and manage inventory of those records.• Collaborate with primary care physician’s office staff for completion of needed referrals.• Greet members and complete member check-in/out process.• Educates members, customers (internal/external) while effectively promoting Peoples Health products, services, and policies on the telephone as well as a face-to-face communication.• Acts in accordance with Peoples Health vision and values. Participates, supports and is active in development programs, staff meetings, and performs company educational offerings in a timely manner. Demonstrates as well as promotes the concept of a team member and pursues additional tasks to ensure excellent service without managerial instruction.• Ensures that supplies are sufficient to perform their duties, maintains equipment in proper place after usage and maintains workspace in an orderly fashion. • Acts as an efficient liaison for the member and Physician.• Completes special assignments in an accurate and efficient manner with little or no intervention from management.• Ensure physical requirements and equipment are set for events. • Serve as liaison with vendors and senior staff in regard to event-related matter.• Assist with the development and coordination of PHN interdepartmental processes.• Performs all duties assigned by a superior.• Assists in the creation and monitoring of systems that will ensure continuous improvement and efficiency within department.

Metairie, Louisiana

The IPA Operations department provides operations management services to Peoples Health’s seven contracted Independent Physician Associations (IPAs). IPA Operations assists them by managing their day-to-day non-medical business operations. My duties include:- Performs various administrative duties including but not limited to filing, copying, faxing, and scheduling meetings.- Receives telephone and email messages for the Director of IPA Operations.- Manages calendar and meeting preparation for the Director of IPA Operations. - Maintains organization of Policies & Procedures Manuals.- Pre-meeting preparations for IPA Board meetings, including meals, logistics, materials, set-up and special equipment, as necessary.- Distribute notification and confirms all IPA meetings, including monthly, quarterly and annual meetings, Quality Caucus meetings, and Special meetings. - Coordinates compilation of reports and information to support each Board’s meeting agenda.- Annual report requests and annual report filings.- Secures proper signature of Board officers where required including resolutions, amendments and activity logs. - Maintains current confidentiality agreements for all active IPA Board members.- Maintains all IPA Board meeting materials for current year and past years archived.- Prepares and Distributes Master Meeting Calendar.- Prepares monthly IPA Board meeting materials for presentation.- Maintains accurate records of IPA Board of Directors compensation through cooperation with PHN Finance Department, including activity logs.- Composes letters, memos and additional correspondence as needed.- Manages inventory and places office supply orders as necessary.- Prepares departmental expense.- Performs other duties as requested by the COO, CFO and/or CEO.----------------------------------------------------------------------------------------------------------------------------------------------------------

Gretna, Louisiana

Duties include: Perform various administrative duties including but not limited to filing, copying, faxing. - Process accounts receivable - Manage inventory of office supplies - Manage keeping record of x-rays being read by outsourced company for evening/holiday hours- Manage departmental timesheets and process payroll - Greet patients and directed to proper area- Manage comment cards for resolution- Schedule patients for Cardiology testing- Follow up with patient discharges for quality measures

New Orleans, Louisiana

Duties included: Manage Office and work in all parts of the office as needed.- Process daily billing of services rendered- Post insurance and patient payments- Schedule patient appointments- Verify patient coverage and request authorizations as needed- Create and manage patient charts- Schedule patient surgeries- Prepare daily deposits- Prepare and process employee payroll- Follow up with insurance companies on outstanding balances- Prepare materials needed for credentialing- Interviews for new hire- Set up all meetings and luncheons with outside vendors as needed- Manage office and medical supplies

New Orleans Rbo

I started out with Tenet as a Financial Advisor. As a Financial Advisor I answered incoming calls from patients to discuss balances owed and made payment arrangements to get the balances resolved. Over the six years I worked for Tenet, I have worked with Commercial, Medicaid & Medicare Billing; Commercial & Medicaid Collections; Claims Examining & Processing; Commercial & Patient Refunds; Accounts Receivable & Reconciliation and Month End Reconciliation.Duties include: Duties within various departments of the company.-Reconcile daily accounts receivable-Commercial/Medicaid/Medicare billing-Commercial & Medicaid Collections-Prepare and process insurance and patient refunds-Customer service representative-Processing and batching insurance and patient payments-Perform month end duties-Train new hire for Commercial & Medicaid billing-Special projects as requested.