Laura-Lyn O'Neil Email and Phone Number

Resolves grievances, appeals and external reviews for one of the following VNSNY CHOICE product lines – FIDA, Managed Long Term Care (MLTC), Medicare Advantage (MA), or Select Health. Ensures regulatory compliance, timeliness requirements and accuracy standards are met. Coordinates efficient functioning of day-to-day operations according to defined processes and procedures. Creates and maintains accurate records documenting the actions and rationale for each grievance or appeal decision. Develops correspondence communicating the outcome of grievances and appeals to enrollees and/or providers. Assists with collecting and reporting data. Works under general supervision.

• Managed all patient concerns to include access, billing and insurance matters• Assisted in creating new standards of operations for physicians and support staff• Performed receptionist duties for the Vice Chairman of Neurology and the Director of the Headache Center• Oversaw and assisted secretarial pool• Prepared various correspondence and statistical data reports

• Processed physician referrals for imaging, office based testing and surgical procedures • Managed Workers Compensation program for outpatient therapy and testing• Administered Botox program to ensure timely treatment and current authorizations• Performed additional office duties as needed

• Managed equipment and supplies ensuring minimal waste and proper use of consumables• Maintained various hematology and urinalysis equipment• Responsible for quality control and CAP program at NBHC Point Mugu ensuring 100% accuracy on CAP surveys• Served as Laboratory representative updating standard operating procedures, maintenance and collection of data ensuring zero major discrepancies during inspections• Generalist duties

• Managed equipment and supplies ensuring minimal waste and proper use of consumables• Maintained various hematology, chemistry, blood bank and urinalysis, equipment• Responsible for quality control• Generalist duties

• Helped to reorganize mismanaged medical department leading to 95% medical readiness and compliance with state and federal regulations• Managed military worker’s compensation program (MCMEDS) ensuring injured and out of work Marines received over $100k in medical benefits• Coordinated with various departments to plan medical screening and trainings during scheduled drills• Completed monthly reports in order to identify all aspect of medical readiness were achieved for 1,200 Marines and Sailors• Served as Field Medic during live drills while providing medical treatment and assistance as needed