Open to opportunities

Leslie Stone

@lesliestone

Detail-oriented Medicare/Medicaid Member Service Representative delivering clinical technical support and HIPAA-compliant documentation.

United States

Message

What I'm looking for

I’m looking for a full-time remote opportunity where I can support Medicare and Medicaid members, handle claims/eligibility and prior authorizations, and deliver a strong Customer Experience through HIPAA-compliant documentation, troubleshooting, and clear follow-through.

I’m a detail-oriented Member Service Representative with healthcare customer support experience specializing in Medicare and Medicaid member services. I resolve benefit, claims, and eligibility issues while performing Clinical Technical Support tasks like troubleshooting member concerns, coordinating with providers and pharmacies, and maintaining accurate documentation.

I also manage prior authorizations, appeals, and exception requests with HIPAA compliance at the center of my workflow. In fast-paced, B2B SaaS-style remote environments, I’m known for clear written communication, strong follow-through during escalations, and accurate recordkeeping that improves Customer Experience.

Experience

Work history, roles, and key accomplishments

Member Service Representative

Concentrix

Aug 2024 - Mar 2026 (1 year 7 months)

Provided healthcare support to Medicare and Medicaid members by resolving benefit, claims, and eligibility issues while maintaining a high-quality customer experience. Handled clinical technical support tasks, prior authorizations/appeals/exception requests, and ensured accurate, HIPAA-compliant documentation.

Eligibility Support Prior Authorizations Appeals Exception Request HIPAA compliance Troubleshooting Care Coordination Customer Experience

Thermal Forming Machine Operator

D6 Inc

Mar 2022 - Jun 2024 (2 years 3 months)

Maintained detailed production data and ensured system accuracy in a fast-paced environment. Demonstrated strong attention to detail and troubleshooting ability while meeting quality standards, leading to promotion based on performance and reliability.

Production Data Management Accuracy Troubleshooting Quality Standards Fast Paced Environment

Sales Associate

T-Mobile

Jul 2021 - Feb 2022 (7 months)

Provided customer support and technical assistance by resolving account and device-related issues while maintaining a positive customer experience. Managed transactions, inventory, and account updates using internal systems.

Customer Support Technical assistance Account Related Issues Inventory Management Account Updates

Residential Care Provider

Hopkins Place

Dec 2020 - Jun 2021 (6 months)

Supported residents with daily care while maintaining accurate documentation and compliance standards. Built strong relationships through clear communication and compassionate support in a healthcare environment.

Documentation Compliance Compassionate Support

Scanner Operator

Inmar

Nov 2019 - Apr 2020 (5 months)

Processed high-volume data with accuracy and efficiency by verifying product information and maintaining detailed records. Met performance benchmarks while handling scanner-based processing.

Product Detail Verification Benchmarking