Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Amanda Gray

Summary

Detail-oriented CPC, Insurance & Billing Specialist and Patient Access Representative with an extensive medical services background and strong work ethic. Managed patient-related accounts receivables, insurance billing and claims submissions to insure a successful repayment rate for a six provider facility. Excellent communications skills and empathetic nature enabled achievement of positive outcomes.

Overview

22
22
years of professional experience
1
1
Certification

Work History

Patient Service Specialist

Vanderbilt Integrated Pediatrics at Rivergate
03.2024 - Current
  • Managed multi-line phone system, professionally handling incoming calls and creating telephone encounters from the patients to speak to the triage nurse.
  • Assisted patients with completing necessary paperwork accurately and efficiently, expediting the check-in process for a smooth visit experience.
  • Greeted, registered, and checked in patients.
  • Works with Epic EMR system
  • Maintained strict confidentiality by securely handling sensitive patient data in accordance with HIPAA regulations.
  • Scheduled appointments.
  • Check-out patients after their visit and scheduled future appointment.
  • Provided forms to fill out or update and added latest information computer system.
  • Processed payments and informed individuals of further financial responsibility to facilitate timely payments.
  • Assisted with referrals and diagnostic imaging scheduling when needed.
  • Rivergate Pediatrics was acquired by Vanderbilt in March 2024. I currently split my week between the front office department for Vanderbilt Pediatrics Rivergate and the billing department for Rivergate Pediatrics, while we close out business. During this time, I am handling all the Rivergate Pediatrics insurance and billing duties that I did prior to the acquisition.

Certified Professional Coder

Rivergate Pediatrics
08.2008 - 03.2024
  • Efficient with eClinical Works EMR system
  • Received AAPC Certified Professional Coding Certification in October 2014 and is still current and active.
  • Assisted physicians with accurate coding options.
  • Conducted occasional internal coding audits
  • Daily Pre-bill audits and claim scrubbing
  • Daily claims submissions to Waystar/Navicure clearing house and also worked the clearing house rejection list.
  • Processed all Insurance ERA, check and credit card payments and posted them to the correct patient accounts.
  • Processed all insurance appeals.
  • Researched and processed any corrected billing claims.
  • Worked the insurance aging report monthly.
  • Assisted with referrals and diagnostic imaging scheduling when needed.
  • Insurance verification.
  • Also assisted with front office duties when needed which includes but not limited to: patient check-in and check-out, obtain patient demographics, make and confirm appointments, collect patient balances.
  • In-house IT support
  • Administrative/Supervisor duties when Office Manager/Supervisor was out of the office.

Front Office Specialist

Crossroads Medical Group
03.2007 - 08.2008
  • Worked with eClinical Works EMR system.
  • Made and confirmed appointments.
  • Insurance verification.
  • Obtained patient demographics.
  • Patient check-in and check-out.
  • Collected patient balances.
  • Answered a multi-line telephone system, scheduling appointments and creating telephone encounters for the nurses, providers and billing department.
  • Assisted with referrals when needed.

Insurance Verifier/AP Specialist/Purchasing Agent

Hospital Corporation of America (HCA)/
12.2002 - 03.2008
  • Purchasing Agent (3/2006-3/2008):

Process purchase requests for supplies, services & equipment for 29 facilities, Review a report weekly to ensure Items Not Received are at a minimum, Process on-line requisitions within 24 hours, Partner with accounts payable to assure price discrepancies remain at a minimum, Enforce the market purchasing policy and contracts, Process capital equipment orders up to 3 million dollars, Confirm orders to check for price discrepancies and back orders


  • Accounts Payable Specialist (9/2004-3/2006)

Coded invoices for payment, Paid manual Invoices yet specialized in automated invoicing for 21 hospitals, Developed a process to avoid duplicate payments, Facilitated vendor relations to resolve payment issues


  • Insurance Verification/Scheduler (12/2002-9/2004):

Verified insurance benefits and pre-cert information, Provided scheduling for Stonecrest Medical Center, Built a list of CPT codes for co-verifiers using excel


  • Prior to full time employment, I worked for HCA in many different capacities during the summer months while in high school and again for two summers as a summer intern while in college. (1997-2002):




Education

High School Diploma -

White House High School
White House, TN
05.1999

Skills

  • Healthcare Systems Knowledge
  • Professionalism and Ethics
  • Medical Terminology
  • HIPAA Compliance
  • Patient Registration
  • Medical Billing
  • Eligibility Determination
  • Problem-Solving
  • Multitasking and Organization
  • Phone and Email Etiquette
  • Insurance Billing
  • Payment Processing

Certification

  • CPC - Certified Professional Coder

Timeline

Patient Service Specialist

Vanderbilt Integrated Pediatrics at Rivergate
03.2024 - Current

Certified Professional Coder

Rivergate Pediatrics
08.2008 - 03.2024

Front Office Specialist

Crossroads Medical Group
03.2007 - 08.2008

Insurance Verifier/AP Specialist/Purchasing Agent

Hospital Corporation of America (HCA)/
12.2002 - 03.2008

High School Diploma -

White House High School
  • CPC - Certified Professional Coder
Amanda Gray