Summary

Overview

Work History

Education

Skills

Cellular

Email Addresses

Volunteer Activities Awards

Timeline

Andre Leppanen II

New York,NY

Summary

Well-organized, Team Player, Leader Good Interpersonal and Communication Skills Enthusiastic, Responsible, Flexible Desire to Learn New Skills

Overview

years of professional experience

Work History

Practice Manager

Priority 1 Urgent Care

06.2024 - Current

Process Payroll for organization
Functions capably in clinical and administrative support positions within the practices
Works with leadership to identify opportunities and problems and initiates plans for decisionmaking and problem solving in the organization, and specifically with regards to the practices in a positive manner
Directly supervises practice staff to include MA's and Patient Specialists assuring adequate coverage for all position and arranging for coverage for sick and vacation time
Works with the appropriate staff in the office, assures provider schedules are at a level to achieve identified benchmarks and apprises leadership of any issues in regards to achieving benchmark
Makes recommendations for staffing levels at the site based on site productivity and patient need
Assures adequate provider coverage to meet patient needs
Participates in interviewing, hiring and orientation of new staff at the practices
Assures employee evaluations are completed in a timely manner and appropriate goals are set for all staff supervised
Makes recommendations for salary adjustments
Providers oversight of bi-weekly employee timesheets and monitors time clock activities
In conjunction with the Medical Direct and C-Suite, identifies areas of concern for providers and brings forward for resolution and feedback/follow-up
Credentials and onboards all new providers
Meets with local and national insurance providers to update clinic contracts

Medical Litigation Coder/Executive Assistant

Progressive Insurance

03.2022 - 12.2023

Enter medical billing information into medical audit system (ICD9 and ICD10 diagnosis codes, CPT4 procedure codes)
Provide support to Director and Vice President of Claims by maintain schedule and calendar daily
Ordering food and beverages for the office
Maintain payroll for 3 of our departments
Keeping minutes and setting up staff meetings
Review medical billing information entered in the medical audit system for accuracy and make corrections as necessary
Ensure billing codes correspond and are supported by medical records received
Ensure billing codes and medical records correspond accurately with claims notes in the medical summary tab
Apply all applicable fee schedule and coding rules, making appropriate adjustments where applicable
Ensure assignment of benefits (AOB) has been submitted to provider
(in stes where applicable.)
Answer incoming calls from customers, providers, billing offices or attorneys; providing timely responses to their claims inquires
Providing timely bill processing per state guidelines
Other admin duties such as working in the NoTaxID que and medical records que
Assist with the litigation department with legal research and drafting legal documents
Assist in e-file claims and documents

Consumer Claims Service Associate/Executive Assistant (Anthem Health Guide)

Anthem

02.2020 - 03.2022

Supported 3 C-Suite Executives
Assisted in making travel arrangements as well as ordering supplies and food for the office
Maintained the Executive Calendar for our CEO and CFO
Maintained the time off and hours worked for our employees
Provide exceptional customer service for our members
Maintain understanding of medical claims to assist members with questions and inquiries regarding claims
Contribute ideas on how to improve member's experiences through our Live Person chat
Maintain knowledge on how to navigate Anthem.com, Sydney health and Engage to better assist members on a daily basis
Participate in meetings and trainings to help improve customer satisfaction and business performance
Deliver prompt and professional solutions for customer inquiries via phone, email, or Live Person Chat
Process and track customer call backs to ensure inquiries are resolved timely
Maintain a knowledge of member benefit plans and know how to access the benefit plans and CPT codes to be able to better assist members on understand benefits
Check medical policies to determine if pre authorization is needed
Review and process medical claims that are in network and out of network
Assisted Anthem's Legal department with e-file claims and reviewing appeals and grievances as well as preparing legal documents

Office Manager

Advanced Therapy PLLC, Albany, New York

02.2019 - 02.2021

Supported 3 C- Suite Executives
Maintained the work of all office employees to ensure that they work productively and adhere to company standards
Answered telephone calls and e-mails from staff
Monitored the ordering of office supplies, stationery, furniture, appliances and electronics as required
Interviewing and training new office employees and organizing their employment paperwork
Reporting office progress to senior management and working with them to improve office operations and procedures
Organizing maintenance companies to keep the office clean and safe and ensure that all appliances are in good working order

SR Executive Associate (supervisor)/Office Manager

St. Peters Hospital, Albany New York

04.2017 - 01.2020

Supported 3 Mangers, 2 Directors and 2 C- Suite Executives at different times
Maintain and adjust facility scheduler weekly
Maintain Kronos schedule
Making sure all punches are entered correctly and that all absences are recorded
Notify manager of on-going tardiness and absences
Manages calendar/conference room availability of manager
Orders off site supplies
Orders and maintains the catertrax floor stock
Constantly updating unit needs with manager
Maintain assignment sheets daily as well as filing monthly assignment sheets
Contacts new hires and puts together welcome binder for new hires
Constantly updating unit information
Keeps minutes at monthly staff meetings, RN meetings, as well as PCT meetings
Supervise and assist PCT's and IA's on daily basis
Assisted the legal department with audits as well as reviewing legal documents

Administrative Assistant VI/ Executive Assistant

Albany Medical Center, Albany, New York

02.2013 - 03.2017

Supported 1 Manager and 2 C-Suite Executives
Maintained and supervised time recorded on unit
Maintained the Manger, Director and Vice President's Calendar
Register Patients daily for Pre Admission Testing
Assist the lab with registering requisitions
Work closely with my supervisor's to assist with overtime and Medical necessity
Examine Patient insurance on a daily basis
Collect and verify insurance
Verify patient diagnosis daily
Accelerated in icd-9 coding
Accelerated in Albany Med financial system
Review and process billing claims for patients

Computer/Marketing Coordinator

Central Restaurant Equipment, Albany, New York

06.2011 - 01.2013

Setup and post equipment on craigslist and EBay daily
Train other's on how to use certain websites for the company
Researched and recommended new inventory labeling systems for general showroom floor items & special wire racks throughout store
Created/Setup e-mail accounts, scanning systems, copying systems for company
Digitally edited item photos and company logo's for use online

Character Education Coordinator

Troy Housing Authority, Troy, New York

05.2010 - 09.2010

Recruited children in the community for character education program
Facilitated & Implemented character education activities
Supervised youth enrolled in the summer program, Ensured children safety
Responsible for submitting youth worker timesheets
Participated in decision making meets for summer program
Oversaw daily functions of NYS Healthy food & Nutrition Program

Head Teller

Key Bank, Albany, New York

12.2008 - 12.2009

Made concentrated effort to solve customer problems
Followed teller over/short policy
Accepted retail and/or commercial deposits, verified cash and endorsements and giving customers their receipts
Identified customers and cashed checks, referred customers to an officer for authorization to cash checks
Verified savings deposits and withdrawals, verified signatures
Provided additional customer services including Cashier's Checks, Personal Money Orders, Savings Bonds, Travelers' Cheques, Food Stamps, Stop Payments, and Certificates of Deposits
Balances cash daily
Promoted and maintained positive relations with all contacts, customers and potential customers

Student Internship

Hannaford, Troy, New York

11.2005 - 11.2008

Shadowed management in every department
Fostered relationships with customers
Learned the various task of successful business management
Attended leadership workshops