Glenn Larry
Little Rock,United States
Summary
Results-oriented achiever with proven ability to exceed targets and drive success in fast-paced environments. Combines strategic thinking with hands-on experience to deliver impactful solutions and enhance organizational performance.
Overview
12
12
years of professional experience
Work History
Billing/Denial Management Lead
Arkana Laboratories
Little Rock, AR, United States
01.2026 - Current
- Lead The billing/Denial Management
- Lead and supervise a team of denial management specialist
- Maintain accurate records of denials, appeals, and resolutions.
- Generate reports to track denial trends, identify areas for improvement, and measure the effectiveness of denial management strategies
- Manages workflow and workload distribution within the team.
- Conducts performance evaluations and provides training and development opportunities.
- Ensures compliance with relevant laws, regulations, and accreditation standards.
- Ensure accurate and timely entry of patent & insurance demographic information
- 2 years 1 month
Quality Assurance Lead
Arkana Laboratories
Little Rock, AR
02.2024 - 01.2025
- Led quality assurance initiatives to enhance product reliability and compliance with industry standards.
- Developed and implemented testing protocols to identify defects and improve process efficiency.
- Mentored QA team members, fostering skill development and promoting best practices in quality control.
- Collaborated with cross-functional teams to resolve quality issues and drive continuous improvement efforts.
- Supervises and directs the work of credentialing specialists, providing guidance and support. Lead and supervise a team of denial management specialist
- Oversees the verification of provider qualifications, licenses, certifications, and professional history.
- Maintains and updates credentialing databases and systems.
RCM QA Compliance Coordinator
Advanced Pathology Solutions
Little Rock, Arkansas, United States
01.2023 - 02.2024
- Create, utilize and implement policies that adheres to CMS, Commercial Payer, CLIA, and OSHA standards and guidelines
- Create and manage a back end team that handles payer refunds, medical records requests, denial resolution, RCM related inquires from account managers etc...
- Communicate and collaborate with AP&AR to properly handle fund distribution and reception
- Research, learn and apply new education related to industry changes
- Generate monthly and quarterly reports that properly reflect remittance successes and also addresses problem areas
- Develop and monitor KPI centered action plans that helps bridge revenue gaps as well as streamlines correct/accurate remittance application
- Help create and implement actionable plans/policies that helps increase collections, decreases denials and shortens claim TATs
- Help maintain open discussions with other departments and C-Suite leaders to ensure steady growth for the RCM team
- 1 year 2 months
Credentialing Manager
Advanced Pathology Solutions
Little Rock, Arkansas, United States
05.2021 - 01.2023
- Coordinate the management of the credentialing database and associated modules, ensuring accuracy of data and reporting to downstream systems, monitors critical data for extensive analysis and report generation
- Coordinate the management of the electronic credentials application, to ensure distribution, receipt, processing and timely delivery to health systems entities.
- Coordinate the management of the expiring process to ensure all contracted provider licenses and certifications remain current, ensuring appropriate notification prior to expiration
- Monitor the currency of facility rules, policies and procedures, ensuring compliance with accrediting organizations requirements
- Participate in development and review of CMS accreditation standards, Federal and State laws, managed care delegated credentialing polices and procedures
- Develop, recommends and/or implement changes, revisions, and enhancements as appropriate to the current operating environment
- Oversees the supervision of personnel which includes work allocation, training, promotion, enforcement and auditing of internal procedures and controls, and problem resolutions
- Evaluates performance and makes recommendations for personnel actions, motivates employees to acheive peak productivity and performance
- 1 year 9 months
Customer Service Manager
Advanced Pathology Solutions
Little Rock, Arkansas, United States
05.2021 - 01.2023
- Improve customer service experience, create engaged customers and facilitate organic growth
- Take ownership of customer issues and follow problems through to resolutions
- Keep accurate records and document customer service actions and discussions
- Develop service procedures, policies and standards based on findings from those discussions
- Analyze statistics and compile accurate reports
- Recruit, mentor and develop customer service agents and nurture an environment where they can excel through encouragement and empowerment
- Control resources and utilize assets to achieve qualitative and quantitative targets
- Adhere to and manage the approved budget
- Maintain an orderly workflow according to priorities
- Help create adherence guidelines for the "NO SURPRISE ACT" to ensure accurate deployment of the act
- 1 year 9 months
Credentialing Specialist
Advanced Pathology Solutions
Little Rock, Arkansas, United States
11.2020 - 05.2021
- Create and maintain licensing, credentials and insurance records
- Conduct research on updated state and federal regulations and policies
- Release information to requesting agencies and public inquiries when required by law
- Help develop internal credentialing processes
- Monitor license and credential expiration dates and advise staff members of required "renew by" dates
- Ensure the facility and staff members are maintaining compliance with regulatory and accrediting institutions
- 7 months
Customer Service Representative
Advanced Pathology Solutions
Little Rock, Arkansas, United States
02.2020 - 11.2020
- Receive incoming calls from patients regarding billing matters
- Resolve issues regarding improper insurance filling or report coding
- Perfect call handling skills and patient resolutions
- Increased knowledge of insurance regulations as it relates to providers and subscribers
- Improve call De-escalation rates
- Assist with financial assistance applications
- Call out to patients to explain bills and procedure codes to them
- 10 months
Accessioner
Advanced Pathology Solutions
Little Rock, Arkansas, United States
11.2019 - 02.2020
- Receive and document specimen for intake and testing
- Add proper coding as well as physician notes when accessioning
- Accession electronic requisitions in a timely manner to align with the reception of physical specimen
- Review requisitions and mark any inaccuracies or questionable notes that would require clarification from physicians/clinics
- Check insurance eligibility
- 4 months
Collections Supervisor
First Collection Services
Little Rock, Arkansas, United States
06.2017 - 11.2019
- Oversee a team of 8-10 reps
- Created and update training manuals/procedures for collection methods
- Prefect practices that increased the amount of OCR's and increased collection revenue
- Create and streamline goals for monthly improvement with collection success
- Communicate with Director staff regarding goals and implementation of policies that help meet their goals/requirements for departments
- 2 years 6 months
Provider and Patient Services Rep
First Collection Services
Little Rock, Arkansas, United States
02.2014 - 06.2017
- Handling of patient affairs regarding billing
- Efficient in OTC (one time call) resolutions
- Assisting with ensuring facility compliance
- Claims and denials research
- Advanced Knowlede of ICD10/CPT coding definitions and procedures
- 3 years 5 months
Education
Provider Contracting/Credentialing Specialist - Health/Health Care Administration/Management
NAMSS
12-2021
Certified Professional Compliance Officer - Health/Health Care Administration/Management
AAPC
07-2021
Certified Physician Practice Manager - Health/Health Care Administration/Management
AAPC
04-2021
Certified Professional Coder - Health/Health Care Administration/Management
AAPC
12-2020
Certified Professional Biller - Health/Health Care Administration/Management
AAPC
08-2020
Associate of Applied Science - Heath Information Management
Pulaski Tech
Little Rock Arkansas 05-2022
Skills
- Quality Assurance Analysis
- Computer skills
- Organizational skills
- Attention to detail
- Time management
- Problem-solving
- Customer service
- Teamwork and collaboration
- Friendly, positive attitude
Accomplishments
- Supervised team of 6 staff members.
Timeline
Billing/Denial Management Lead
Arkana Laboratories
01.2026 - Current
Quality Assurance Lead
Arkana Laboratories
02.2024 - 01.2025
RCM QA Compliance Coordinator
Advanced Pathology Solutions
01.2023 - 02.2024
Credentialing Manager
Advanced Pathology Solutions
05.2021 - 01.2023
Customer Service Manager
Advanced Pathology Solutions
05.2021 - 01.2023
Credentialing Specialist
Advanced Pathology Solutions
11.2020 - 05.2021
Customer Service Representative
Advanced Pathology Solutions
02.2020 - 11.2020
Accessioner
Advanced Pathology Solutions
11.2019 - 02.2020
Collections Supervisor
First Collection Services
06.2017 - 11.2019
Provider and Patient Services Rep
First Collection Services
02.2014 - 06.2017
Certified Professional Compliance Officer - Health/Health Care Administration/Management
AAPC
Certified Physician Practice Manager - Health/Health Care Administration/Management
AAPC
Certified Professional Coder - Health/Health Care Administration/Management
AAPC
Certified Professional Biller - Health/Health Care Administration/Management
AAPC
Provider Contracting/Credentialing Specialist - Health/Health Care Administration/Management
NAMSS
Associate of Applied Science - Heath Information Management
Pulaski Tech