Summary
Overview
Work History
Education
Skills
Accomplishments
Affiliations
References
Timeline
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LEANNA GRAY

LEANNA GRAY

Peculiar,MO

Summary

Lateral transfer to Provider Enrollment in 2021 to expand my skills. Knowledgeable in all phases of provider enrollment, from submitting provider applications, payor requirements, and working with credentialing. Assisted on special projects, such as payor applications for the new Payor Guide. I am highly motivated, with a desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.

Overview

26
26
years of professional experience

Work History

Patient Account Specialist

Physician Office Partners Inc.
Overland Park, KS
11.2017 - Current
  • Collaborated with medical staff to resolve any billing issues or discrepancies.
  • Responded to inquiries from patients regarding their bills and other related matters.
  • I worked on special projects where billing was difficult.
  • I worked on claims, denials, and appeals in the GE system.

Senior Specialist Provider Enrollment

Envision Healthcare
Fort Lauderdale, FL
11.2017 - Current
  • Monitored daily workflow activity related to provider enrollments and identified areas for improvement.
  • Responded promptly to inquiries from providers regarding the status of applications.
  • Proofread documents for accuracy.
  • Maintained positive working relationship with fellow staff and management.
  • Submit and update provider enrollment applications to ensure accuracy and completeness of information.
  • Provided guidance to providers on the enrollment process, timelines, and requirements.
  • Collaborated with internal departments to ensure proper processing of enrollment applications.
  • Followed up with insurance carriers to address and rectify denied claims.
  • Responded to requests for information about enrollment process.
  • Physician Office Partners was bought by Envision, and I transferred with them.

Patient Account Specialist

HRS Erase
02.2017 - 11.2017
  • Responsible for two states completing out of state Medicaid claims for payment for patients who have received medical care.
  • Access systems to review medical records, payments and remittance advices from primary payers and review for accuracy and errors.
  • Create spreadsheets for patients with multiple accounts for ease in tracking. Contacting the hospital when necessary.

Account Coordinator

Quest Diagnostics/ExamOne
Lees Summit, USA
04.2001 - 12.2016
  • Reviewed recordings of insurance interviews with applicants for complaints and accuracy.
  • Completed summarized detailed reports of what occurred during the interview and sent to the requestor and supervisor of the interviewer.
  • Completed interviews for insurance applicants of high dollar accounts.
  • Completed QMS Management Training and became certified.
  • Took incoming calls as requested. Made outgoing calls on problem cases, special requests by underwriting and problem applicants.
  • Ordered criminal records, credit reports, background checks, MVR and probation questionnaires when requested by underwriting.

Customer Service Inquiry

JC Penney
Lenexa, USA
03.1999 - 04.2001
  • Consistently provided professional, friendly and engaging service.
  • Developed and maintained positive working relationships with others to reach business goals.
  • Received frequent customer compliments for going above and beyond normal duties.
  • Took incoming calls for problem orders. Typed summary and either came up with a solution or replaced the order, and credited the customer's account.
  • Took order for the catalog.
  • Problem solving

Education

GED -

Hickmn Mills Senior High
01.1995

Skills

  • Organized
  • Enthusiastic yet professional demeanor
  • Dependable
  • Self-motivated
  • Team-oriented
  • Quick learner
  • Detail-oriented
  • Knowledgeable
  • Problem solving
  • Experience with Salesforce
  • Applications
  • Insurance collaboration
  • Insurance billing
  • Medical terminology knowledge
  • Follow-up skills
  • effectively work on my own

Accomplishments

  • Perfect attendance for 16 years with Quest Diagnostics/ExamOne.
  • Completed QMS training and became certified.
  • Supervised for Quest Diagnostics/ExamOne for one year.
  • Created Inspections manual for co-workers and manager's use.
  • Received several awards and compliments for excellent Customer Service with Quest Diagnostics/ExamOne.
  • Worked with 2 payors for Valley to determine enrollment requirements as applications were not processed. Resolved payors went to a roster and was able to get them set up with their requirements.
  • Rarely have Held AR or denials.
  • Most of my provider's payor enrollments are completed before their first shift or contract effective date.

Affiliations

  • Enjoy gardening and my 2 Beagle dogs, Hank and Beau.

References

References available upon request.

Timeline

Patient Account Specialist

Physician Office Partners Inc.
11.2017 - Current

Senior Specialist Provider Enrollment

Envision Healthcare
11.2017 - Current

Patient Account Specialist

HRS Erase
02.2017 - 11.2017

Account Coordinator

Quest Diagnostics/ExamOne
04.2001 - 12.2016

Customer Service Inquiry

JC Penney
03.1999 - 04.2001

GED -

Hickmn Mills Senior High
LEANNA GRAY