Lindsay Gray
Elco,PA
Summary
Accomplished Case Manager adept at handling high caseloads without sacrificing quality of care. Operates exceptionally well in high-pressure environments. Excelled in training development, showcasing strong written and oral communication. Achieved significant improvements in patient care and documentation accuracy, demonstrating exceptional multitasking abilities and detail orientation.
Overview
21
21
years of professional experience
Work History
Case Manager
ConnectiveRx
Pittsburgh, PA
06.2021 - 11.2022
- Assisted in obtaining insurance approval for therapy and medications.
- Helped patients receive appropriate, high-quality care with reasonable results.
- Partnered with physicians, social workers, and case managers to develop and implement individualized care plans and documents patient interactions and interventions in electronic charting systems.
- Identified care needs of individual patients and coordinates responses based on physician advice, insurance limitations and procedural costs.
- Evaluated treatment plans against individual goals and healthcare standards.
Benefit Verification Specialist
ConnectiveRx
Pittsburgh, PA
05.2020 - 06.2021
- Resolved issues and inquiries from plan participants regarding health benefits and deductions through telephone, email and in-person interactions.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Verified insurance coverage for patients via phone.
- Called pharmacies to obtain prescription coverage for new and old patients.
- Reviewed and verified health insurance benefits for patients prior to their scheduled appointments.
- Resolved employee issues related to benefits, serving as a liaison between employees and insurance providers.
Benefit Verification Specialist
Murtech Consulting
Pittsburgh , PA
10.2019 - 05.2020
- Resolved issues and inquiries from plan participants regarding health and welfare benefits and deductions through telephone, email and in-person interactions.
- Spoke with pharmacists and patients to ensure medication was delivered by the pharmacy in a timely manner.
- Explained benefits to plan participants in easy to understand terms in order to educate each on available options.
- Maintained timely turnaround time for insurance verifications.
Business Quality Analyst
SDLC Partners LP
Monroeville , PA
05.2015 - 07.2018
- Provided regular updates to team leadership on quality metrics, communicating consistency problems or production deficiencies with quality and production leadership.
- Collaborated with management to provide training on improved processes and assist with creation and maintenance of quality training.
- Reviewed and ensured accuracy on benefit plans.
- Coded client demographics and benefit templates while ensuring compliance with HIPAA and OSHA.
- Created test plans.
- Assigned discrepancies for any inaccurate coding.
- Worked closely with coders to quickly and efficiently resolve discrepancies.
- Trained in claims processing.
Merchandising Team Associate
Burlington
Pittsburgh, PA
09.2014 - 05.2015
- Provided accurate information about promotions, customer programs and products, helping drive high customer retention.
- Met all customer call guidelines including service levels, handle time and productivity.
- Reduced process inconsistencies and effectively trained team members on best practices and protocols.
- Promptly responded to inquiries and requests from prospective customers.
Rec Assistant
City Of Pittsburgh
Pittsburgh , PA
05.2012 - 09.2014
- CPR/AED certified.
- Equipped with first aid kit in case of emergencies.
- Ensured safety of children playing in the spray park areas.
- Maintained a clean and safe environment and tested equipment daily.
Office Manager
IGA Market On Broadway (Formerly Foodland)
Pittsburgh , PA
08.2011 - 03.2012
- Directed and coordinated organizations financial and budget activities to fund operations, maximize investments and increase efficiency.
- Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities.
- Coached new hires on company processes while managing an average of 20 employees to achieve maximum production.
Office Manager
Foodland
Pittsburgh , PA
07.2001 - 06.2010
- Monitored and evaluated personnel performance to complete annual reviews, recommend advancement or address productivity concerns.
- Managed budgets, appointment scheduling, employee and event itineraries and accounts to improve productivity initiatives.
- Maintained computer and physical filing systems.
- Established and developed highly efficient and dependable administrative team by delivering ongoing coaching and motivation and fostering career advancement.
- Tracked and recorded expenses and reconciled accounts to maintain accurate, current and compliant financial records.
Education
Massage Therapy Certificate - Massage Therapy/Anatomy
Western School of Health And Business Careers
Pittsburgh, PA 06.2018
High School Diploma -
Pittsburgh Brashear High School
Pittsburgh, PA06.2004
Skills
- Written and oral communication
- Computer skills: Word, Excel, Outlook
- Training and Development
- Detail-oriented
- Multitasking abilities
- Documentation proficiency
- Medical Records Management
- Treatment planning
- Patient management
- Case management
- Patient support
Timeline
Case Manager
ConnectiveRx
06.2021 - 11.2022
Benefit Verification Specialist
ConnectiveRx
05.2020 - 06.2021
Benefit Verification Specialist
Murtech Consulting
10.2019 - 05.2020
Business Quality Analyst
SDLC Partners LP
05.2015 - 07.2018
Merchandising Team Associate
Burlington
09.2014 - 05.2015
Rec Assistant
City Of Pittsburgh
05.2012 - 09.2014
Office Manager
IGA Market On Broadway (Formerly Foodland)
08.2011 - 03.2012
Office Manager
Foodland
07.2001 - 06.2010
Massage Therapy Certificate - Massage Therapy/Anatomy
Western School of Health And Business Careers
High School Diploma -
Pittsburgh Brashear High School
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