Leigh Gryga

Experience

• 

  Royal Bank of America

  Mar 2004 - Mar 2005

  Teller

  Handling customer transactions such as deposits, withdrawals, travelers checks and money orders. Responsible for daily settlements of cash drawer and ATM.

• 

  Novacare Rehabilitation

  Mar 2005 - Nov 2007

  Billing/Payment posting

  First started as secondary biller processing bills electronically. Resolving any failed submissions. Then moved into payment posting department, applying payments to accounts and insuring they were paid correctly per contract rates.

• 

  Valley Forge Medical Center and Hospital

  Nov 2007 - Dec 2011

  Patient Accounting Lead Clerk

  Billing of all commercial, Medicare, Medicaid and patient accounts daily, electronic or paper submission. Follow up on overdue accounts. Apply payments to accounts per EOB, rebilling secondary insurance when necessary. Scanning documents into Tier system and attaching to patients account files. Responding to billing inquiries from patients and insurance companies.

• 

  Mcleod Medical Plaza

  Mar 2012 - Aug 2013

  Patient Account Representative

  Reviews accounts pending payments and follows up with insurance companies. Makes sure patient information was entered correctly. Applies adjustments per contract. Receives incoming calls from patients and insurance companies, answers questions and provides any needed information.

• 

  McLeod Regional Medical Center

  Apr 2015 - Oct 2015

  Registration Representative

  Registering patients for inpatient hospital stays. Verifying insurance and entering demographic information into Net Access. Enter doctor or referring hospital orders to pre-register patients.

• 

  McLeod Cardiology Associates

  Aug 2016 - May 2021

  Medical Coder/Biller

  Review patient medical records to assign diagnosis and procedure codes. Assign CPT and diagnosis codes to diagnostic tests. Enter claim information into EClinicalWorks for bills to be submitted. Work with patient account representatives to ensure claims get paid. Audit physician records for clinical documentation. Staying informed on correct policies and procedures.

• 

  Optum

  May 2021 - now

  Claims Business Process Analyst Sr

  I specialize in thoroughly researching and deciphering healthcare correct coding, ensuring compliance with regulatory standards and guidelines set forth by CMS, CPT/AMA, and other key payer policies. This involves applying our internal business rules to meticulously document findings from medical record reviews. With a comprehensive grasp of all coding principles, from facility to physician coding, I'm dedicated to offering healthcare payers a comprehensive claim management solution.