It definitely changed the game - or at least, made it something you can practice for easily in one place. But there's nothing particularly special about leetcode that you couldn't find in your college coursework. A lot of companies tend to optimize for college-level questions, but this isn't true across the industry. I used leetcode when interviewing for my most recent job too, by the way.
Apologies if this comes off short, I'm actively involved in hiring now, and have been at a lot of tech companies. I do my best to help keep the process at minimum consistent. Bringing in the right people is never easy, but is incredibly critical to the success of your business.
Happy to answer questions, though.