Lila C. Delhomme
Rocklin,CA
Summary
Dedicated Medical Professional experienced in optimizing patient care and financial operations within healthcare environments. Achieved significant improvements in revenue cycle management and patient satisfaction through effective process enhancements and team collaboration. Focused on fostering long-term client relationships while delivering high-quality service and operational efficiency.
Overview
23
23
years of professional experience
Work History
Revenue Cycle Manager
California Maternal Fetal Medicine
08.2022 - Current
- Streamlined revenue cycle processes to enhance billing accuracy and reduce claim denials.
- Analyzed key performance indicators to identify trends and inform decision-making for revenue optimization.
- Led cross-functional teams to implement strategic initiatives improving overall operational efficiency.
- Developed training programs for staff, enhancing understanding of compliance regulations and best practices.
- Established workflows that improved patient financial counseling, resulting in increased collections and satisfaction rates.
- Collaborated with clinical departments to align coding practices with regulatory standards, minimizing audit risks.
- Mentored junior staff on advanced revenue cycle management techniques, fostering professional growth and expertise.
- Monitored and guided revenue cycle operations.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Provided staff training on revenue cycle management best practices, increasing productivity across the department.
- Completed financial reporting and analysis for billing revenue cycle.
- Implemented technology solutions that automated reporting processes, significantly reducing manual workload and errors.
- Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
- Analyzed complex data sets to derive actionable insights for improving internal processes related to revenue cycle management.
- Maintained a thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
- Managed cross-functional teams to improve overall revenue cycle operations.
- Improved revenue cycle efficiency by streamlining processes and implementing best practices.
- Reduced accounts receivable days outstanding, optimizing billing and collections efforts.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Streamlined billing processes, significantly reducing errors and enhancing revenue cycle efficiency.
- Enhanced revenue by optimizing claims submission process, ensuring timely and accurate billing.
- Streamlined patient financial counseling processes, improving patient understanding and satisfaction with billing procedures.
- Reduced denial rates through meticulous claims review and enhanced coding practices, ensuring maximum revenue capture.
- Supported financial director with special projects and additional job duties.
- Established and checked coding procedures, monitored reports and updated internal files.
COLLECTION II SPECIALIST
VieMed
11.2021 - Current
- Address and respond to back collector's email group
- Able to read through and understand medical documentation effectively
- Managed back collectors' aging bucket to prioritize outstanding collections.
- Investigated claim denials to ensure accurate processing and compliance.
- Establishes and maintains effective communication and good working relationship with co-workers
- Executed various clerical duties, such as answering phones, faxing, and emailing.
- Handled clerical tasks, including answering phones, faxing, and emailing, while supporting additional duties as assigned
INTAKE SPECIALIST III
VieMed
10.2018 - 10.2021
- Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this position
- Interacted professionally with physicians, patients/family, and co-workers to ensure effective communication and support
- Retrieved incoming referrals and logged demographic information into computer system to maintain accurate patient records
- Documents in computer system the status of referral(s)
- Communicated with sales team and referral sources regarding referral acceptability and necessary documentation to facilitate timely processing
- Interacts professionally with physicians, patients/family and Co-Workers
CLINICAL COORDINATOR/Insurance Authorization Specialist
Louisiana Oncology Associates, PMC
09.2003 - 07.2015
- • Managed accounts receivable processes/ Patient Accounts
• Coordinated satellite intake operations and Discharge Coordinator
• Coordinated authorization for diagnostic imaging - Secured authorization for chemotherapy from insurance payers, Processed data entry of charges and collections, preparing deposits to maintain accurate financial records for therapy from insurance payers
• Data entry of charges, collections, and preparation of deposits - Coordinated patient care schedules, ensuring seamless communication among medical staff and patients.
- Managed electronic health records system, improving data accuracy and accessibility for clinical teams.
- Enhanced patient satisfaction through effective problem-solving strategies and proactive communication techniques.
Education
Associates Degree - Medical Technology
REMINGTON COLLEGE
Louis, Lafayette, La03-2000
High School Diploma - undefined
BREAUX BRIDGE HIGH SCHOOL
Breaux Bridge, La05-1995
Skills
- Revenue performance
- Denial resolution
- Billing cycle expertise
- Claims management
- Medical billing
- Revenue optimization
- Claims resolution
- Billing expertise
- Epic
- Team guidance
- Personnel support
- Team collaboration
- Teamwork and collaboration
- Customer service
- Regulatory compliance
Timeline
Revenue Cycle Manager
California Maternal Fetal Medicine
08.2022 - Current
COLLECTION II SPECIALIST
VieMed
11.2021 - Current
INTAKE SPECIALIST III
VieMed
10.2018 - 10.2021
CLINICAL COORDINATOR/Insurance Authorization Specialist
Louisiana Oncology Associates, PMC
09.2003 - 07.2015
High School Diploma - undefined
BREAUX BRIDGE HIGH SCHOOL
Associates Degree - Medical Technology
REMINGTON COLLEGE