Lisa Dangelo
Summary
Dynamic RCM Professional with a proven track record at Optum Insights, enhancing billing processes and boosting team productivity through effective staff management and analytical thinking. Expertise in revenue cycle management and denial management led to improved cash flow and reduced outstanding balances, fostering a collaborative work environment that drives continuous improvement.
Overview
31
31
years of professional experience
Work History
RCM Professional Healthcare Billing Manager
Optum Insights
06.2024 - Current
- Created a transparent work environment that fostered open communication between team members, promoting collaboration and problem-solving skills development.
- Established performance metrics for evaluating staff effectiveness, leading to continuous improvement initiatives within the department.
- Performed testing for billing modules, enhancing new functionality and process improvements.
- Boosted team productivity through effective delegation of tasks, setting performance targets, and providing constructive feedback.
- Streamlined billing processes for increased efficiency, resulting in faster reimbursements and improved cash flow.
- Conducted monthly reviews of aging report data, prioritizing high-dollar accounts for prompt resolution efforts.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance with all applicable billing codes and requirements.
- Participated in cross-functional teams to implement process improvements that positively impacted overall organizational effectiveness within the revenue cycle.
RCM Professional Healthcare Billing Manager
Allina Health
08.2020 - 05.2024
- Reviewed billing problems, researched issues, and resolved concerns.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Implemented policies that improved accounts receivable collections, resulting in reduced outstanding balances and increased cash flow.
- Conducted performance reviews and implemented improvement plans.
- Conducted periodic reviews of existing processes to identify areas of potential cost savings or efficiency improvements.
- Developed a strong rapport with key stakeholders by maintaining open lines of communication and promptly addressing any concerns raised.
- Conducted regular analysis of billing department performance, identifying trends and areas for improvement to inform strategic planning.
- Developed strategic plans for day-to-day financial operations.
RCM Professional Healthcare Billing Supervisor
Allina Health
11.2004 - 07.2020
- Reduced discrepancies in billing reports with thorough review processes and diligent follow-ups on outstanding accounts.
- Facilitated monthly meetings with team members to discuss performance metrics, share best practices, and address any concerns or challenges faced during the billing cycle.
- Developed comprehensive training materials for new hires to ensure a smooth onboarding process and rapid acclimation to company systems and procedures.
- Enhanced team productivity by providing ongoing training, guidance, and support to billing staff members.
- Increased staff efficiency through regular evaluations, targeted coaching sessions, and tailored performance improvement plans.
- Proactively identified potential bottlenecks in the billing process, implementing solutions that increased overall operational efficiency.
- Collaborated closely with other departments, fostering strong working relationships to expedite resolutions of cross-functional issues impacting revenue collection.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Healthcare Billing Specialist
Entira Family Clinics
09.1997 - 10.2004
- Developed strong relationships with payers, ensuring smooth resolution of any disputes or appeals related to claim denials.
- Collaborated with healthcare providers to clarify diagnoses, treatment plans, and other patient information necessary for proper coding and billing practices.
- Enhanced team productivity by providing ongoing training in ICD-10-CM, CPT, and HCPCS code sets as needed.
- Maintained compliance with federal regulations, including HIPAA privacy rules, by implementing strict data handling procedures within the department.
- Maintained up-to-date knowledge of industry regulations and changes in coding practices by attending relevant workshops, webinars, and conferences.
- Reduced claim denials by closely adhering to payer-specific guidelines and addressing any issues prior to submission.
- Analyzed trends in denied claims to identify patterns and develop targeted strategies for improvement moving forward.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Account Manager
Entira Family Clinics
05.1994 - 06.1998
- Enhanced team productivity by providing ongoing training and support to staff members.
- Maintained a high level of confidentiality by handling sensitive patient information with discretion and care.
- Communicated with patients, insurance companies and providers through phone calls, emails and office drives concerning formularies and coverage limits.
- Served as a liaison between patients, physicians, and administrative staff to address concerns or questions related to registration or billing issues effectively.
- Facilitated cross-functional collaboration between departments to streamline processes and provide seamless patient care services.
- Maintained compliance with all relevant regulations including HIPAA guidelines on patient privacy protection while handling sensitive information during registration processes.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Skills
- Epic software system
- ICD-10, CPT and HCPC knowledge
- Insurance verification
- Denial management
- Medical billing expertise
- Project leadership
- Workflow planning
- Process improvements
- Revenue cycle management
- Staff management
- Operations management
- Analytical thinking
HFMA CRCR Certificate
HFMA Certified Revenue Cycle Representative (CRCR)
Timeline
RCM Professional Healthcare Billing Manager
Optum Insights
06.2024 - Current
RCM Professional Healthcare Billing Manager
Allina Health
08.2020 - 05.2024
RCM Professional Healthcare Billing Supervisor
Allina Health
11.2004 - 07.2020
Healthcare Billing Specialist
Entira Family Clinics
09.1997 - 10.2004
Account Manager
Entira Family Clinics
05.1994 - 06.1998
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