LISA DIULUS
Pittsburgh,PA
Summary
Dynamic healthcare management professional with over 16 years of experience, notably at Allegheny Health Network. Excelled in patient insurance verification, authorization procurement, and team leadership, significantly enhancing billing processes and team performance. Skilled in Excel and Kronos Time System, adept at mentoring staff and optimizing productivity.
Overview
24
24
years of professional experience
Work History
Collections Specialist
Tobii Dynavox
07.2023 - Current
- Verified patient's insurance was active
- Obtained necessary authorizations
- Worked weekly accounts in the Brightree system
- Escalated payor issues to senior management
- Assisted the Intake team with their work
- Demonstrated strong customer service skills while communicating with customers regarding payment arrangements
- Monitored outstanding account balances and determined need for further collections action
- Worked closely with management to resolve or assist in customer delinquency issues
Insurance Verification Specialist
Zoll Services
01.2015 - 07.2023
- Reviewed and verify new patient insurance information
- Obtained any necessary authorizations from insurance to make sure account would be paid
- Worked special projects assigned by management
- Assisted the intake team with work back-log
- Developed processes to collect and store data for future use
- Monitored the performance of team members against established goals
Manager
Allegheny Health Network
06.2012 - 06.2013
- Responsibilities Include: Time and Attendance (Kronos)
- Productivity Reporting
- A/R Reporting
- High Dollar reporting
- Vendor Reports
- Negotiated financial settlements and developed relationships with key payors
- Knowledge of Kronos System
- Supervised 8 staff members
- Supervised Medicaid Billing and Follow-Up
- Dealt with payer representatives on resolving issue that would delay prompt payment on claims
- Mentored and trained new employees on company policies and procedures
- Monitored team productivity and performance to support goals
- Assigned, prioritized, and delegated tasks and responsibility to departmental employees
TEAM LEADER
Allegheny Health Network
06.2000 - 11.2012
- Follow up on Medical assistance accounts
- Worked accounts in Mede analytics daily
- Assigned collection and billing reports to team members
- Train new team members on insurance regulations
- Train new team members on medical assistance billing
- Worked special projects assigned by manager
- Mentored and coached team members to ensure successful performance
- Motivated team to achieve optimal results through effective communication and interpersonal skills
Education
No Degree -
Community College of Allegheny County
01-1987
Diploma -
South Side Catholic
06-1986
Skills
- Excel
- Microsoft Word
- Kronos Time System
- Mede Analytics
- Brightree
References
- Frances Shane, 412-687-7887
- Mandy Kimme, 724-831-9199
- Janice Gosnell, Collections Specialist, Tobii Dynavox, 412-491-5809, Janice.Gosnell@tobiidynavox.com
- Friend, 412-330-5370
Timeline
Collections Specialist
Tobii Dynavox
07.2023 - Current
Insurance Verification Specialist
Zoll Services
01.2015 - 07.2023
Manager
Allegheny Health Network
06.2012 - 06.2013
TEAM LEADER
Allegheny Health Network
06.2000 - 11.2012
No Degree -
Community College of Allegheny County
Diploma -
South Side Catholic
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