Loriann Dillman
Mahomet,IL
Summary
Dynamic Revenue Cycle Specialist with extensive experience at Carle Home Infusion and Specialty Pharmacy. Proven expertise possesses specialized skills in invoice generation, claims processing, account reconciliation, enhancing collection efforts, posting and managing account payments, and reducing billing errors. Excels at communication, problem-solving, and time management, ensuring seamless operations and client satisfaction. Adept at fostering team collaboration and delivering exceptional customer service, ensuring compliance with HIPAA regulations while achieving timely payments.
Overview
27
27
years of professional experience
Work History
Revenue Cycle SBU Billing Specialist III
Carle Home Infusion and Specialty Phamacy
Urbana, IL
10.2014 - Current
- Systems usage of CPR+ and CareTend systems for authorization, creation, billing, and follow-up of home infusion medical claims, including appeals, coding reviews, posting of payments, and all other tasks until paid by insurance, the patient, or collections.
- Reconciled account discrepancies to maintain accurate records of payments received from both patients and insurance companies.
- The EPIC system is used for obtaining medical records, verifying patient information, and insurance when applicable.
- Usage of the R2 system for specialty pharmacy billing and follow-up of medical claims, and follow-up of NCPDP claims crossed over from the NewLeaf pharmacy system.
- PC usage: Microsoft Office - Word, Excel, Outlook.
- Collect and submit the account to the collection agency.
- Reconciliation of Elevate systems for retail pharmacies with monies received in the bank and payments from Elevate EFT FDS payments on a daily or monthly basis.
- Teams for meetings and messages.
- Developed strategies for improving collection efforts while adhering to company policies.
- Analyzed financial data to identify trends or irregularities in accounts receivable.
- Maintained detailed records of all account activity using established procedures.
- Processed credit card payments for customers who chose this method of payment.
- Participated in departmental meetings and provided updates on progress towards goals.
- Provided training and guidance to junior staff members on various accounting topics.
- Investigated disputed charges and made appropriate adjustments as necessary.
- Provided customer service to patients and insurance companies for billing inquiries.
- Reconciled accounts receivable balances on a monthly basis to ensure accuracy.
- Assisted with the development of departmental policies and procedures.
- Scheduled follow-up calls with delinquent customers as needed to collect payments due.
- Identified opportunities to reduce billing errors, improve collection processes, and increase revenue.
- Resolved discrepancies in patient accounts by verifying accuracy of invoices, coding, and other data.
- Tracked aging claims to ensure timely payment from third-party payers.
- Assisted with month-end close activities such as reconciling accounts receivable balances.
- Reviewed and processed patient account information, including insurance claims and payments.
- Generated accurate statements for overdue accounts according to company policy.
- Conducted financial consultations with patient and set up payment plans.
- Processed cash, check, and credit card payments on patient accounts.
- Resolved inquiries from patients, families, and external payers.
- Generated detailed reports outlining billing, flagged items, and other important data.
- Reached out to patients once insurance was billed in order to obtain payments due.
- Reviewed flagged items daily and resolved issues.
- Applied organizational policies and complied with regulations for patient privacy.
- Processed refunds, disbursements, and payments.
- Collaborated with relevant parties to resolve billing issues, insurance claims, and patient payments.
- Submitted electronic bills following facility and legal compliance standards.
- Explained policies, procedures and services to patients.
- Received patient inquiries or complaints and directed to appropriate medical staff members.
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
- Liaison between pharmacy, patients, and providers.
- Reconciliation of electronic payments and paper deposits received to payment posting logs and individual systems.
- Training of new employees.
- Collaborated closely with clinical staff to ensure proper coding or diagnosis for accurate billing.
- Maintained strict confidentiality while handling sensitive information in accordance with HIPAA regulations.
Patient Care Associate
Carle Foundation Hospital
Urbana, Illinois
09.2014 - Current
- Assisted patients with activities of daily living such as bathing, grooming, dressing, and toileting.
- Documented patient intake and dietary requirements and aided with feeding and monitoring.
- Assisted with lifting patients to move on or off beds, examination tables and surgical tables.
- Measured and recorded food and liquid intake and output, reporting changes to medical or nursing staff.
- Safeguarded patient privacy with strict adherence to HIPAA protocols.
- Supported daily living activities by serving meals, feeding, ambulating and turning over and positioning patients.
- Accurate charting while assisting and watching patients with suicide precautions.
- Charted, assisted patients with neurological, mental and aged issues who were violent physically and verbally, spitting and/or trying to remove tubes and IVs with the appropriate implementation Nonviolent Crisis Interventions tools.
- Completed Basic Life Support certification.
Account Service Representative II
Carle Physicians Group
Urbana, IL
03.1999 - 10.2014
- Usage of the EPIC system to update and maintain patient insurance information, billing, claim correction, and filing of insurance claims, and pulling of medical records.
- Used office equipment: Fax, multi-functional copier, 10-key calculator.
- Provide exceptional customer service through prompt response times, clear communication, and effective problem-solving skills.
- Liaison between the Insurance Department, Patient Accounts, and Cash Unit regarding patient inquiries, insurance requests, payments, and refunds.
- Website Administrator for payer sites used by individuals throughout the organization's clinics and hospitals, providing user access and termination while maintaining HIPAA privacy and minimal need guidelines.
- Working on audits related to patient and insurance audit accounts for the accuracy of patient balances and payments according to contractual arrangements.
Education
Certified Nurses Aid - Certified Nurses Aid
Urbana Adult Education
Urbana, IL05-1995
High School Diploma -
Homer High School
Homer, IL05-1985
Pre-Nursing
Illinois State University
Normal, ILNursing
Parkland College
Champaign, ILSkills
- Claims processing
- Account reconciliation
- Insurance verification
- Patient billing
- Customer service
- Team collaboration
- Problem solving
- Payment posting
- Regulatory compliance
- Process improvement
- Training and development
- Statement processing
- Time management
- Multitasking and organization
- Deductible management
- Invoice processing
- Collections management
- Medical billing expertise
- Insurance claim processing
- Denial management
- Problem-solving
- Medical billing and collections
- Attention to detail
- Invoice generation
- Research and due diligence
- Cash posting
- Billing dispute resolution
- Time management
- Customer engagement
- HIPAA compliance
- Billing systems and software
- Data entry proficiency
- Process payments
- Office equipment operation
References
References available upon request.
Timeline
Revenue Cycle SBU Billing Specialist III
Carle Home Infusion and Specialty Phamacy
10.2014 - Current
Patient Care Associate
Carle Foundation Hospital
09.2014 - Current
Account Service Representative II
Carle Physicians Group
03.1999 - 10.2014
Certified Nurses Aid - Certified Nurses Aid
Urbana Adult Education
High School Diploma -
Homer High School
Pre-Nursing
Illinois State University
Nursing
Parkland College