Jillian Storm Pmp Email & Phone Number

Albuquerque, Nm, Us

Wakes up. Starts coffee. Opens word document. Usually performs better when music is playing. Aces at short stories and comics. Builds muscle working over novel drafts and screenplays. Insightful participant in creative collaboration.

Austin, Texas Area

Reverse engineered data analysis projects to create technical process manuals. Gathered, assembled, correlated, and analyzed data to evaluate payer performance. Maintained database of contracts and supporting documents.

Austin, Texas Area

Established an industrious team of data analysts: billing, financial, revenue cycle, and systems. Streamlined contract administration: development, negotiation, execution, monitoring support, amendments, and maintenance for both the physician group and ASCs. Developed and presented revenue reports in Tableau using data extracts to produce analysis of contractor and revenue performance. Prepared written analysis, administrative reports, hosted client meetings and large-scope projects.Organized business rules, data mapping, and product integration to implement software solutions automating healthcare claim analysis and enhancing contract modeling for renegotiation strategies.

Austin, Texas Area

Cultivated a team of credentialing specialists to perform administrative and technical duties necessary to complete credentialing functions in accordance with medical staff bylaws. Assisted with contract development, negotiations, monitoring support, and maintenance. Interpreted and applied federal and state statutes, regulations, agency rules, policies, and procedures related to contracting.Supervised use of various credentialing software systems to complete initial appointments, reappointments, granting of clinical privileges, and maintenance of expirables.Supported identification, investigation, reporting, tracking, and follow-up on potentially adverse information received from credentialing sources in accordance with office guidelines and policies.

Assembled executive level visualizations (dashboards, graphs, charts), often from scratch, that enabled leadership to deliver improvements in personnel and financial management while monitoring trends. Amplified development and detailed review of operation budgets and performance benchmarks.

Austin, Texas Area

Analyzed data sets, ran queries, created monthly data reporting, and presented findings. Skilled in the use of applicable healthcare software to analyze coding and billing problems. Devised effective solutions, conducted data searches through the practice management system (PMS), evaluated and translated large amounts of healthcare data sets to business dashboards.Compiled, reviewed, and analyzed healthcare billing data. Maintain accuracy and attention to detail. Prepared reports and communicated research findings effectively, both verbally and in writing.Worked cooperatively with the revenue cycle billing management and clinic leadership.Experienced in researching, analyzing, and evaluating complex claims data and medical billing issues.Skilled in synthesizing highly complicated and technical healthcare information and translating it into easily understandable and concise documents and oral presentations for executives, management, and the professional business partners.Skilled in working with diverse groups and interests, resolving conflicts, building consensus, and problem solving. Ability to exercise judgment and work independently with limited direction.Knowledge of record keeping including security procedures for handling, protecting, and distributing confidential data.

Austin, Texas Area

Established quality improvement processes as a charismatic healthcare business coach, knowing how to build up team members when they were struggling, and inspired staff on both good and bad days. Authored and edited training materials. Mentored staff to improve performances to meet objectives and priority outcomes.

Austin, Texas Area

Responsible for monitoring contractual allowances, analyzing and pursuing appeal opportunities with payers and networks, and reporting appeals performance. Recovered lost revenue by rapid discovery and meaningful corrections to resolve contractual errors.Maintained updates to the contract management system to track payer trends and identify underpayments. Dispatched time-sensitive data entry of fee schedules into the Practice Management System.Produced and spearheaded the Managed Care Contracting intranet library and data bank of researched guidelines and policies to ensure business compliance. Reviewed and distributed data for insurance programs, including policies, procedures, and contract details.Responsible for researching medical billing guidelines and policies to implement changes necessary to ensure compliance.Compiled and submitted appeals. Monitored for proper reimbursement. Used Contract Manager to track appeals and recoveries. Tracked contractual, billing, registration, and posting errors. Provided continuous feedback to Appeals Manager. Reviewed and analyzed EOBs for identified under-allowed claims. Verified applicable contract reviewing EOB messages, patient ID cards, and verifying member information for managed care plans.

Austin, Texas Area

Submitted written appeals to insurance carriers when applicable and ensured timely follow-up regarding status. Ensured all payer issues were brought to the supervisor’s attention in a timely manner to reduce continued reimbursement issues. Identified an ongoing flaw in an insurance company adjudication process which led to a nationwide update, successful negotiation of settlement, and benefit to the company.Demonstrated efficient methods for determining if a claim had been received by the insurance company, if the claim had paid according to contract, and if any contractual adjustments were required.Filed appropriate requests for medical records and followed-up with insurance company to ensure records had been received. Ensured account balances were correct and assigned to the appropriate insurance to provide clean reporting data.Maintained tickler file and ensured timely follow-up of outstanding claims/balances.

My service is enabling others to accomplish their individual responsibilities and help fit the pieces together into a cohesive whole. I lead, schedule, and direct production teams; maintain mid-week communication of assignments; and participate in creative/practical planning meetings for weekly and annual services.

Peoria, Illinois Area

I had excellent opportunities to gain experience with medical insurance at Soderstrom Dermatology. I handled physician billing, insurance appeals, and patient collections. Essentially, I was a detective! I figured out what was wrong with a claim and I fixed it. Then I collected money.Improved Illinois Public Aid accounts, entrusted to independently learn state policies. The investigation and implemented solutions improved the accounts receivable balances for that carrier by over 50% within two months.Experienced in customer service, collection techniques, and collection laws.Developed strategic guidelines to enhance existing corporate collection protocols.Reviewed and appealed unpaid and denied claims. Attached appropriate documents to appeal letters.Researched and evaluated insurance payments and correspondence for accuracy.Logged appeals and grievances, and tracked progress of claimsKept up-to-date reports and notated any trends pertaining to insurance denials for monthly team meetings.Called insurance companies to inquire about claims, refund requests, and payments.Created, shared, and utilized Accounts Receivable reports for the Billing Department.Answered patient billing questions.Coordinated medical and billing records payments with patients and third party payers.Handled collections on unpaid accounts.Identified and resolved patient billing complaints.Answered phone calls to the Billing Department in a timely and professional mannerProcessed credit card payments over the phone and in person.Adhered to professional standards, policies and procedures, federal, state, and local requirements.Enhanced practice reputation by accepting ownership for accomplishing new and different requests; explored opportunities to add value to job accomplishments.

Peoria, Illinois Area

Skilled in speaking with persons of various social, cultural, and economic backgrounds.Diffused anger, excelled in empathy and troubleshooting abilities, and engaged in active listening.Managed a high volume of calls with varying degrees of questions or concerns.Identified and resolved complaints and concerns being creative in finding the appropriate solution within Medicare guidelines.Used established computer system to track beneficiary interactions, recorded details of inquiries, complaints, or comments, as well as actions taken.