Summary
Overview
Work History
Education
Skills
Work Availability
Training
Work Preference
Timeline
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Lorrie A. Gagne

Ludlow,MA

Summary

Veteran Sr. Billing Representative with 24 plus years for a Third-Party Medical Billing Company for multiple Specialty Physician Practices, of Radiology, Pathology, and Radiation Oncology. Processed patient and insurance payments, denials, internal and external payments. Received calls from and assisted patients, insurance companies, other medical billing offices, collections agencies, and attorney calls with payment questions, complaints, and did follow-up as needed. Trained new hires on our MMIS system as week as Image Now system. Worked in operations and bookkeeping batching payments, assisted managers with End of Month closes to ensure timely closes were processed accordingly. Deployed to a call center assisting members with their Medicare Savings plan, which we advocate on behalf of the Medicare Advantage health plans.

Overview

26
26
years of professional experience

Work History

Senior Outreach Representative

Optum/United Healthcare
Ludlow, MA
10.2022 - 08.2025
  • Collaborated with internal departments to ensure cohesive messaging across all outreach materials and initiatives.
  • Asked relevant questions to assist customers with selecting needed or requested products and services.
  • Documented customer interactions and transactions, maintaining accurate records of all dealings.

Senior Billing Representative

Change Healthcare
Ludlow, MA
06.2016 - 10.2022
  • Reviewed and solved account and billing discrepancies.
  • Trained new hires on company-specific billing software, policies, and procedures, promoting team cohesion and productivity.
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurances to obtain timely and accurate payments.
  • Coordinated with intermediate parties to obtain payments and resolve issues.
  • Assessed accounts for payment status and reached out to customers.
  • Achieved consistent performance metrics targets by prioritizing tasks effectively amid fluctuating workloads.
  • Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
  • Leveraged strong analytical skills to identify patterns in data, enabling accurate forecasting and improved decisionmaking.
  • Received incoming information and entered into database system.
  • Improved billing accuracy by thoroughly reviewing and verifying invoice data before submission.
  • Enhanced client satisfaction with prompt resolution of billing inquiries and disputes.
  • Ensured accurate recordkeeping by maintaining up-to-date customer account information in the database.
  • Worked with multiple departments to check proper billing information.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
  • Assisted management with month-end close activities, ensuring accurate financial reporting within set deadlines.
  • Reduced late payments by implementing a proactive follow-up system for overdue accounts receivable balances.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Maintained accurate records of customer payments.

Payment Services Representative

McKesson Corporation
Ludlow, MA
01.2007 - 06.2016
  • Assisted management with month-end close activities, ensuring accurate financial reporting within set deadlines.
  • Reduced late payments by implementing a proactive follow-up system for overdue accounts receivable balances.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Handled account payments and provided information regarding outstanding balances.
  • Reconciled accounts receivable to general ledger.
  • Maintained accurate records of customer payments.
  • Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
  • Monitored outstanding invoices and performed collections duties.
  • Kept vendor files accurate and up-to-date to expedite payment processing.
  • Generated monthly billing and posting reports for management review.

Payment Poster

PerSe Technologies
Ludlow, MA
01.2000 - 01.2007

Processed payments from patients and insurance companies for our radiologist, pathologist, and oncologist doctors.

  • Collected payments and applied to patient accounts.
  • Communicated effectively with others through active listening and dynamic interpersonal skills.
  • Supported audits by providing detailed records of all posted payments and adjustments upon request.
  • Accurately posted payments and adjustments both electronically and manually.
  • Proactively identified potential underpayments from insurers and took appropriate actions to rectify discrepancies swiftly.
  • Stayed informed of industry changes and updates by participating in relevant training sessions, utilizing new knowledge to enhance job performance.
  • Increased accuracy of patient account balances by diligently applying payments according to insurance guidelines.
  • Identified overpayments and processed refunds for insurance carriers and patients.
  • Generated monthly billing and posting reports for management review.
  • Reconciled accounts receivable to general ledger.
  • Processed payments that had been received from insurance companies and Medicare.

Patient Billing Representative

Medaphis
Ludlow, MA
05.1999 - 11.2000
  • Entered patient charges for our radiologist, pathologist, oncologist doctors.
  • Verified patent demographic information.
  • Verified accuracy of documentation, coded accordingly to patient outcomes stated by doctor's findings.
  • Goal was to reach 100% accuracy in the coding.

Education

High School Diploma -

Holyoke High School
Holyoke MA
06-1982

Skills

  • Over thirty years of Data Entry related jobs and customer service experience
  • Payment Posting
  • Review patient demographics for accuracy conciliation unapplied cash
  • Microsoft Office Excel, Word, Outlook
  • Analyzed insurance denials, forwarded to AR for review
  • Assisted and responded to collection agency patient account inquiries
  • Created Offshore payment posting pathways
  • Queued Offshore payment posting for accuracy
  • Call center since October 2023
  • Account reconciliation
  • Medical billing
  • HIPAA regulation observance
  • Adaptability and flexibility
  • Professional communication

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Training

  • HIPPA Training
  • Compliance Training
  • Cyber Attack Training
  • Safety and Security Training
  • Harassment Training
  • MMIS System
  • Image Now System

Work Preference

Work Type

Full Time

Work Location

RemoteOn-Site

Important To Me

Work-life balancePaid time off401k matchPaid sick leaveHealthcare benefitsCompany Culture

Timeline

Senior Outreach Representative

Optum/United Healthcare
10.2022 - 08.2025

Senior Billing Representative

Change Healthcare
06.2016 - 10.2022

Payment Services Representative

McKesson Corporation
01.2007 - 06.2016

Payment Poster

PerSe Technologies
01.2000 - 01.2007

Patient Billing Representative

Medaphis
05.1999 - 11.2000

High School Diploma -

Holyoke High School
Lorrie A. Gagne