My name is Helen S. Philliou. I am the founder of Helen S. Philliou, Inc., a corporation that provides consulting services for:
Medical underwriting
Case management oversight
Large claim negotiation and review
Assisting case management companies with reporting for reinsurers
I’m currently available for consulting engagements.
I work with clients throughout the United States. My clients include:
Managing general underwriters
Third Party Administrators (TPA)
Fully insured clients
After doing hands on nursing care, I spent several years as a rehabilitation case manager (specialist) and then supervisor. Over time, I became responsible for large projects, like Workability, a work absence management program developed for Chrysler Corporation.
Corporate Expertise
My ability to review and negotiate large claims led me to develop and implement a utilization review program for medical stop loss companies. I worked with their third party administrators and managing general underwriters and was responsible for reviewing and negotiating all hospital bills in excess of $50,000 that were out of network or out of area.
Financial Acumen
I leverage my in depth knowledge of the medical claims environment to negotiate with hospitals, physicians, attorneys and other providers, such as home care and durable medical equipment (DME) vendors. I also serve as a resource to clients regarding case management issues and underwriters, regarding estimates of potential claims.
Training
I have developed trainings for nurses, to assist them in understanding the financial aspects of medical insurance. I am available to write and deliver training tailored to specific company needs.
