Expertise in Medicare LCD & Commercial Plan Policy Review, Strategy and implementation. Knowledgeable in Medicaid EAPG payment methodology. Direct customer interface (Physician, CEO, CFO, and key personnel) specific to Billing, Coding, ICD, HCPCS, Transitional Pass-Through, Denials, Underpayments, credentialing, Pre-Determination. Ability to match Reimbursement discussion with the specific needs outlined by each. Coordination and execution of strategic plans to address the needs of the healthcare provider by delivering specialized services to help overcome barriers and increase patient access. Responsible for the Development and Implementation of all field-based Reimbursement Deliverables (site of service document, Medicare Pro-Forma, Billing / Coding / Pre-Determination Presentations). Strategize and Implement Advocacy Initiatives when necessary to address a specialized need (Medicare Denials, processing issue). Work Directly with Field Sales Teams to Educate, minimize account processing issues and increase patient access (Hospitals, Surgery Centers, Office-Based Labs, Physician office).
Listed skills include Physicians, Product Launch, Surgery, Healthcare, and 6 others.