Don Bush Email & Phone Number

United States

Applying various laws related to the wide range of health information requests. Processing subpoenas, attorney, patient, insurance, CMS audits, Risk Adjustment audits, worker's compensation, and physician requests. Extreme attention to detail and the various rules that apply to the complexities of records requests.

Rockville, Md

Executed processes related to patient reimbursement such as:Insurance verification and benefit investigations. Gatthering appropriate prior authorization criteria from health care providers, facilitating submissions, approvals and denial management.Communicating with regional reimbursement directors (RRD)Maintaining a current, proficient understanding of commercial Insurers, medicaid, and Medicare Part D benefit and Prescription Drug Plan (PDP) benefits and changes… Show more Executed processes related to patient reimbursement such as:Insurance verification and benefit investigations. Gatthering appropriate prior authorization criteria from health care providers, facilitating submissions, approvals and denial management.Communicating with regional reimbursement directors (RRD)Maintaining a current, proficient understanding of commercial Insurers, medicaid, and Medicare Part D benefit and Prescription Drug Plan (PDP) benefits and changes year-to-year.Keeping current with manufacturer’s financial assistance programs, alternative funding, and government programs.Reporting benefits to patients and physicians and explaining policies when they didn’t understand their plans.Empathizing and interacting with patients on a professional level as well as conflict resolution. Experience working with large team of employees in culture of cooperation and teamwork to achieve required goals for the patient.Adapting to constant change and different strategies in meeting company and the client's goals.Regularly entrusted with confidential HIPPA requirements set by the company.Reporting adverse events experienced by the patient to the pharmaceutical manufacturer. Show less

As Insurance Verification Coordinator, handled preauthorization and coordination of patient testing for large cardiovascular practice; gathered information for referrals, copays and insurance policy effective dates. Contacted patients to keep them updated on referral information and requirements.Ensured that all patient information was organized and available prior to patient visits to ensure positive patient experience. Ensured that patients had current and valid coverage to avoid costly… Show more As Insurance Verification Coordinator, handled preauthorization and coordination of patient testing for large cardiovascular practice; gathered information for referrals, copays and insurance policy effective dates. Contacted patients to keep them updated on referral information and requirements.Ensured that all patient information was organized and available prior to patient visits to ensure positive patient experience. Ensured that patients had current and valid coverage to avoid costly insurance billing/payment mistakes. Focused on patient insurance coverage resulting in patients arriving with correct information, reduction in wasted visits (for both practice and patients), saved valuable time during patient visits, avoids rescheduling of appointments, ensured that doctors saw patients with valid coverage, making patient visits more profitable. Provided training presentation to staff on effective insurance verification with Kaiser Permanente, Maryland Medicaid, Blue Cross Blue Shield and United Healthcare insurance carriers. Provided coworkers with information on insurance carrier requirements. This resulted in cross-training of staff.Demonstrated excellent organizational skills by developing an effective system within Nextgen software to coordinate the complexities related to pending patient testing pre-authorizations. Due to implementation of this system, physicians provide correct information to insurance companies, patient tests are not denied and overall practice profitability is enhanced.Composed correspondence from physician’s office to entities used by insurance companies for test preauthorization. Show less

Performed title abstracts, (histories of title ownership, outstanding judgements, liens and mortgages) submitted and logged deeds, deeds of trust, and various legal instruments to be placed on public record. Was enthusiastic, dedicated employee, regularly working eleven-hour days and weekends to meet demand during booming real estate market.Was familiar with complicated documents; in an environment with no room for mistakes, where accuracy was an absolute must. There were never any… Show more Performed title abstracts, (histories of title ownership, outstanding judgements, liens and mortgages) submitted and logged deeds, deeds of trust, and various legal instruments to be placed on public record. Was enthusiastic, dedicated employee, regularly working eleven-hour days and weekends to meet demand during booming real estate market.Was familiar with complicated documents; in an environment with no room for mistakes, where accuracy was an absolute must. There were never any issues with inaccuracies on my part. Show less

Associate'S Degree, Divinity/Ministry, 3.9 Gpa

summa cum laude

Chaplaincy Certificate, Chaplaincy, 3.9 Gpa

Bachelor Of Divinity Candidate, Divinity/Ministry