Eric Liou Email & Phone Number

Dallas, TX, US

• Utilized healthcare experience to perform audit recovery procedures for Medicare and Medicaid claims to identify incorrect payments based on Centers for Medicare & Medicaid Services (CMS) guidelines and client.
• Recognized patterns and trends in overpayments thru extensive data analysis and other methods such as creating custom queries from large data sets.
• Identified and validated incorrect claim payments up to $300,000 to $700,000+ monthly.
• Developed and enhanced new and current audit reports to increase recovery efforts for clients.
• Researched CMS reimbursement regulations for claim payment compliance reviews and documentation to support current audit findings.
• Created Excel templates to help facilitate workflow, increase efficiency, and reduce time when identifying and validating claims.

• Loaded, extracted and validated hospital data such as cost reports, financial statements, audits, and third-party state and federal data to ensure accuracy when calculating suggested federal reimbursement; Used.
• Managed multiple audits, special projects, internal deadlines and client relationships for over 65 clients including hospital chains such as the Hospital Corporation of America (HCA), Tenet HealthCare, Christus Health.
• Added value to client engagements by increasing reimbursement ranging from 5 to 40% while ensuring client compliance with Federal government laws and regulations, including HIPAA compliance
• Thoroughly reviewed reimbursement calculations for completeness and mathematical accuracy
• Engaged directly with clients to collaborate and review data discrepancies, and request additional hospital data
• Completed reimbursement calculations, which resulted in a 99% acceptance rate at audit by fiscal intermediaries