Heather Rose Email & Phone Number

United States

Provide Brightree software training across all departments and corporate campuses. This includes travel across the country to provide training for new and established employees. The implementation of the software required the redesign of departmental workflows and a vast understanding of insurance guidelines to provide suggestions on validation rules and.

Performed a high volume of chart audits as requested by Medicare, Medicaid and private payers. This position required a vast knowledge of insurance guidelines, policies and procedures in order to ensure the reimbursement for services and supplies. Identified needs for training by auditing internal processes and communicating process improvements to.

During the role in the AR Department, McKesson acquired National Rehab Equipment and began operating as McKesson Patient Care Solutions. As a Medicare Advantage Reimbursement Liaison, the position was responsible for evaluating the aging AR and correcting claims for payment. This included filing high dollar appeals and representing MPCS at ALJ Hearings for.

In the role of Authorization Specialist, verified insurance benefits and communicated coverage to referral sources and patients. Obtained special authorizations for coverage of medical supplies and equipment. Received a promotion to Team Lead in 2008 and was responsible for the supervision and development of the Authorization Team. The Team Lead role.