Jeff Byars, Nremt, Bcpa Email and Phone Number
Jeff is an award-winning Board Certified Patient Advocate who provides private advocacy services to individuals and families. He also offers consulting to doctors, clinics, hospitals, and other healthcare providers, to improve the overall experience of their patients. Jeff has been in and around the healthcare industry his entire professional career. A Nationally Certified Emergency Medical Technician, Jeff has been an EMT for over 31 years providing patient care in both for-profit and nonprofit settings. Jeff holds an accounting degree from UAB. He spent 14 years working for Alabama’s largest health insurance company, conducting reimbursement audits for both private and governmental insurance. Jeff also worked for Alabama's most extensive hospital system, improving clinical trial reimbursements. He has vast experience dealing with the many players in our healthcare systems.Jeff is himself a cancer survivor and understands how it feels to be in a patient's shoes. Additionally, his daughter was found to have a tumor at the age of 7 months. Her path to recovery took many twists and turns, including a misdiagnosis, major surgeries, chemotherapy treatments, proton radiation treatments, a stem cell transplant, more blood transfusions than he could count, and a temporary relocation 900+ miles away from home for her care. Through all these experiences, Jeff has seen healthcare's good, bad, and ugly. It's a unique path that sets him apart from other healthcare consultants.Jeff holds a healthcare-concentrated Lean Six Sigma Green Belt and has broad-based experience in healthcare, program administration, value-based care, clinical trials, departmental costing, and auditing. Well-versed in public health policy and has a keen ability to bridge the gap between healthcare administration, providers, and patients. He has developed and implement comprehensive improvement processes that drive business operations. A distinguished colleague that is known for a commitment to patient care, exceptional communication skills, and ability to form strategic partner relationships. Personal portfolio of managing individual care totaling more than $5 million in charges across multiple states, giving a unique perspective on finding inadequacies and improving processes for the benefit of both the provider and the patient.Reach out to discuss how Jeff can improve the healthcare experience for everyone involved.
Sun Back Moon, Llc - Private Patient Advocacy & Healthcare Solutions
View-
Founding Patient AdvocateSun Back Moon, Llc - Private Patient Advocacy & Healthcare Solutions Feb 2020 - PresentCullman, Alabama, United StatesProviding private patient advocacy services and patient-centered, LEAN-focused healthcare solutions.Assisting clients with navigating the healthcare system, obtaining second opinions, attending medical appointments with clients, improving communication between clients and their healthcare team, and reviewing and correcting medical billing errors.Gathering supporting documentation and filing AFLAC cancer policy claims.
-
Senior AccountantFricke, Sweatmon, & Co. Nov 2018 - PresentCullman, AlabamaProviding payroll and bookkeeping services for dedicated clients.Providing financial data to assist clients in making business decisions.Individual, family, and corporate taxes.Audits and reviews of financial records.Governmental audits.
-
InstructorEmergency Services Education & Consulting Mar 2018 - PresentCullman, AlProviding on-site EMS instruction at the EMR and EMT levels. Teaching BLS and CPR. Recording, editing, and developing online education material for Emergency Medical Responder courses. -
Patient Advocate AdvisorTruehlth Nov 2023 - Oct 2024Providing guidance from a patient advocate prospective for a platform to empower those living with chronic diseases to better manage their care.
-
Patient AdvocateSelf Employed Sep 2015 - Feb 2020Successfully managed the care and treatment process for my child who had a rare pediatric cancer. The care and treatment process included multiple facilities from different states and countries. Medical charges exceeded $5 million which allowed me the rare opportunity to see a lot of healthcare processes, from bad to excellent. It allowed me to see firsthand what processes worked and what didn't. It allowed me to see care at a top 3 facility that utilizes Lean Six Sigma at every corner of their facility and to witness facilities that have great potential if they would adopt such an approach. I have witnessed processes that drove me away from a facility and processes that have made me a recruiter and cheerleader for a facility. It's an experience I would not wish upon anyone, but it has given me a very unique perspective on improving healthcare.
-
AuditorCahaba Safeguard Administrators Oct 2018 - Nov 2018Birmingham, Alabama AreaAuditing Medicare Cost Reports for skilled nursing facilities and hospitals. Bad debt reviews. Settlement reconciliation. Reopening reviews. -
Reimbursement Specialist For Clinical TrialsUab Medicine Jul 2014 - Sep 2016Birmingham, Alabama Area• Defined the goals of hospital administration relating to clinical trials.• Process improvement of the link between the University and the Medical Center for clinical trials.• Constructed a process flow to learn where problems occurred and what measures could be used to track improvement.• Analyzed data on individual clinical trials to find where opportunities existed for maximizing communication.• Prioritized areas for improvement based on potential reimbursement impact.• Launched pilot solutions to improve communication between the University and the Medical Center where hospital-based trial procedures were necessary.• Reduced the complexity of the clinical trial financial analysis by optimizing communication between all involved parties.• Tracked 100% of implant procedures for clinical trials, ensuring proper reimbursement of all related expenses.• Initiated billing for previously incorrectly billed trials while pricing out new trial procedures to support budget based on historical cost data.• Managed relationships as a liaison between university medical staff, hospital administration, clinical trial sponsors, and device manufacturers.• Secured maximum clinical trial reimbursement by collaborating with device manufacturers to ensure proper coding within the hospital chargemaster and auditing patient charts and records to verify proper billing and receipt.• Found gaps in processes associated with clinical trials; communication, reporting, charge capture, billing, and collections. Developed solutions to improve the process and outcomes for each of these areas.•Followed trial charge and billing processes from end to end in order to flag problems and provide solutions for improvement.•Priced out new clinical trial procedures to assist with budgeting based on historical cost data from similar procedures.• Studied clinical trials to look for hidden expenses not included in the initially budgeted amounts, introducing measures to correct budgets. -
Senior AuditorBlue Cross Blue Shield Of Alabama Sep 2007 - Jun 2014Birmingham, Alabama Area• Managed reimbursement audit functions for over 20 hospitals throughout Alabama.• Consistently exceeded 12 to 1 audit savings ratio by ensuring audit work was completed accurately and consistently.• Defined areas of reports where high error rates were noted. Implemented a change in the way providers were informed about these errors. The resulting process reduced cost report initial errors by 35% which in turn allowed audit staff to spend more time on value-added work.• Streamlined desk review audit process by reducing waste time for clerical work that could be automated. Developed an automated comparison spreadsheet that reduced the amount of time required to manually key in reports and set standards in which comparisons were measured. The results saved 11 weeks of audit work time per year while adding consistency to the audit work itself.• Worked with provider C-Suites to foster an improved understanding of reimbursement principles at numerous hospitals.• Honed expertise in governmental and private insurance reimbursement regulations and principles by finding opportunities to improve audit process flow while at the same time reducing errors.• Communicated audit findings and presented plans for improving reimbursement to C-Suite. • Represented Provider Audit & Reimbursement department in the development of the corporate strategic plan. -
In-Charge AuditorBlue Cross And Blue Shield Of Alabama Dec 2003 - Aug 2007Birmingham, Alabama Area• Conducted Medicare and Blue Cross audits of large-scale hospitals while supervising lower-level assistant auditors.• Worked as a mentor, training lower-level staff to improve their work habits to achieve more efficient processes.• Liaised with provider personnel regarding audit adjustments and other reimbursement issues while analyzing provider data to determine reimbursement effects.• Guided and trained all levels of audit staff on new procedures and technologies that improved productivity.
-
Advanced Staff AuditorBlue Cross And Blue Shield Of Alabama Sep 2001 - Dec 2003Birmingham, Alabama Area• Selected to participate in a special audit team, conducting a fraud investigation full-scope audit, consisting of the entire Medicare Audit Plan.• Developed a plan for travel logistics of audit staff, including transportation and long-term storage of audit materials in out-of-state engagements. • Performed unassisted small-scale on-site Medicare audits.• Utilized statistical software for selecting audit samples.
-
Staff AuditorBlue Cross And Blue Shield Of Alabama Jun 2000 - Sep 2001Birmingham, Alabama Area• Bad debt audits• Sample selections and validation• Learned Medicare regulations• Assisted with desk reviews and small-scale field audits
-
Emergency Medical TechnicianAmerican Ambulance Service Nov 1999 - Feb 2003Cullman, AlProvided direct patient care, transportation, documentation of care for billing purposes, and ensured the equipment was stocked and operational. Full-time until June of 2000. Continued to work PRN until 2003.
-
Founding MemberJeff'S Auto Parts, Llc Jan 1995 - Feb 2000Cullman, AlBusiness owner in charge of all aspects of managing an auto parts and recycling facility. Managed counter sales staff, delivery drivers, and warehouse dismantlers, including maintaining payroll and hiring activities. I also managed accounts payable and receivables, purchased inventory, and worked both inside and outside sales.
Jeff Byars, Nremt, Bcpa Skills
Jeff Byars, Nremt, Bcpa Education Details
-
Accounting -
Emergency Medical Technician
Frequently Asked Questions about Jeff Byars, Nremt, Bcpa
What company does Jeff Byars, Nremt, Bcpa work for?
Jeff Byars, Nremt, Bcpa works for Sun Back Moon, Llc - Private Patient Advocacy & Healthcare Solutions
What is Jeff Byars, Nremt, Bcpa's role at the current company?
Jeff Byars, Nremt, Bcpa's current role is 2022 Independent Patient Advocate of the Year.
What schools did Jeff Byars, Nremt, Bcpa attend?
Jeff Byars, Nremt, Bcpa attended University Of Alabama At Birmingham, Wallace State Community College - Hanceville.
What are some of Jeff Byars, Nremt, Bcpa's interests?
Jeff Byars, Nremt, Bcpa has interest in Disaster And Humanitarian Relief, Health.
What skills is Jeff Byars, Nremt, Bcpa known for?
Jeff Byars, Nremt, Bcpa has skills like Healthcare, Auditing, Hospitals, Healthcare Management, Insurance, Medicare, Managed Care, Hipaa, Healthcare Industry, Healthcare Consulting, Financial Analysis, Cost Accounting.
Free Chrome Extension
Find emails, phones & company data instantly
Aero Online
Your AI prospecting assistant
Select data to include:
0 records × $0.02 per record
Download 750 million emails and 100 million phone numbers
Access emails and phone numbers of over 750 million business users. Instantly download verified profiles using 20+ filters, including location, job title, company, function, and industry.
Start your free trial