Billy Newman

Background

About Billy Newman

Innovative healthcare lead with a strong background in quality assurance, claims analysis and management principles and practices. Government compliance and collections professional successful at improving government compliance, maximizing collections, and growing revenue. Organized, motivated and hardworking with vast experience with DME operations, excellent interpersonal skills and the organizational savvy to run a team smoothly. Over fifteen years experience working directly with Centers for Medicare and Medicaid Services (CMS) Recovery Audit Contractor (RAC) program and other government regulatory and enforcement agency audits for documentation and billing compliance. My duties entailed responding to correspondence from Government Agencies related to Unified Program Integrity Contractors (UPIC), Recovery Audit Contractor (RAC), Medicare Administrative Contractor (MAC), Targeted Provider Education (TPE), Comprehensive Error Rate Testing (CERT), Office of Inspector General (OIG) for pre and post payment audits. My duties involved correspondence with the various government contractors, audit response, claim appeals up to and including the CMS ALJ level. Audit response duties and experience included document retrieval, documentation compliance analysis, bundling, and audit response. Dedicated, with a strong work ethic and exceptional follow through abilities, achieving a reputation for consistently going beyond set requirements. Detail oriented, result driven and resourceful in the completion of projects with the ability to multitask effectively. Adept at working in a fast paced environment while meeting strict guidelines. Proven ability to extract, collect, consolidate, organize and prioritize useful data efficiently and effectively. I am an experienced lead with exceptional leadership, training, and motivational skills.