Alicia Greer is a leading subject matter expert relating to healthcare claims processing for healthcare services and technologies. Focused on healthcare insurers in the United States, she provides client advisory and support for reimbursement operations across the spectrum of Government payers and private health insurance. With 20 years of managed care claims processing, billing and coding experience at a regional and national level, Alicia serves clients seeking to optimize their revenue cycle strategy for medical devices, durable medical equipment and buy-and-bill pharmaceutical therapies. Her deep background in reimbursement operations for rehabilitation, cardiovascular, radiology and diagnostic products provides support for clients’ medical billing needs, and adds a valuable perspective to reimbursement strategy.

Prior to working at NAMSA, Alicia was employed at a cancer genetic testing company, where she gained deep experience with high volume and high dollar claims resolutions. She received her Bachelor of Science-Health Care Administration from the University of Phoenix (Tempe, AZ). Alicia is a Certified Medical Reimbursement Specialist (CMRS), Certified Revenue Cycle Representative (CRCR) and active member of the American Medical Billing Association (AMBA).

CORE COMPETENCIES

• Analyzing billing data to identify trends and opportunities for process improvement
• Initiating appeals and ensuring all required documentation is submitted with appeals
• Researching claim denials, identifying causes, and resolving issues to promote prompt insurance payment
• Coordinating with insurance providers to verify coverage and obtaining authorization for services provided
• Reviewing and analyzing contracts to resolve billing issues with vendors and carriers
• Collaborating with IT teams to develop and implement enhancements to the in-house Electronic Data Capture system, resulting in increased efficiency and accuracy in reimbursement claim processing

• Analyzing monthly KPI report for accuracy
• Applying billing adjustments to resolve discrepancies in account receivable journals
• Assisting in the development and implementation of training programs for billing operations specialists to ensure consistent and accurate billing practices across the organization

RECENT PROJECTS

• Reimbursement specialist for a major US medical device manufacturer’s implantable device global recall
• Supported an Australian medical device startup client in gathering information on the US market for neonatal vascular access products to acquire payer input on a device’s capital equipment expenditures
• A subject matter expert for an industry-leading Japanese manufacturer seeking information on the US audiology market and enhanced hearing test methods from notable US audiology key opinion leaders