Heather Walters
Manager of COB/Payment Integrity
- Role
- Manager of Cob Payment Integrity at Health Alliance Plan
- Location
- Detroit, MI, US
- LinkedIn followers
- 500 followers
About Heather Walters
Healthcare/Counseling Professional with extensive experience in managed care, case management, and care coordination. Proficient in using Wolters Kluwer Mediregs and interpreting Patient Protection and Affordable Care Act (ACA), Centers for Medicare and Medicaid Services (CMS) Rules and Regulations, Federally-facilitated Marketplace (FFM) and Federally-facilitated Small Business Health Options Program (FF-SHOP) Enrollment Manual, Medicare Program Manuals, Social Security Act (SSA), Code of Federal Regulations (CFRs), National/Local Coverage Determinations (NCDs/LCDs), and State Regulations. Also skilled in using the DSM-IV and V (Diagnostic and Statistical Manual of Mental Disorders); and ICD-9 (International Classification of Diseases), HCPCS (Healthcare Common Procedure Coding System), and CPT (Current Procedural Terminology) codes. Excellent communication, interpersonal, and follow-through skills. Specialize in building and maintaining strong relationships with clients and professionals within and outside of the company.
Experience
Manager of Cob Payment Integrity
Oct 2019 — Present
Education
Wayne State University
Post Bachelor Certificate, Forensice Investigation
2000 — 2004
Oakland University
MA, Counseling
2005 — 2009
Oakland University
Bachelor of Arts, Psychology
1996 — 1999
Oakland Community College
None, Pre-requisite Courses
1994 — 1996
Oakland University
Concentration, Criminal Justice
1996 — 1999
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