Nancy Barney

Experience

• 

  Blue Shield of California

  Sept 1983 - Jan 1989

  • Analyst/Technical Support

    Jan 1988 - Jan 1989

  • Claims Examiner and Auditor

    Sept 1983 - Dec 1987
• 

  Blue Shield of California

  Jan 1991 - Jan 1996

  . The Ombudsman position involved representing Medicare throughout the state of California by networking and meeting with various patient and provider groups. This position required supervision and direction of a team of ten people responsible for monitoring physician compliance with Medicare billing requirements and providing telephone customer service and education. For this position I returned to the Blue Shield Medicare dedicated facility where I maintained a working knowledge of all UR team functions to assist in meeting Medicare Program goals.

  • Supervisor

    Jan 1995 - Jan 1996

  • Ombudsman

    Jan 1994 - Jan 1995

  • Supervisor

    Jan 1992 - Jan 1994

  • Senior Analyst - Utilization Review "UR" Department

    Jan 1991 - Jan 1992
• 

  Centers for Medicare & Medicaid Services

  Jan 1996 - Aug 2006

  Hearing and Appeals Officer
• 

  CIGNA Healthcare Durable Medical Equipment Regional Carrier

  Jan 1997 - Aug 2007

  Medicare Hearing Officer

  This position required impartial arbitration by conducting in-person, telephone, and on-the-record Medicare Part B hearings with Medicare providers, suppliers, and beneficiaries in accordance with Medicare Program regulations while maintaining a liaison with the Medicare carriers, coordinating all activities relevant to federal Hearing Officer contract responsibilities, and consistently passing Carrier Performance Evaluations (CPE) and meeting timeliness requirements.

• 

  The Compliance Team, Inc.

  Jan 2008 - now

  Advisor, Trainer, Inspector

  Administer all aspects of CMS (Medicare) accreditation regulations to Durable Medical Equipment suppliers wishing to participate in the Medicare program.