Cereasa Horner serves as the Director of Policy and Payment Integrity at CERiS Health, where she leverages her extensive 17-year background in healthcare to drive strategic initiatives that enhance revenue cycle management and ensure compliance with evolving regulations. In her current role, Cereasa is instrumental...
Cereasa Horner serves as the Director of Policy and Payment Integrity at CERiS Health, where she leverages her extensive 17-year background in healthcare to drive strategic initiatives that enhance revenue cycle management and ensure compliance with evolving regulations. In her current role, Cereasa is instrumental in fostering collaboration between executive health plan leaders and external stakeholders, identifying growth opportunities that align with the dynamic landscape of healthcare policy. Her expertise in pre and post-pay claim audits has not only streamlined processes but also generated millions in revenue through effective policy implementation.
Cereasa has successfully partnered with key stakeholders to develop and implement itemized bill reviews for Medicare and Medicaid, ensuring that billing practices meet stringent compliance standards while maximizing reimbursement potential. By working closely with cross-functional teams, she applies her deep understanding of CMS guidelines, client policies, and industry best practices to data analytics, projecting revenue outcomes that support the organization's financial health.
Her leadership skills are complemented by her commitment to business process improvement and vendor management, making her a strategic force in healthcare payment integrity. Cereasa’s ability to coach and develop future leaders within her team further underscores her dedication to fostering a culture of excellence and innovation at CERiS Health. As the healthcare industry continues to evolve, Cereasa remains at the forefront, driving initiatives that not only enhance operational efficiency but also improve patient outcomes through transparent and accountable payment practices.
