Healthcare Medical Billing Coding Audits Expert Witness

EDUCATION

Doctor of Business Administration
With an emphasis in Healthcare Management
Walden University, Minnesota
Graduation Date: July 2022
Study Nominated for Outstanding Doctoral Study 2022

Masters Degree of Business Administration
With an emphasis in Healthcare Management
Keller School of Business Management, West Hills, CA
Graduation Date – October 2006
GPA 3.85 – Graduated with Distinction

Bachelor of Science in Business Administration
DeVry University, West Hills, CA
Graduation Date – February 2004
GPA 3.96 – Suma Cum Laude

RELEVANT COURSE WORK

• Principles of Management
• Managerial Accounting
• Financial Accounting
• Business Applications
• Systems Analysis
• Technical Writing
• Public Speaking
• Operating Systems
• Database Management

CERTIFICATIONS

Administrator with 25+ Years in Healthcare Industry
Billing and Coding Manager 20+ Years
Experience with IPA’s and Medical Groups
Medi-Cal HAP Certified

Professional Demeanor
Type 55+ WPM
10-key by touch

TECHNICAL SKILLS

• Microsoft Word
• PowerPoint
• Visual Basic
• Microsoft Excel
• Report Writer
• Access

PROFESSIONAL EXPERIENCE

Integrated Health Systems, Gardena CA
May 1999 to Present
General Manager
December 2009-Present
Manages operations of Integrated Health Systems with its 20+ medical billing clients including full scope management of four-five medical offices. Duties include financial and personnel management of all companies including deposits, payroll, AR/AP, auditing, credentialing and IPA Contracting. Supervising 60+ employees including Physicians, Nurse Practitioners and Physician Assistants. Management Company specializes in reconstruction of business operations and financial planning. Increased revenues by 18% in first year.

Medical Office Administrator/Consultant
December 2003 to December 2009
Managed five medical offices in the Los Angeles area. Duties include personnel and financial management including credentialing, deposits, payroll, AR/AP, auditing and IPA Contracting. Supervised 40+ employees. Strong knowledge of CHDP, CPSP, & Family Pact Programs.

Account Manager
May 1999 – December 2003
Creation of medical claims, deposits, and month end reports. Supervisor of three employees. Consultation and training of physicians’ office staff. Credentialing of Physicians. Maintain good relations with clients and satisfy both physician and patient requests. Maintenance of computer network in office. Provides off-site HIPAA Compliancy Training.

A Private Law Firm, Pasadena CA May 2021 – Present
Ombudsman Team
Works individual cases alongside ombudsman providing support and consultation. Have worked multiple cases including bankruptcy and reorganization of several hospitals and clinics. Cases were appointed by the bankruptcy court of California.

Consolidated Consultants, Inc June 2020 – Present
Expert Witness
Worked as an expert witness on a case-by-case basis. Mist cases were providing services as an expert witness on medical billing cases for attorneys.

Dr. Lorne S. Label, M.D., Thousand Oaks, CA
December 1998 to May 1999
Administrative Medical Assistant
Provided support in Front and Back office duties. Greeted patients, prepared charts and insurance information. Clinical administration of shots and other office related duties.

Thousand Oaks Urgent Care, Thousand Oaks, CA
May 1998 to December 1998
Administrative Medical Assistant
Worked all positions, both front and back office including medical billing and collections. Preparation of charts, insurance information and scheduling of appointments.

CFS Income Tax, Simi Valley, CA
November 1996 to May 1998
Customer Service Representative/Tech Support
Customer service and tech support for a tax software company. Answered customer questions and provided support for tax software for accountants.

REFERENCES: Excellent references available upon request