Medical Insurance

Location:

Posted:

June 03, 2013

Kris G. Hall -Patterson

O bjective

To manage a medical practice by utilizing my accumulated experience, education and skills.

E xperience

January 1988-Present KGP Consulting, LLC Los Angeles, CA

M edical Billing/Consultant

Develop strategic plans and programs to ensure that goals and objects are properly defined and clearly

established.

Develop policies, procedures and guidelines to ensure consistent department-wide implementation.

Lead training and development programs that are relevant and necessary for the continuous development of the

technical competencies of the billing department.

Act as subject matter expert on training programs pertaining to the Billing Team.

Conduct and implement performance improvement program; coaching staff who fail to perform the prescribed

and committed level of performance output and standards.

Conduct regular and periodic meetings to ensure implementation of plans, programs and projects strictly adhering

to prescribed deadlines and schedules.in order to analyze trends.

Perform due diligence visits and business office assessments for physician medical group; create reports in

payment-to-charge contractual analysis for monthly billing and collection review.

Analyze clients’ A/R reimbursement procedures and make recommendation on strategies to improve accounts

receivable.

Maintain consistent communication with each department head and upper management.

Perform staffing analysis for adequate pre-registration, registration, insurance and benefit verification and pre-

authorization operations.

Work directly with physicians who transition from group practice to private practice by implementing all aspects

of the new practice start-up.

June 1990-Present KGP Consulting, LLC Los Angeles, CA

I nstructor /Educator

Prepare and deliver lectures to facilitate class discussions at California Community Colleges.

Demonstrate effective training skills and conduct tutorial sessions in Medicare, Medi-Cal, Private Insurance,

Workers’ Compensation, Personal Injury, Managed Care including HMO, PPO, EPO and IPA billing. Train

students on the use of CPT, ICD-9 and HCPCS, Level II coding.

Train front office staff on check-in and check-out procedures, computerized appointment scheduling, insurance

eligibility and benefit verification and understanding HIPAA patient privacy forms.

Education

1988 California State University, Los Angeles Los Angeles, CA

Certificate, Medical Insurance Billing

Skills

Office Ally, Medisoft, Lytec, Medical Manager, Nex/Gen, MS Word Office, Excel, PowerPoint, Sage ACT