Medical Billing Management
Resume:
Michael Risher
**** ********** ***** *** ****
Houston, TX 77036
*********@*****.***
QUALIFICATION HIGHLIGHTS
. Over 10 years experience in physician billing, coding, and practice
management in hospital, clinic and private practice environments.
. Beginning coursework through the AAPC (American Academy of
Professional Coders) for certification as a CPC (Certified
Professional Coder).
RELEVANT EXPERIENCE
Medical Billing
. Performed and managed billing and coding for about 25 medical
specialties for multiple types of insurers and payors.
. Performed private consulting in medical billing, report management and
interpretation, A/R management
. Created custom financial, reimbursement, productivity, and demographic
reports.
. Managed detailed conversion from PARPM practice management software on
IBM System 36 to Kredo practice management and appointment scheduling
software on IBM iSeries for about 25 medical specialties.
. Performed fee schedule analysis and revision for hospital that
resulted in annual increase of over $300,000.
. Developed and initiated automated medical records outcard request
process for hospital outpatient clinic visits that resulted in a
savings of about four full-time equivalents.
. Created policies and procedures for physician billing data entry,
insurance follow-up and collections, and practice management software
administration and security.
. Performed billing and coding reviews for ICD, CPT, ASA and HCPCS
codes.
iSeries
. Managed operating system upgrade from V5R3 to V5R4 for two iSeries
570's containing 4 partitions apiece.
. Complete and partial operating system and data reloads on various
versions and models of iSeries.
. Disaster and database recovery.
. Operating system and application security.
. Regulatory and SOX audits and creation of security matrices.
. Created policies and procedures for operating system security;
application security, backup and tape management, and disaster
recovery.
. PTF application for operating systems and software applications.
. iTera (Vision Solutions) high availability monitoring and
administration.
. BRMS (Backup Recovery & Media Services) administration.
. IFS (integrated file system) management and security.
. Operations/iSeries Navigator administration and security.
. Robot SAVE, REPLAY and SCHEDULE.
. NetIQ security and audit products.
. Code and program compilation and promotion, and archiving.
. System administration and hardware, software and TCP/IP configuration.
. Query for iSeries.
PERSONAL COMPUTER SKILLS
. Microsoft Word, Excel, PowerPoint, Outlook, Access, and Internet
Explorer.
. Firefox.
. Printer and peripheral device use, configuration and maintenance.
. Multiple antivirus, anti-spyware and firewall products.
EMPLOYMENT HISTORY
Dec 2007 - Sep 2008 iSeries System Engineer - Germania Insurance,
Brenham, TX
Jan 2007 - Dec 2007 iSeries System Administrator - Titan Solutions
Group, Inc. (contracted to Germania Insurance), Austin, TX
Jun 2005 - Sep 2006 iSeries System Administrator - Goodman
Manufacturing, Houston, TX
Jan 2001 - Apr 2005 iSeries Security Officer - Houston Casualty Company,
Houston, TX
Nov 1999 - Jan 2001 iSeries System Administrator - Eagle Global
Logistics, Houston, TX
Sep 1997 - Mar 1999 Manager, Central Billing Office - Christus, Houston,
TX
May 1989 - Aug 1997 Information Systems Coordinator - Kino Community
Hospital, Tucson, AZ
EDUCATION
Sep 1971 - Jun 1972 Wright State University, Dayton, OH
Sep 1972 - Jun 1976 The Ohio State University, Columbus, OH
Jan 2000 - Jun 2003 North Harris Community College, Houston, TX
Jan 2003 - Dec 2004 University of Phoenix, Houston, TX
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