Manager Customer Service

Michael Hale

Email: *********@********.***

Address: **** ******** **

City: Powell

State: OH

Zip: 43065

Country: USA

Phone: 614-***-****

Skill Level: Director

Salary Range: $65,000

Willing to Relocate

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Michael Hale, PMC CPC

1968 Eldorado CT, Powell, OH 43065

Cell: 614-***-****

*********@********.***

SUMMARY

Over 16 years` of successful experience in physician practice management, revenue cycle billing processes, payor contract management and electronic health record (EMR) implementation.

Dedicated to achieving profitability and delivering outstanding customer service.

Extensive background in physician practices management, complete revenue cycle process for multiple specialties including (physician, hospitals, ambulatory care facilities, surgeons, physical therapy, multi-specialty clinics and many more). Averaging a 97% collection ratio and managing a successful multimillion dollar revenue system to exceed cash expectation.

Energetic professional with exceptional analytical, organizational and people skills. Strong personal ethics and integrity.

Convey a professional image of compassion and concern for customers needs. Work well under pressure and deadlines.

Highly organized team-builder with strong leadership experience and excellent communicator.

Experience

Multi Revenue - Cycle System Implementation

Physician Practice Management-Lead, organize and plan efficiently and effectively

Implementation of EMR (NextGen) All Processes, Electronic EMR

Organize and implement policy and procedure for all billing and practice processes

Implemented and maintained fee schedules to maximize reimbursements

Implemented all electronic EFTS. ERA, and Electronic claims

Organized and implemented cash flow process and defined policy and procedure

Coordinator of Recovery Audit Contractors (RAC) (MAC) (ZPIC) 99% -Success Rate

Exceeded cash EBIDA by 6 Million

Physician Credentialing- All Payors- Medicare-Medicaid-BCBS-Aetna-MMO-

HIPPAmpliance Officer

99% clean claim acceptance rate

Succeeded in passing all Federal and State regulatory audits

Formulate revenue, expense, and capital budgets with reporting functions

Maintain daily charges submitted less than 3 days

Medicare Accounts Receivables 90% or better

Commercial Accounts Receivables 92% or better

Monitor Daily, Weekly and Financial dashboards and report to CEO, CFO

Physician training on EMR, Coding, Compliance

Daily FTE reports schedules, training, vacations, paid time off and daily activity

Monitor practice workflow, wait times, check in, and check out

Improve overall cash flow and activity for each practice.

Professional Experience

Itentive Healthcare Solutions NextGen- EPM EMR Implementation Specialist Manager (2011-Present): Responsible for 302 physicians overall productivity with EMR system, outlining software and giving the physicians the tools and resources they need to bill appropriately and meet compliance

East Texas Medical Center- Rural Health Practice Manager PM (2009 - 2011) - Responsibilities include all daily management of practice including billing practices for multiple physicians.

Precision Medical Billing- Director of Operations COO (2000-2009). Responsibilities included daily operations of overall operations of billing team for 192 physicians. Daily operations of company

Lynn-Hale Medical Practice-Practice Manager PM (1990-2000). Responsibilities included practice and billing operations

Education and Credentials

University of Phoenix-Business Associates

Oklahoma State University- Associates Degree-Criminal Justice

Accounting and Business Management Business Diploma

Professional Management Consultant

MGMA,

Coding Principals-Moore Norman Vo-Tech, AAPC

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