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Medical Manager

Location:
Charlotte, NC
Posted:
August 15, 2019

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Resume:

PLUTARCO MIGUEL “MICHAEL” VILLALOBOS

*** ****** ***** **.; PMB 334, Charlotte, NC 28211 • (C) 239-***-**** ac93bg@r.postjobfree.com or ac93bg@r.postjobfree.com PERFORMANCE PROFILE SUMMARY

Over Ten (10) years of Health Care legal and managerial experience with demonstrated ability to negotiate favorable terms in strategic agreements. Multi-tasker with strong, problem-solving skills. Highly self-motivated, enthusiastic, detail and goal-oriented. Member of the Florida Bar and qualified to practice before the Southern and Northern Districts of Florida Federal Courts. Written & oral fluency in Spanish.

HIGHLIGHTS OF QUALIFICATIONS

• Extensive health care experience in corporate • Ability to obtain legal judgments against environment as in-house counsel patients whose accounts are delinquent

• Operational knowledge of Federal and • Outstanding ability to resolve billing and State Regulatory issues coding disputes

• Proficient with Federal and State licensing • Broad experience in organizing medical and credentialing procedures practice business operations

• Familiarity with health care providers • Over 20 years of corporate law experience RELEVANT PROFESSIONAL EXPERIENCE

Lead Counsel -Kenneth A. Berdick, M.D., Fort Myers, FL; March 2008 to May 2013 and again January 2017 to present

Provided in-house counsel to health care medical practice; oversaw the case management and discovery in complex medical malpractice and negligence claims; administered depositions and negotiated settlements. Advise physician and corporation on healthcare and corporate-related matters, funding initiatives, negotiating and drafting Business Associate Agreements; state and federal regulatory compliance issues, including the Stark Law, the Anti-Kickback statute, HIPAA/HITECH Act, and Medicare/Medicaid conditions of participation, licensing and reimbursement.

Operations Manager -Kenneth A. Berdick, M.D., Fort Myers, FL; May 2013 to January 2017 Management oversight of health care medical practice; secure annual and quarterly insurance provider certifications and renewals; maintain and update physician medical profiles; secure site and medical malpractice insurance; develop employee handbook and staff protocols; review and recommend best medical practice procedures. Negotiated contract terms with third party vendors, provider enrollment agreements, joint ventures, affiliations, PHO’s; as well as, drafting recruitment, employment confidentiality and non-compete agreements. VILLALOBOS, Contd.

EDUCATION

Loyola School of Law, New Orleans, LA Juris Doctor Florida State University, Tallahassee, FL Bachelors of Science Degree in Business Management

COMMUNITY INVOLVEMENT & RECOGNITIONS

• Kiwanis International, Kiwanis Club of Charlotte, North Carolina, Immediate Past-President and Service Leadership Program Advisor

• Board Member, Lee County Housing Finance Authority, Assistant Secretary

• Volunteer, youth basketball coach, Yes I Can Basketball, Charlotte, North Carolina

• High School Boys and Girls Basketball Registered Official, North Carolina High School Athletics Association

• Former Board of Trustees, Florida Gulf Coast University, Fort Myers, Florida

• Former President, Latin American Chamber of Commerce of Lee County

• Former Board of Directors, United States Hispanic Chamber of Commerce

• Former Board Member, Lee County American Red Cross

• Former Board Member, Lee County YMCA

• Former Board Member, City of Fort Myers Board of Adjusters

• Former Board Member, 20th Judicial Circuit Health & Humans Services Advisory Board, Fort Myers, Florida

• "Paulette Burton Citizen of the Year Award" Lee County Board of County Commissioners in recognition for dedication to the citizens of Lee County

• "Kiwanian of the Year" Downtown Kiwanis Club of Fort Myers, Florida

• "Dr. Martin Luther King Jr. Community Service Award" Florida Gulf Coast University, Fort Myers, Florida

• "Leadership Lee County" graduate, Southwest Florida Chamber of Commerce, Fort Myers, Florida

PUBLICATIONS

Villalobos, The Civil Rights Restoration Act of 1987: Revitalization of Title IX, 1 J. NAT'L SPORTS L. INST. 149 (1990).



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