OBJECTIVE
To allow a physician (s) to be independent and profitable utilizing my hands on approach as a practice flow manager
To allow a physician (s) to be independent and profitable utilizing my hands on approach as a practice flow manager
EXPERIENCE
1983-1988 Marquardt Memorial Manor Watertown, WI
Medical Records
Worked with a professional coder to code the billings necessary for pharmacy and inpatient nursing home care.
Took over the medical record department which had been idle for six months. Prepared for state inspection and passed without violation within months of bringing the department up to date.
Became the first nursing home in the area that was completely computerized in addition to running an in house pharmacy department.
Worked with the pharmacist to setup computer program for efficient running of the pharmacy department and establish computerized billing for medications.
Responsible for auditing medical records for coding and documentation accuracy.
1988–1997 Medical Associates of Watertown Watertown, WI
Billing Manager, Manger
Responsible for Accounts Receivable and all insurance follow up for cash flow improvement. Established policies and procedures for efficient follow through on billed claims.
Managed a staff of 33 with five providers for a multimillion business. Was responsible for all management duties, collections, outside vendors and human resources.
Responsible for establishing, implementing, and following through on policies and procedures for nursing, medical records, HIPPA compliance, CLIA certified Laboratory, X-ray, OSHA, and Human Resources.
Converted the computer system to a true outcomes based management system with minimal interruption to cash flow.
Responsible for auditing medical records for coding accuracy.
Responsible for credentialing the physicians with contracted insurance, reviewing insurance contracts, and passing all inspections for licensure
1997–2000 Quality Systems, Inc. Tustin, CA
Client Manager
Part of a department that provided international coverage for an outcomes based billing management system
In charge of 33 clients. Over half of them had been dissatisfied with prior support. Inside of 3 months was in charge of the 3rd largest client. Worked with client and company to implement major programming changes specifically designed for this client
Tested for compliancy Y2K which went without a hitch to over 500 clients.
1983-1988 Marquardt Memorial Manor Watertown, WI
Medical Records
Worked with a professional coder to code the billings necessary for pharmacy and inpatient nursing home care.
Took over the medical record department which had been idle for six months. Prepared for state inspection and passed without violation within months of bringing the department up to date.
Became the first nursing home in the area that was completely computerized in addition to running an in house pharmacy department.
Worked with the pharmacist to setup computer program for efficient running of the pharmacy department and establish computerized billing for medications.
Responsible for auditing medical records for coding and documentation accuracy.
1988–1997 Medical Associates of Watertown Watertown, WI
Billing Manager, Manger
Responsible for Accounts Receivable and all insurance follow up for cash flow improvement. Established policies and procedures for efficient follow through on billed claims.
Managed a staff of 33 with five providers for a multimillion business. Was responsible for all management duties, collections, outside vendors and human resources.
Responsible for establishing, implementing, and following through on policies and procedures for nursing, medical records, HIPPA compliance, CLIA certified Laboratory, X-ray, OSHA, and Human Resources.
Converted the computer system to a true outcomes based management system with minimal interruption to cash flow.
Responsible for auditing medical records for coding accuracy.
Responsible for credentialing the physicians with contracted insurance, reviewing insurance contracts, and passing all inspections for licensure
1997–2000 Quality Systems, Inc. Tustin, CA
Client Manager
Part of a department that provided international coverage for an outcomes based billing management system
In charge of 33 clients. Over half of them had been dissatisfied with prior support. Inside of 3 months was in charge of the 3rd largest client. Worked with client and company to implement major programming changes specifically designed for this client
Tested for compliancy Y2K which went without a hitch to over 500 clients.
2000-Present Owner, Consultant Quality Resource -Spooner, WI
• Working with physicians businesses towards efficient practice flow management, with emphasis in insurance processing, and collections.
• Within those businesses, worked with their existing staff and computer system to improve their own systems without additional cash investment except to bring their systems up to date.
• Working with clients to establish a smooth transition to an electronic medical record within their practice.
• Establish policies, protocols, and procedures in all areas of management to include reception, billing, laboratory, medical records
• Have taken several struggling businesses both from a management and financial standpoint and within thirty to forty-five days have put them on the road to sucess
• Working with physicians businesses towards efficient practice flow management, with emphasis in insurance processing, and collections.
• Within those businesses, worked with their existing staff and computer system to improve their own systems without additional cash investment except to bring their systems up to date.
• Working with clients to establish a smooth transition to an electronic medical record within their practice.
• Establish policies, protocols, and procedures in all areas of management to include reception, billing, laboratory, medical records
• Have taken several struggling businesses both from a management and financial standpoint and within thirty to forty-five days have put them on the road to sucess
EDUCATION:
1976 Completed High School Madison, WI
1976-present Ongoing Education WI, IL
Various courses through State Medical Society and Madison Area Technical College focused on business management and the medical field. I attend up to 12 state or nationally accredited conferences per year to keep up to date on the latest management and billing issues as they pertain to all insurers and other aspects of office management.
I can work as a resource for your present staff to enhance what you already have. As I see that changes need to occur you are given a plan of action which is geared specifically to your needs.
1976 Completed High School Madison, WI
1976-present Ongoing Education WI, IL
Various courses through State Medical Society and Madison Area Technical College focused on business management and the medical field. I attend up to 12 state or nationally accredited conferences per year to keep up to date on the latest management and billing issues as they pertain to all insurers and other aspects of office management.
I can work as a resource for your present staff to enhance what you already have. As I see that changes need to occur you are given a plan of action which is geared specifically to your needs.
INTERESTS:
Horseback riding, gardening, computers.
Horseback riding, gardening, computers.
TIPS:
I am a very focused, goal oriented person. I will work for you in your setting with your resources to improve your practice. My goal is not to change a providers style of practice –but to enhance it while working with existing staff to enhance the practice.
I established my own company after my two prior employers told me that I was too detailed oriented. I saw too many physicians losing out money in an area where I excelled. I felt I could deliver that service and teach others how to pull a staff together to become a team.
I am a firm believer that a physician can remain independent and successful if they choose to and truly have this as a goal. Most are already doing the work, they just need fine tuning. My strength is computer programs, billing, collection, and practice flow management. Previously I have taken businesses from a near catastrophic cash flow to a positive, seeing results in as little as 30 days.
REFERENCES: Available upon request
OTHER AFFILIATIONS: 2006 Member of the Better Business Bureau
Previously certified for training, support, and sales of a national Electronic Record product
Working towards National Certification of Practice Managers
Interviewed by Medical Economics for March 16, 2007 publication
Delivered a teleconference for the Wisconsin State Medical Society May 2007 (Electronic Medical Documentation using Today’s Technology)
Speaker at the fall 2007 conference at the Kalahari (WI Dells) for Wisconsin State Medical Society. (“Avoiding the Pitfalls of choosing and implementing an EMR”)
E-MAIL LLCBALDWIN@AOL.COM
