Mike Villarreal

President at OneSource Revenue Solutions LLC
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Contact Information
us****@****om
(386) 825-5501
Location
US
Languages
  • Spanish -

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Credentials

  • Disrupting Yourself
    LinkedIn
    Jul, 2020
    - Nov, 2024

Experience

  • OneSource Revenue Solutions LLC
    • United States
    • Medical Practices
    • 1 - 100 Employee
    • President
      • Oct 2019 - Present

      We provide resources to Medical Practices supporting Managed Care Contracting, Credentialing, Claims Appeals and Revenue Recovery Solutions. We provide resources to Medical Practices supporting Managed Care Contracting, Credentialing, Claims Appeals and Revenue Recovery Solutions.

  • West Dermatology, Las Vegas Skin & Cancer Clinics, English Dermatology
    • California, Nevada, Arizona
    • Manager, Managed Care Contracting
      • Oct 2017 - Aug 2022

      Directed Managed Care value proposition, strategy and contracting for 64 clinics in CA, AZ, and Las Vegas, encompassing over 200 contracting entities. Market leverage and contract negotiation expertise. Driving increased referrals through steerage and capitation with IPAs and HMOs. Oversee the entire contract cycle from analytics, negotiations, credentialing, and RCM integration. Using analytics skills, identified several underperforming payer contracts, resulting in recovery of over $3.5 million dollars in recovered revenue and interest and penalties. Selected Achievements: • Payer escalation with successful recovery of over $3.5 million dollars • Added approximately 54 new IPA contracts resulting in $4.5 million impact to EBITDA. • Achieved $4M in incremental revenue increases, through contract renegotiations. • Operationalize payer contract cycle from Modeling, negotiations, credentialing, and RCM integration. • Develop and execute managed care contracting strategy/value proposition and activities for the Phoenix, AZ, Las Vegas, NV, and Southern California marketplaces. (64 locations, 175 Providers) • M&A due diligence activities and DeNovo contracting process implementation.

  • IKS Health
    • United States
    • Hospitals and Health Care
    • 700 & Above Employee
    • Manager, Financial Outcomes and Improvement
      • Dec 2014 - Oct 2017

      Worked with clients as a liaison to revenue cycle management business in India. Analyzed and determined best practices. Reviewed AR and aging reports for trend analysis and brought the trend to resolution. Developed specialty specific training materials to train the team in India regarding coding, payer nuances, and specialty guidelines. Managed local claims follow up staff on finding trends and coding issues. Met with physicians regarding best practices and practice issues. Selected Achievements: ♦ Ensured compliance and customer satisfaction ♦ Process re-engineering for existing and new clients ♦ AR-aging and revenue (cash flow) analysis

  • Cancer Care Centers of South Texas, PA
    • San Antonio, Texas Area
    • Sr Managed Care Contracting & Credentialing
      • Nov 2010 - Jun 2016

      Contract Modeling, Negotiations, Administration, Fee schedule analysis, implementation, Hospital and Managed Care Credentialing, Payer Relations, revenue cycle resolution Contract Modeling, Negotiations, Administration, Fee schedule analysis, implementation, Hospital and Managed Care Credentialing, Payer Relations, revenue cycle resolution

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