Experience

Carrington College California-San Jose

• Higher Education
• 500 - 600 Employee

• Medical Billing and Coding Instructor

  • Nov 2010 - Present

  Upon completion of this program, students will have the training and experience necessary for the various areas of collecting and analyzing the revenue management cycle they will also be evaluated on there ability to take the certified national coding test required by the health care industry. Included are the front and back office skills characteristic of the medical professional, while providing students the flexibility to pursue a variety of vocational avenues based upon individual interests. Upon completion of this program, students will have the training and experience necessary for the various areas of collecting and analyzing the revenue management cycle they will also be evaluated on there ability to take the certified national coding test required by the health care industry. Included are the front and back office skills characteristic of the medical professional, while providing students the flexibility to pursue a variety of vocational avenues based upon individual interests.



UCSF,Stanford Hospital and Clinics

• Consultant

  • 1994 - 2009

  Responsible for Supervising, coaching and assisting employees within PFS with process of claims billing ,claims following up and proficiency of appeals, scheduling inpatient and outpatient’s involving in the screening, interviewing, processing for various departments with primary focus on admitting for Commercial payers Workman’s compensation, EPO,HMO assisting in the rules of coding ICP-9 AND CPT Inpatient and outpatient charges. Responsible for Supervising, coaching and assisting employees within PFS with process of claims billing ,claims following up and proficiency of appeals, scheduling inpatient and outpatient’s involving in the screening, interviewing, processing for various departments with primary focus on admitting for Commercial payers Workman’s compensation, EPO,HMO assisting in the rules of coding ICP-9 AND CPT Inpatient and outpatient charges.



Mount Zion Hospital San Francisco

• Supervisor Collections Analyst

  • 1988 - 1994

  • Created and implemented a Call Center Department for Complaint Resolution Accounts for Physicians and the Hospital • Trained; recruited; directed a staff of 30 employees through UCSF SHC and Lucille Packard facilities merge. • Implemented (PP) for all staff to cross train in both the Hospital and Physicians Billing system • Implemented (PP) to insure resolution of self pay patient issues within the Call Center Department including rebilled charge corrections co pay collection… Show more • Created and implemented a Call Center Department for Complaint Resolution Accounts for Physicians and the Hospital • Trained; recruited; directed a staff of 30 employees through UCSF SHC and Lucille Packard facilities merge. • Implemented (PP) for all staff to cross train in both the Hospital and Physicians Billing system • Implemented (PP) to insure resolution of self pay patient issues within the Call Center Department including rebilled charge corrections co pay collection fees; authorization requests; as well as collection of bad debt and legal referral managements. • Responsible for Hospital and Professional resolution billing issues that require escalation • Monitored staff incoming patient calls for training purposes to better achieve higher standards of customer client care Show less • Created and implemented a Call Center Department for Complaint Resolution Accounts for Physicians and the Hospital • Trained; recruited; directed a staff of 30 employees through UCSF SHC and Lucille Packard facilities merge. • Implemented (PP) for all staff to cross train in both the Hospital and Physicians Billing system • Implemented (PP) to insure resolution of self pay patient issues within the Call Center Department including rebilled charge corrections co pay collection… Show more • Created and implemented a Call Center Department for Complaint Resolution Accounts for Physicians and the Hospital • Trained; recruited; directed a staff of 30 employees through UCSF SHC and Lucille Packard facilities merge. • Implemented (PP) for all staff to cross train in both the Hospital and Physicians Billing system • Implemented (PP) to insure resolution of self pay patient issues within the Call Center Department including rebilled charge corrections co pay collection fees; authorization requests; as well as collection of bad debt and legal referral managements. • Responsible for Hospital and Professional resolution billing issues that require escalation • Monitored staff incoming patient calls for training purposes to better achieve higher standards of customer client care Show less



Credit Bureau Information

• San Francisco Bay Area

• Lead Collection Specialist

  • 1981 - 1988

  • Identified root causes of problem to ensure that appropriate action is taken. • Reviewed reports from Department Managers, Nurse Managers, Clinic-Coordinator in relation to hospital admitting/pre-authorization error or complaints • Responsible for reviewing the process for preparing specialized billing packages • Maintained clinical treatment protocols for clinical trial studies and grant billing. • Comprehensive knowledge of health plan operations including claims, member… Show more • Identified root causes of problem to ensure that appropriate action is taken. • Reviewed reports from Department Managers, Nurse Managers, Clinic-Coordinator in relation to hospital admitting/pre-authorization error or complaints • Responsible for reviewing the process for preparing specialized billing packages • Maintained clinical treatment protocols for clinical trial studies and grant billing. • Comprehensive knowledge of health plan operations including claims, member services, regulatory affairs, information systems and medical management Show less • Identified root causes of problem to ensure that appropriate action is taken. • Reviewed reports from Department Managers, Nurse Managers, Clinic-Coordinator in relation to hospital admitting/pre-authorization error or complaints • Responsible for reviewing the process for preparing specialized billing packages • Maintained clinical treatment protocols for clinical trial studies and grant billing. • Comprehensive knowledge of health plan operations including claims, member… Show more • Identified root causes of problem to ensure that appropriate action is taken. • Reviewed reports from Department Managers, Nurse Managers, Clinic-Coordinator in relation to hospital admitting/pre-authorization error or complaints • Responsible for reviewing the process for preparing specialized billing packages • Maintained clinical treatment protocols for clinical trial studies and grant billing. • Comprehensive knowledge of health plan operations including claims, member services, regulatory affairs, information systems and medical management Show less