Pat B.
Fallbrook, CA
, USA
68%
Job Success
Healthcare Consulting/Credentialing/RCM/Contracting/Finance/Marketing
$75.00/hr
Hello,
My name is Pat and I’m a detail-focused Healthcare, Credentialing, Contracting and RCM and Marketing consultant with over 40 years of experience in the medical field and business environment.
I have extensive billing knowledge in the follow specialties:
• Psychiatry and Psychotherapy
• Urgent Care
• Family Practice
• Internal Medicine
• Acupuncture
• Chiropractic Medicine
• Podiatry
• Orthopedics
• Plastic Surgery
• OB-GYN, Surgery
• Sports Medicine
• Surgery of all types
• Physical Therapy
• Radiology
• Other medical specialties.
I have extensive experience optimizing RCM and credentialing, contracting as well as management strategy, medical consulting and more…
Simply put, if there is a way for a medical practice to become more effective for it’s patients and more profitable for (you) the owner, I’ll find it and I’ll implement it quickly and safely.
It’s my mission to help as many owners as I can to build their practice so that it works as hard for them as they do for it.
As every practice owner someday comes to realize, to get to the next level they’re going to need some expert help. That’s where I come in.
I am very well versed in multiple practice management software programs such as:
• E-Clinical Works 10e (brand new) one of the few to implement this program from inception
• Athena
• Advanced MD
• Allscripts Professional PM and EHR
• Meditouch
• Ingenix Caretracker
• Dr Chrono
• Next Gen
• Practice Fusion
• Chiro Touch
• Lytec
• Allscripts My Way
• Medical Manager
• Sage Intergy
• Kareo
•Simple Practice
and many more I am an expert level in navigating the programs.
I also know Trizetto, PayerPath, Office Ally and ETT for clearing house process of claims and follow-up with their programs to make sure claims have been received by the insurance carriers.
I have over 40 years’ experience in medical billing and am highly competent in the review of aging reports for patients and insurance companies.
I know the appeals process, claim management and processes of medical billing that results in significant improvements in the aging of accounts receivable and higher ratios of approved fees and insurance reimbursement. I have increased revenue in my previous positions by at least 50 percent monthly.
Credentialing is an integral part of a physician's practice. I have credentialed physicians, PA’s, and Nurse Practitioners for State Licensing in multiple states in the US, for government contracts, commercial insurance carriers, state run health care carriers. I am extremely knowledgeable in PECOS, NPPES, CAQH and other agencies. I have been credentialing and re-credentialing providers for the past twenty-five plus years.
I am proficient in current computer office software such as Microsoft Office, and QuickBooks. I know how to leverage QuickBooks reporting to produce monthly cost analysis in PowerPoint. This has proven instrumental in helping management/owners manage their business / practice.
With QuickBooks I have been responsible for A/R, A/P, filing all tax forms on time and correctly. I have worked with ADP, Paychex, and QuickBooks for the processing of payrolls of up to 150 employees for many different facilities. I have worked closely with the companies’ accountants to supply the business information for them to complete tax filings and other government requirements in a timely fashion.
I am highly skilled in Excel and can navigate excel to work for the client with pivot tables. My other proficiencies are Word, Power Point, Outlook and QuickBooks. I am certified in QuickBooks.
I hope that after reviewing my credentials you can see how my professional experience can help your business get to the next level and accomplish what you need.
I look forward to every project and give my full effort at all times. All projects are completed thoroughly and within the time lines given.
If you'd like me to take a look at a project then just send me a message and we'll arrange a call. (Please be aware, my lead times can vary based on demand).
Let's connect.
Send me a message.
Pat
P.S. My job score has been affected by clients who failed to provide me with the amount of time and resources I required in order to complete the task to the best of my ability.
Work history
Work history
Healthcare Payor Contracting
Nov 5, 2024
-
Jan 30, 2025
"Very little output for the hours billed on the contract. Unfortunately, she developed health issues towards the end, but she had very few accomplishments before that. Each time we asked…
Private earnings
Healthcare Compliance Expert needed for Feedback
Aug 13, 2024
-
Oct 26, 2024
"Pat is incredible! So glad I found her -- deep expertise in billing and a great teacher too!"
Private earnings
Credentialing
Apr 15, 2024
-
Aug 12, 2024
No feedback given
Private earnings
credentialing
Apr 21, 2024
-
May 7, 2024
Freelancer's response
"I think this rating is not accurate. The communication between client and I was not understood by the client as to the process of credentialing a group and providers for…
Private earnings
Medical Coding & Billing Support for Behavioral Health and Addiction Clinic Financial Models
Sep 5, 2019
-
Mar 26, 2024
Private earnings
Billing Medicare for Home Health Aid/Homemaker services
May 6, 2023
-
Aug 27, 2023
Private earnings
Clinic looking to add insurance billing needs advice/training
May 19, 2023
-
Aug 18, 2023
Private earnings
Medical Billing - help us build our skills
Jul 12, 2022
-
Jun 20, 2023
Private earnings
Mental Health Insurance Claims Biller
Feb 21, 2023
-
Apr 14, 2023
"Pat has a tone of knowledge and experience in the field."
Private earnings
Credentialing specialist
Feb 7, 2023
-
Mar 17, 2023
"Extremely knowledgeable and helpful! Thank you!"
Private earnings
Research on Healthcare Billing/RCM/Prior Auth
Apr 23, 2025
-
Present
Job in progress
Private earnings
Medical clinic, assist in setting up in wisconsin
Mar 17, 2025
-
Present
Job in progress
Private earnings
Healthcare billing & compliance
Dec 10, 2024
-
Present
Job in progress
Private earnings
Pillar Wellness - Research / Credentialing / Contracting / etc
Dec 6, 2024
-
Present
Job in progress
Private earnings
Insurance Claims Consultation
Aug 27, 2024
-
Present
Job in progress
Private earnings
Review of BCBS Contracts and Consultation
May 15, 2024
-
Present
Job in progress
Private earnings
Medical Billing and Credentialing Specialist Needed for Consulting Work
Nov 14, 2023
-
Present
Job in progress
Private earnings
Medical Biller
May 10, 2023
-
Present
Job in progress
Private earnings
Healthcare Credentialing Specialist
Feb 13, 2023
-
Present
Job in progress
Private earnings
Acupuncture billing
Jan 16, 2023
-
Present
Job in progress
Private earnings
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Skills
Skills
- Organizational Design & Effectiveness
- Management Consulting
- Company Policy
- Business Analysis
- Insurance Consulting
- Medical Billing & Coding
- Healthcare Management
- Contract Management
- Compliance Consultation
- Medical Procedure Coding
- Internal Auditing