Michael Marquez

Provider Consultant with over 5 years of experience specializing in Medicare compliance, revenue cycle management, and provider relations. Demonstrates a strong ability to conduct detailed audits, develop strategic enhancements, and provide in-depth training on Medicare policies. Skilled in negotiation and problem-solving, effectively enhancing operations and communication between healthcare providers and insurance companies. Advise healthcare providers on Medicare regulations, billing practices, and compliance requirements. Conduct comprehensive audits to identify areas for improvement and ensure adherence to Medicare guidelines. Develop and implement strategies to enhance revenue cycle management and optimize reimbursement. Provide training and education to providers and staff on Medicare policies and procedures. Collaborate with cross-functional teams to resolve complex billing issues and appeals. Stay updated on changes to Medicare regulations and communicate updates to stakeholders. Analyze data and performance metrics to identify trends and opportunities for process improvement. Cultivated and maintained positive relationships with healthcare providers to enhance collaboration and communication. Physician liaison Conducted provider education sessions on contract terms, reimbursement policies, and utilization management. Investigated and resolved provider inquiries and concerns in a timely and professional manner. Analyzed provider performance metrics to identify opportunities for improvement and implement corrective actions. Collaborated with internal teams to streamline processes and improve provider satisfaction. Collaborated with colleagues and interdisciplinary teams to develop and implement individualized treatment plans that met patients' unique needs and preferences. Established a reputation for delivering compassionate care and building long-term relationships with patients and their families. Actively participated in practice management activities, including staff meetings, quality improvement initiatives, and strategic planning sessions. Contributed to the development and implementation of clinical protocols, policies, and procedures to ensure consistent and high-quality care delivery. Engaged in continuous learning and professional development to stay current with advances in medical knowledge, technology, and treatment modalities. Attentive and goal-focused brings successful approach to cultivating complex best practices to meet organizational and regulatory expectations. Detail-oriented focus on achieving expected outcomes. Enthusiastic hard worker with expertise in cultivating lucrative client relationships and implementing better processes and procedures.

PROVIDER CONSULTANT

• Spanish
• English