MORGAN WALKER
San Diego,CA
Summary
Seasoned health care professional who is responsible for leading complex projects where analysis of data requires an in-depth evaluation of various factors. Assigned projects are broad in scope and involve multiple functional areas and/or span across a variety of service areas. Implements expert judgment within generally defined practices or policies in selecting methods and techniques for obtaining results. Has extensive knowledge in hospital billing, CPT coding, medical claims and insurance.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Project Manager III
Kaiser Permanente
10.2023 - Current
- Salaried position, full -time employee
- Contact: 1-877-457-4772
- Leads and provides expert technical leadership to highly visible, sensitive and multi-faceted projects.
- Performs data analysis to determine outlier statistics for projects that include hospital acquired pressure injuries and falls, surgery scheduling and patient care services.
- Designs research plans for data gathering and analysis.
- Makes formal presentations that include data analysis to various senior level audiences.
- Develops, tests and refines process improvement models and analytics to proactively detect gap analysis for process measurements in large scale hospital projects.
- Works with directors and other stakeholders to identify priority areas of health care process improvement projects and program vulnerabilities using complex data tools.
- Designs complex problem-solving methods to analyze health care data to help identify key issues, problems, approaches, performance metrics and resources.
- Acts as liaison, problem solver, and facilitator.
- Provides staff leadership to multi-disciplinary teams.
- Schedules and facilitates meetings between project stakeholders to discuss deliverables.
- Verifies quality of deliverables and conformance to specifications before submitting to clients.
- Reports regularly to managers on project budget, progress and technical problems.
Administrative Officer II
UC SAN DIEGO MEDICAL CENTER
10.2018 - 10.2022
- Hourly position, full-time employee
- Contact: 1-800-367-5690
- Successfully executed Lean Six Sigma black belt project certification by improving billing reimbursement bottleneck, increasing rehab services revenue by 6%.
- Responsible for physical, occupational, and speech therapy claim adjustments to align with federal reimbursement guidelines.
- Oversaw CPT corrections for all rehabilitation reimbursement claims including Medicare, Medi-Cal, commerical, and government insurance plans.
- Utilized performance metrics to identify trends and resolves any issues.
- Identified process and system improvement opportunities by monitoring existing metrics and analyzing data.
- Contributed to business priorities by identifying and communicating risks to all stakeholders.
- Fostered strong relationships with internal and external stakeholders to devise strategies for project development.
- Directed daily administrative operations across several outpatient locations.
- Identified and resolved operational problems and barriers through Lean Six-Sigma techniques and DMAIC model utilization.
- Maintained departmental communications for leadership and executive members by responding to questions and issues.
- Recommended and facilitated improvements ensuring alignment with organizational strategy.
- Resolved escalation matters for patients, clinical staff, and/or executive leadership.
Office Manager
GASPAR DOCTORS OF PHYSICAL THERAPY
06.2015 - 10.2018
- Hourly position, full-time employee
- Contact: 858-794-9995
- Responsible for billing outpatient rehabilitation services to insurance companies by using appropriate ICD-10 and CPT codes.
- Collected co-pays or towards deductible for services rendered.
- Obtained insurance authorization for outpatient rehabilitation services.
- Monitored processing of insurance claims and posted payment collection for insurance reimbursement.
- Provided training and orientation to all new hires.
- Verified and explained insurance benefits and eligibility through online portals or by phone.
- Assembled and maintained patient medical records and other documents related to patient care.
- Scheduled patient appointments in respective therapist template and followed up with reminder phone calls.
- Responsible for day-to-day management of operations in accordance with set policies and guidelines.
- Interviewed, on-boarded, developed, and oversaw daily activities of administrative support staff.
Education
MASTER OF ADVANCED STUDIES - Leadership of Healthcare Organizations
University of California San Diego
La Jolla, California06.2021
BACHELOR OF SCIENCE - Health Sciences
California State University - Fullerton
Fullerton, California08.2012
Certification
Lean Six-Sigma Black Belt
Timeline
Project Manager III
Kaiser Permanente
10.2023 - Current
Administrative Officer II
UC SAN DIEGO MEDICAL CENTER
10.2018 - 10.2022
Office Manager
GASPAR DOCTORS OF PHYSICAL THERAPY
06.2015 - 10.2018
MASTER OF ADVANCED STUDIES - Leadership of Healthcare Organizations
University of California San Diego
BACHELOR OF SCIENCE - Health Sciences
California State University - Fullerton