Peter Carvalho Email & Phone Number

Miami/Fort Lauderdale Area

Senior Quality Assurance Specialist - 05/2016-PresentFile Review; Provider Approvals & Restrictions for All Specialties; Coordinate/Expedite Quality Management/Risk IssuesMedical Staff Coordinator – 08/2013-05/2016Internal Credentialing - Surgery Subspecialties TeamAnalyze/Review physician applications and CVs for consistency and accuracyResearches and verify provider education, work history and hospital affiliationsExpedite queries and review of FSMB, OIG, NPDB & CBC reportsResearch and document licensing board inquiries and associated “Red Flag” issuesExpedite primary source verifications and provider referencesDiscuss and review provider peer references regarding providers clinical knowledge & skills andinterpersonal performanceDocument, prepare and transition providers file to Quality Management Team for final review &approvalSales Consultant – 09/2012-08/2013Manage physician inquiries regarding placement opportunitiesNegotiate the recruitment, interviewing, hiring and assignment of physicians for placement with new and existing clientsPlacement of providers into client’s medical facility by matching physician skill level, licenses, preferences, board status, credentials, professional certifications and designations as applicable per state and federal regulations

Miami/Fort Lauderdale Area

Senior Quality Assurance Specialist - 05/2016-PresentFile Review; Provider Approvals & Restrictions for All Specialties; Coordinate/Expedite Quality Management/Risk IssuesMedical Staff Coordinator – 08/2013-05/2016Internal Credentialing - Surgery Subspecialties TeamAnalyze/Review physician applications and CVs for consistency and accuracyResearches and verify provider education, work history and hospital affiliationsExpedite queries and review of FSMB, OIG, NPDB & CBC reportsResearch and document licensing board inquiries and associated “Red Flag” issuesExpedite primary source verifications and provider referencesDiscuss and review provider peer references regarding providers clinical knowledge & skills andinterpersonal performanceDocument, prepare and transition providers file to Quality Management Team for final review &approvalSales Consultant – 09/2012-08/2013Manage physician inquiries regarding placement opportunitiesNegotiate the recruitment, interviewing, hiring and assignment of physicians for placement with new and existing clientsPlacement of providers into client’s medical facility by matching physician skill level, licenses, preferences, board status, credentials, professional certifications and designations as applicable per state and federal regulations

Miami/Fort Lauderdale Area

Acquire Venue Partners and Corporate Clients - Membership Relationship Management.Presentation and introduction company servicesForge business relationships with strategic corporate partnersNegotiate multi-tiered pricing for corporations and business partnersAttend and represent firm at networking eventsCompany liaison for Special Event projects Assist with all areas of Member Services including sales and account managementReporting to senior management

Our goal is to bring world-class medical expertise to Individuals and families by offering the ability to access Electronic Medical Records online and Second Opinions within 48 hours worldwide.

Miami/Fort Lauderdale Area

Identify, contact and close Agreements with strategic partners and government agencies for debt relief programs - Including: credit counseling, debt management, financial literacy, credit repair, employee financial wellness workshops and debt settlement.Presentation and introduction of debt relief servicesFacilitate workshops on budgeting and debt managementAttend and represent firm at networking eventsExpand client base through database acquisitionsExpand affiliate program by locating new brokers Expand direct sales representatives networkAssist with community outreach in presenting debt management seminars at no chargeReporting to senior management

Miami/Fort Lauderdale Area

Founded firm with partner, Stephen Golding, to assist hospitals in commercial claims adjudication. Developed business plan; hired employees and led team in the creating and execution of our proprietary software, MCTS©. Coordinated independent marketing representative's efforts with prospects, presentations and closings.Created and managed a tracking and recovery system to expedite rapid reimbursement to providersDesigned organizational structure and determined associated staffing ratiosEvolved services to focus on managed care underpayments Expanded client base through Independent Sales OrganizationsAdded denial management to our menu of servicesLed team to automate reimbursement calculation through a managed care engine with associated vouchers to detail methodology and resultsDirected management and supervisor personnel in all operationsSold company to in August 2006

Miami/Fort Lauderdale Area

Processed and reviewed private placement memorandums and subscription documents for oil and gas partnershipsDocumented revenue, expenses and distributions to limited and general partnerPreparation of all tax returns for limited partnerships and associated K-1 reporting to partnersReporting to senior management

Miami/Fort Lauderdale Area

Oversee and supervise all financial activity; accounts receivable, accounts payable, general ledger, state and federal tax returns

Ba, Accounting

Bachelor Of Science (Bs), Accounting And Finance

Education record