Client Manager Resume Example BIZMATICS, INC

CLIENT MANAGER

Experience

Client Manager, 01/2016 to Current
BIZMATICS, INC – San Jose, CA

Establish and maintain a working relationship with 13 different physician practice throughout the country.
Responsible for database set up content in the software to ensure the best billing practices workflow.
Coordinating all practice billing activities with the physician practice and our billing teams.
Responsible to set up the client's customized system and train staff on using our billing software based on their workflow.
Daily tracking of operational elements of each physician practice.
Proactively analyzes the client's financials on a monthly basis to identify reimbursement trends, patterns of denials and to develop an intimate understanding of the factors that are contributing to the clients' financial performance.
Make workflow recommendations to both customer and internal team members to improve back-office operation.
Create and explain the end of month financial statement analysis to each individual practice.
Research, document, and train billing teams on specific insurance, coding, and documentation requirements.
Research and share billing information pertinent to each state's different requirements.

Billing Manager, 01/2011 to 01/2015
WOMAN CARE OF RALEIGH – Raleigh, NC

Entered all charges into the billing system and confirmed that all the CPT codes were documented correctly by doctors in the patient's record.
Processed all insurance claims for primary, secondary and tertiary insurance; also led all billing efforts and followed up with collections agencies as needed in an effort to secure unpaid debts.
Followed up on denials or unpaid balances to benefit both insurance companies and patients; also managed all Accounts Receivable functions.
Verified whether prior authorization was needed any services or services ordered for the patient.
Called in prescriptions to local pharmacies for patients per doctor's orders.
Handled all aspects of ordering and balancing inventory supplies in the office.

Office Manager, 01/2005 to 01/2011
VARDY CHIROPRACTIC AND WELLNESS CLINICS – Wendell, NC

Directed administrative functions for two clinic locations.
Posted all payments from patients and auto deposit/paper reimbursements.
Process all insurance claims and balanced reports at the close of each month.
Made adjustments and followed up to secure more information as needed for reconciliation of payment.
Balanced, ordered, entered and controlled all inventory to ensure proper order supply processes and prevent overspending.
Called for MRI pre-authorizations with health insurance and/or liability insurance company.
Hired and trained all new staff; developed productive, effective workflows to ensure smooth operations and proper coverage.
Attended all health fairs and maintained all marketing materials used during these events.
Fielded all personal injury and Worker's Compensation files; followed up with liability insurance companies and/or lawyers.
Worked as a Compliance Officer role; held quarterly meetings, reviewed staff audits and discussed pertinent new regulations.
Handled patient accounts that were in need of being sent to collections as well as file all small claim suits in an attempt to collect outstanding balances owed by the patient as well as appearing before the judge to justify the case.

Work History

Client Manager, 01/2016 to Current
BIZMATICS, INC – San Jose, CA

Establish and maintain a working relationship with 13 different physician practice throughout the country.
Responsible for database set up content in the software to ensure the best billing practices workflow.
Coordinating all practice billing activities with the physician practice and our billing teams.
Responsible to set up the client's customized system and train staff on using our billing software based on their workflow.
Daily tracking of operational elements of each physician practice.
Proactively analyzes the client's financials on a monthly basis to identify reimbursement trends, patterns of denials and to develop an intimate understanding of the factors that are contributing to the clients' financial performance.
Make workflow recommendations to both customer and internal team members to improve back-office operation.
Create and explain the end of month financial statement analysis to each individual practice.
Research, document, and train billing teams on specific insurance, coding, and documentation requirements.
Research and share billing information pertinent to each state's different requirements.

Billing Manager, 01/2011 to 01/2015
WOMAN CARE OF RALEIGH – Raleigh, NC

Entered all charges into the billing system and confirmed that all the CPT codes were documented correctly by doctors in the patient's record.
Processed all insurance claims for primary, secondary and tertiary insurance; also led all billing efforts and followed up with collections agencies as needed in an effort to secure unpaid debts.
Followed up on denials or unpaid balances to benefit both insurance companies and patients; also managed all Accounts Receivable functions.
Verified whether prior authorization was needed any services or services ordered for the patient.
Called in prescriptions to local pharmacies for patients per doctor's orders.
Handled all aspects of ordering and balancing inventory supplies in the office.

Office Manager, 01/2005 to 01/2011
VARDY CHIROPRACTIC AND WELLNESS CLINICS – Wendell, NC

Directed administrative functions for two clinic locations.
Posted all payments from patients and auto deposit/paper reimbursements.
Process all insurance claims and balanced reports at the close of each month.
Made adjustments and followed up to secure more information as needed for reconciliation of payment.
Balanced, ordered, entered and controlled all inventory to ensure proper order supply processes and prevent overspending.
Called for MRI pre-authorizations with health insurance and/or liability insurance company.
Hired and trained all new staff; developed productive, effective workflows to ensure smooth operations and proper coverage.
Attended all health fairs and maintained all marketing materials used during these events.
Fielded all personal injury and Worker's Compensation files; followed up with liability insurance companies and/or lawyers.
Worked as a Compliance Officer role; held quarterly meetings, reviewed staff audits and discussed pertinent new regulations.
Handled patient accounts that were in need of being sent to collections as well as file all small claim suits in an attempt to collect outstanding balances owed by the patient as well as appearing before the judge to justify the case.

Education

Bachelor's Degree: Business Management, May 2019
East Carolina University

Associates of Arts: 2016
Wake Technical Community College

Diploma: Medical Systems Administration ECPI College

Summary

CAREER SUMMARY Driven and focused professional with 14 years of progressive experience. Excels as both a team member and independent contributor to achieve or surpass organizational goals. Demonstrated drive supervise and manage others to surpass all set expectations. Personable with a customer-focused demeanor and strong work ethic. PROFESSIONAL QUALITIES Oral/Written Communication

Interpersonal Skills

Time Management

Attention to Detail

Quality Assurance Leadership

Technical Expertise

Decision Making

Confidentiality

Organizational

Administrative Support

Accounts Receivable/Payable

Accountability

Efficiency

Highlights

Accounts Receivable
Administrative functions
Billing
Billing system
Content
CPT
Client
Clients
Database
Documentation
Financials
Financial

Financial statement analysis
Insurance
Inventory
Marketing materials
Meetings
Back-office
Office
Processes
Coding
Research
Workflow

Skills

Accounts Receivable, administrative functions, billing, billing system, content, CPT, client, clients, database, documentation, financials, financial, financial statement analysis, insurance, inventory, marketing materials, meetings, back-office, office, processes, coding, Research, workflow

Resume Overview

Create a job alert for [job role title] at [location].

About About

Help & Support Help & Support

Languages Languages

Customer Service Customer Service

Client Manager Resume Example

Resume Score: 100%