Manager Customer Service

Bridgette (Bri) Hanson

***** ********* ** *******: 713-***-****

Houston, TX 77014 *********@*****.***

OBJECTIVE

Seeking to build a long-term career with a reputed organization to grow professionally as an experience well-trained Client

Service Manager who is not only self-motivated but motivate others as well. While exploiting superior people skills of more than

13 years, I possess exceptional habitual organizational and resourceful skillsets.

PROFESSIONAL EXPERIENCE

Client Service Manager

LJJ Services, LLC 2005 - Present

Houston, TX

• Consistent Liaison between LJJ Services, LLC and clients

• Responsible for coordinating services for clients and implement new engagements

• Creates education materials and training for clients

• Accurately performs registration process for new and existing clients

• Ensure that all staff and clients have up-to-date benefit information

• Create and submit client update reports to Company Leadership team

• Posting payments received on accounts

• Ensure all insurance claims is met for timely filing

• Administer and maintain the upkeep of client’s credentialing status for the state and federal regulations

• Run and audit daily and/or month end reports for clients

• Resolve potential under/overpayments, and billing discrepancies made to healthcare providers

Medical Claims Audit Manager

Ray Oliver Community Healthcare 2001 - 2005

Houston, TX

• Review internal reports for Medicaid / Medicare / Commercial

• Audit claims selection along with preparing and distributing daily and monthly audit reports by required due date

• Review claims and identify billing discrepancies, and coding errors with EOBs and HFCA forms etc…

• Process denied claims for reconsideration and appeals

• Identify potential under/overpayments, and billing discrepancies made to healthcare providers

• Review and analyze facility claims against NHP policies and CMS guidelines, complete and document audits based on

established guidelines and audits regarding claim related charges for medical claims

• Analyzes payments received by more than one payor, retroactive termination errors, double billing/payments,

coordination of benefits overpayment

Precertification Specialist

Global Healthcare Alliance / Cardiovascular Care Providers, Inc. (CVCP) 1994 - 2001

Houston, TX

• Verified insurance coverage and insurance authorizations

• Prepared required documentation for precertification of services

• Responsible for financial reimbursement for the hospital and patient

• Arrange required documentation for precertification of services (i.e. medical records, pre-op and LMN)

SOFTWARE/SYSTEM SKILLS

• MS Word/MS Excel

• MS PowerPoint

• Outlook

• OneSite

• Allscripts Pro & FreeMED (ERS)

• RealMed & Availity

KEY SKILLS

• Business Improvement

• Customer Service

• Office Administration

• Small Budget Development

• Problem Identification and Resolution

• Liaison of Client Services

EDUCATION

Champions School of Real Estate

Certified Residential Appraiser Completion - 2006

Houston, Texas

University of Houston 1987 – 1992

Houston, TX

State Authorized Certified Real Estate Appraisal Trainee

Authorization License #: TX – 1336966-T

REFERENCES

Available upon request

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