Provider Relations Account Manager

Christy Reed

*************@*****.*** 430-***-**** Wolfe City, Tx

SUMMARY

Experienced professional with 7 years in client relations and administrative support, seeking a role as a Provider Relations Representative. Proven track record in relationship development and contract management, with experience as a Provider Relations Associate Analyst at Cigna. Skilled in Salesforce, outbound calling, and enhancing client satisfaction through effective communication and problem-solving. WORK EXPERIENCE

RealPage, Inc Remote

Account Manager/Billing Specialist Jul 2022 - Nov 2023

• Managed billing and invoicing processes for 34 properties, ensuring compliance with standard operating procedures for resident billing, contract compliance, and account management.

• Responded to site staff requests and resident inquiries, resolving issues related to billing and remittance by investigating and documenting cases based on customer input and escalations.

• Conducted client training sessions and generated monthly reports within Salesforce to maintain effective communication and operational transparency.

Mindlance (Cigna) Remote

Provider Relations Associate Analyst Sep 2021 - Jul 2022

• Conducted outbound calls to recruit and validate healthcare professionals, ensuring accurate and up-to-date information in Salesforce records.

• Managed and maintained relationships with 40 clients/accounts, addressing inquiries and extending contracts to align with client needs and project requirements.

• Facilitated the onboarding process by reviewing and uploading inbound contract packets into the data tracking system and advised providers on recredentialing to maintain network status. Lifepath Systems McKinney, TX

Clinical Team Scheduler Jul 2018 - Apr 2021

• Managed and maintained the call center database by ensuring the entry of complete and accurate information, contributing to the achievement of quality assurance standards and key performance metrics.

• Resolved client issues by clarifying concerns, researching alternative solutions, and escalating unresolved matters to appropriate channels, effectively enhancing client service and satisfaction.

• Coordinated client scheduling, including initial appointments, rescheduling, and follow-ups, while verifying insurance coverage and treatment plans to ensure seamless client care and efficient operation. NGS Medicare Denison, TX

Customer Care Representative Nov 2016 - Aug 2017

• Supported healthcare providers in correcting and processing claims by advising on errors, adjustment reason codes, and appropriate billing types.

• Handled over 100 customer inquiries daily, meeting all service level, handle time, and productivity guidelines, while resolving issues and providing status updates on claims and payments.

• Coordinated with customers, management, and sales teams to understand needs and recommend tailored solutions, enhancing overall service delivery.

Taps Access Transportation Sherman, TX

Transportation Specialist Sep 2014 - Nov 2015

• Coordinated transportation logistics by maintaining an accurate call center database, effectively communicating with drivers and passengers, and meeting quality assurance and performance metrics.

• Resolved customer issues by clarifying concerns, researching solutions, and escalating unresolved problems, thereby enhancing productivity and optimizing customer support. Texoma Neurology Associates Sherman, TX

Scheduling Coordinator Oct 2013 - Apr 2014

• Coordinated and maintained daily schedules for three neurologists, managing appointment confirmations, rescheduling, and follow-ups while ensuring efficient front office operations, including check-in, check-out, and billing.

• Enhanced patient experience by streamlining appointment scheduling processes, organizing patient files, and handling communication through telephone and email, resulting in improved operational efficiency. EDUCATION

Everest University Online

Associate of Science, Medical Insurance Billing and Coding Tampa, FL

2011

SKILLS

CPT Coding • Decision Making • Fundraising • Icd-9 • Patient Relations • Payment Collection • Insurance Verification

• Inventory Control • Medical Terminology • HIPAA Guidelines • Medical Billing and Coding • Quality Assurance • Relationship Development • Team Management • Conflict Resolution • Inbound and Outbound Calling • Salesforce

• Administrative Support • Medical Office Administration • MS Office • Patient Assessments • Patient/Appointment Scheduling

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