Client Manager

Job Description

Job Description

Job title

Client Manager

Reports to

Director of Client Success

Classification

Salaried, Exempt

Job purpose

Serves as the primary contact between Coronis Health and assigned client practice groups and / or individual practitioners, while balancing advocacy for serving client needs with commitment to Coronis Health.

Duties and responsibilities

Manages assigned client accounts and acts as primary contact and liaison between Coronis Helath and the clients handling communications and interactions related to insurance and patient receivables, billing and collections.

• Monitors and performs ongoing assessments on follow-up of rejected claims and delinquent accounts.
• Proactively creates and analyzes client statistics to discover problems or concerns for clients, as well as researches and works to resolve the issues.
• Reviews and approves adjustments to bills and / or refunds for overpayment.
• Follows through on all questions or concerns communicated to them by the clients in a timely manner.
• Maintains a positive, professional and mature relationship with all.
• Actively looks for opportunities to help sell the organization’s various services and enhance its image.

Assist with or conduct planning and scheduling of client meetings and follow-up on items and reports requested during client meetings.

• Roles may include preparation of the agenda, preparation and presentation of billing and collection reports and practice analysis data, taking minutes, and preparation of reports capturing all interactions taking place during the meeting.
• Facilitates meetings if requested to lead the client group through the agenda, and ensure the meetings meet their objective in a professional manner.
• Prepare a client meeting re-cap report, and distribute to all appropriate parties.
• Takes initiative and responsibility for problem solving and researching billing problems.
• Brings issues and recommendations to the Client Services Director, Regional Manager and / or group practice leadership regarding billing and collection issues.

Communicates custom billing and collection policies and procedures to the Coronis Health staff and / or supervisors. This may include participation in meetings or providing written communication.

• Works with all Coronis Health staff in a professional, team-enhancing manner.
• Actively supports Coronis Health principles when relating with both clients and peers, by developing and maintaining open communication and cooperative relationships.

Understand and explain a client’s pooled compensation formula and billing fee methodologies.

Responsible for analyzing and interpreting end-of-month reports and regular billing / collection reports, as well as, timely and accurate distribution of reports to practice leadership and individual members.

Prepares and interprets special reports as requested for billing, managed care, collection, or practice analysis data, which may be reviewed by Management prior to distribution, along with all email communications to clients.

Interact with the practice group audit / compliance committees regarding hardship discount requests from patients and to facilitate regular compliance audits.

Responsibilities might include :

• Pending specific charges that are to be included in pre-submission audits or reviews.
• Follow through with correction of deficiencies and release of charges for claims submission; communicate compliance issues, updates and carrier directives to practice group Compliance Officer;

communicate billing and collection procedures and contract updates.

Work with group Compliance Committee to detect and resolve issues; and keep the Regional Manager fully informed of all compliance issues and steps taken to resolve them.

Reviews and negotiates managed care payor contracts for the client groups and submits recommendations to practice group leadership.

Periodically analyzes practice group managed care contracts for competitiveness and reports on payor rate compliance to practice group leadership.

As needed, works with members of the billing and collections personnel and members of management to ensure appropriate handling of client billing and collections.

Monitors practice analysis to assure continuity and timeliness of billing / payments. Provides timely answers to staff on client information needed for billing / payment processing.

Supports clients by proactively planning and managing areas of potential impact to the group. Responsible for resolving client problems and issues while holding the company perspectives.

Assists in contracting / credentialing by facilitating client response.

Works with practice management to initiate and assist in various practice management work when appropriate. This would include billable hours on items that are in the scope of this position.

Other duties as assigned

Qualifications

• Bachelor’s degree or equivalent combination of education and experience
• Minimum of 4 years of relevant work experience in a physician billing office or medical insurance environment
• Knowledge of insurance reimbursements / contracting and billing / appeal practices, managed care and capitation practices
• Anesthesia billing experience preferred
• Effectively solves complex problems involving several variables
• Excellent communication skills (both verbal and written)
• Ability to prioritize and organize numerous tasks and complete them under time constraints
• Detail oriented
• Proficient in Microsoft Office; MS Word, MS Excel, MS PowerPoint and MS Outlook

Coronis Health is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.