Tricia Fowler
Westampton,New Jersey
Summary
Objective Summary To continue in a position where work ethic and my years of service and skills will be valued. Enhance and champion an environment where client onboarding, revenue cycle management, client relations, collaboration, client relationship building, innovation are key components.
Overview
17
17
years of professional experience
Work History
Client Manager III /Account Manager
Optum Formerly Change Healthcare
Queensbury, NY
02.2020 - Current
- Company Overview: Healthcare Formerly McKesson Provider Technologies – Queensbury, NY
- Manage client relations and Account receivables for a large Multi -Specialty group of physicians in NYC with an open AR more than 40M
- Monitored the KPI's and created a monthly action plan to identify and resolve outstanding AR
- Worked closely with the Administrators of the group to facilitate prompt resolution of the outstanding AR
- Track and report monthly payer denial trends to help eliminate future denials
- Track and report the monthly charge and revenue to our corporate office
- Monitor charge processing to assure claim are adjudicating timely
- Meet with payer client reps on a regular basis to share denial trends for resolution and escalation with the payer
- Works closely with our operations and offshore team to review outstanding trends and denials
- Meet with VP of coding bi-weekly to review coding denials and discuss edits to prevent denials
- Meet with VP of credentialing bi-weekly to review credentialing issues with providers to assure all providers are properly credentialed with all payers
- Meet with Administration team 2 times monthly
- Meeting to review previous months denials
- Meeting to review the overall practice performance for the previous month
- Continually work to improve my relationships with the administrators
- Healthcare Formerly McKesson Provider Technologies – Queensbury, NY
Client Relationship Manager
Change Healthcare
Remote, NJ
12.2016 - 02.2020
- Manage client relations and Account receivables for a large academic, Group of Physicians in NYC
- Manage and work collaboratively with administrators of multiple provider specialty groups to facilitate prompt resolution of outstanding AR items
- Work closely with the internal Operations Team as well as the client to ensure practices meet or exceed Key Performance Indicators (DAR, % AR over 120, NCR, etc.)
- Monitor and report daily on cash collections
- Monitor and report denials to a practice and adjust work pathways to assure efficient claim processing
- Monitor and adjust the Practice Cash Flow Forecast monthly using data analysis (volume, modality, etc.)
- Complete Annual budget for my full book of business
- Present monthly performance reports for the practices to administration, often in person
Client Relationship Manager III
McKesson Provider Technologies
Somerset, NJ
05.2009 - 12.2016
- Managed client relations and Account receivables for a large Physician Hospitalist group in Georgia with an open A/R more than $15M
- The group consist of 26 hospital contracts throughout the country employing over 200 physicians
- Lead the implementation of the first 26 hospitalist groups and all subsequent new hospitalist groups
- Worked closely with the C-Suite and Sr Level Management to ensure claims were adjudicated correctly and denials were worked efficiently
- Worked closely with off- shore team partners to provide continuity between the client and MCK
- Provide monthly reports and presentations reviewing the monthly key performing indicators such as the Days in A/R, Gross collections Rates, Denial management, payer mix, clean claim rate, charge lag analysis and communicate any reimbursement challenges
- Prepared the monthly invoice to the client and assured prompt processing and payment
- Worked closely with the client to assure all credentialing is complete and accurate
- Maintain open communications with the client and MCK
Accounts Receivable Manager
Brandywine Medical Management Services
Chadds Ford, PA
04.2008 - 01.2009
- Fully managed a staff of 70 and a leadership team of 7
- Contracted with Fresenius Medical Centers and Renal Care Group to manage their self-pay portfolios at day one and the insurance A/R at day 120
- Ran a very structured and efficient call center consisting of self-pay collectors and insurance collectors/AR representatives
- Outstanding client portfolio (book of business) consisted of excess 100 million dollars of revolving AR
- Monitored and maintained a HIPPA compliant office as well as met and exceeded monthly goals on a regular basis
- Monthly collections exceeded 10 million dollars regularly
Education
Medical Billing and Coding Certificate -
Drexel University
Skills
- Managerial skills
- Client account management
- Strong Decision Making
- Proven success in process improvements
- Strong presentation Skills
- Strong Microsoft Office products skill
- Self- Motivated
- Project manager supervision
Affiliations
Past member of the Healthcare Financial Management Association. HFMA, New Jersey
Professionalsummary - Objectivesummary
To continue in a position where work ethic and my years of service and skills will be valued. Enhance and champion an environment where client onboarding, revenue cycle management, client relations, collaboration, client relationship building, innovation are key components.
Timeline
Client Manager III /Account Manager
Optum Formerly Change Healthcare
02.2020 - Current
Client Relationship Manager
Change Healthcare
12.2016 - 02.2020
Client Relationship Manager III
McKesson Provider Technologies
05.2009 - 12.2016
Accounts Receivable Manager
Brandywine Medical Management Services
04.2008 - 01.2009
Medical Billing and Coding Certificate -
Drexel University
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