Kiaria Moore
Omaha,NE
Summary
Results driven billing professional with over 8 years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes, and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Foster Care
Omni Inventive Care
Omaha, Nebraska
10.2022 - Current
- Developed support plans addressing unique needs of each foster child.
- Regularly monitored emotional and behavioral progress of children in care.
- Advocated for children's rights within community resources.
- Attended training sessions to improve parenting skills and knowledge.
Private Caregiver
Theresa Perkins
Omaha, Nebraska
01.2021 - 04.2023
- Formulated personalized care plans aligned with client preferences and health conditions.
- Monitored clients' health conditions, promptly reporting changes to healthcare professionals.
- Supervised medication administration, personal hygiene, and daily living activities.
- Provided companionship to enhance emotional well-being and foster social interaction.
Receptionist Administrator
Florence Home
Omaha , NE
07.2020 - 06.2021
- Greeted visitors, assessed needs and directed to appropriate personnel.
- Answered and directed incoming calls using multi-line telephone system.
- Received incoming packages and mail, dispersed parcels and correspondence and shipped outgoing items daily.
- Sorted and distributed business correspondence to correct department or staff member, reducing dropped communications and enabling faster responses to key requests.
Senior Medical Billing Specialist
Nebraska Medicine
Omaha , NE
01.2020 - 09.2020
- Called insurance companies to verify patient benefits.
- Coordinated payment with insurance companies and discussed Medical benefits with patients.
- Assigned CPT procedure and evaluation and management (E&M) codes for services to assure appropriate billing and reimbursement.
- Performed insurance verification, pre-certification and pre-authorization.
- Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
Claim Processor
Signature Performance Inc.
Omaha, NE
05.2017 - 12.2019
- Efficiently and effectively processed a large volume of medical claims on a daily basis.
- Reviewed data to verify validity of claims and determine case management actions.
- Based the payment or denials of medical claims upon well-established criteria for claims processing.
- Documented file notes clearly and concisely in EPIC.
Claims Specialist
Aflac
Omaha, NE
02.2015 - 03.2017
- Exceeded KPI (key Performance Indicators) service goals while leveraging customer service
- Skillfully and patiently explained coverage options to potential policyholders, answering any questions or concerns.
- Verified that patients had the proper insurance coverage prior to any procedures or appointment scheduling.
- Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.
Education
High School Diploma -
Central High School
Omaha, NE05.2006
Skills
- Collections management
- Billing code expertise
- ICD-10 coding skills
- Claims processing
- Citrix and One Chart proficiency
- AS400 systems knowledge
- Customer service skills
- EPIC software experience
- Call center expertise
- Quality control measures
- Scheduling services
Certification
- Medication Aide License #: 113672
- Licensed Foster Care through State of Nebraska
- CPR and Basic life support
Timeline
Foster Care
Omni Inventive Care
10.2022 - Current
Private Caregiver
Theresa Perkins
01.2021 - 04.2023
Receptionist Administrator
Florence Home
07.2020 - 06.2021
Senior Medical Billing Specialist
Nebraska Medicine
01.2020 - 09.2020
Claim Processor
Signature Performance Inc.
05.2017 - 12.2019
Claims Specialist
Aflac
02.2015 - 03.2017
High School Diploma -
Central High School