Kieosha Morris-Prothro
Hempstead,NY
Summary
Ambitious Medical Billing & Collections Specialist with more than 8 years of experience in Billing, denial management, medical collections and customer service. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
14
14
years of professional experience
Work History
Medical Billing and Collections Specialist
Complete Orthopedic Services Inc.
11.2021 - Current
- Billing and Collections for Workers Compensation and No fault DME
- Collaborated with team members to identify trends in unpaid claims and develop strategies for resolution.
- Trained new employees on medical billing software, policies, and procedures, ensuring accuracy in claims submission from day one.
- Answer Verification Request
- File appeals
- Processed billing calls and answered questions from patients and third-party carriers.
- Corrected, completed and processed claims for multiple payer codes.
- Generates revenue by going through carrier accounts receivable reports and investigating claims to determine why a claim has not paid
- Issue customer account statements.
- Enhanced revenue by streamlining medical billing processes and improving accuracy in claims submissions.
- Reduced claim denials by diligently reviewing patient records for correct coding and billing information.
- Improved cash flow through timely follow-up on outstanding accounts, negotiating payment plans, and collecting overdue payments.
Accounts Receivable Representative
Health Plus Management Services
03.2016 - 11.2021
- Workers Compensation, No Fault, and Commercial Insurance Billing and collections.
- Maintain strictest confidentiality, adhere to all HIPAA guidelines/regulations
- Process, review and resubmitted claims to insurance companies
- Denial management.
- Improved revenue cycle efficiency by streamlining processes and implementing best practices.
- Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with payers.
- Ensured accurate billing and coding practices, leading to a reduction in claim denials.
- Streamlined denial management processes by identifying areas of improvement and implementing corrective actions.
- Assisted in training new staff on medical record processing and filing procedures.
- Contacted clients to collect information and communicate disposition of case, documenting interactions regarding eligibility, verification of benefits and claims payment status.
- Improved claim denial resolution by thoroughly researching and identifying root causes of denials.
- Identified root cause of denials to provide plans for denial resolution.
- Enhanced revenue collection through diligent follow-up on unpaid claims and denials with insurance companies.
Credit Specialist
Corelogic Credco
06.2011 - 12.2013
- Answered high volume inbound and outbound calls coming from calling queue
- Placed conference calls between vendors and customers to verify information.
- Entered daily data into Excel spreadsheets, completed invoicing and billing for multiple vendors.
- Enhanced office efficiency by streamlining administrative processes and implementing organizational systems.
- Supported executive staff through scheduling meetings, and preparing crucial documents.
- Managed a diverse portfolio of accounts effectively, prioritizing high-risk cases for targeted intervention strategies while maintaining overall performance standards.
- Transcribed and organized information to assist in preparing speeches and presentations.
- Maintained accurate records of customer communications, payments, and account status for optimal reporting and analysis purposes.
- Enhanced credit department efficiency by implementing streamlined processes and procedures.
Medical Receptionist
Joseph P Addabbo Family Health Center
12.2010 - 05.2011
- Obtained referrals and authorizations from insurance Companies
- Assisted in managing office hours
- Scheduled appointments for follow ups and procedures
- Managed patient charts and paperwork for procedures
- Collected co-payments and previous balances
File Clerk
Nassau County Clerks Office
12.2009 - 06.2010
- Found and retrieved information from files in response to request from authorized users
- Scanned and read incoming materials in order to determine specific classifications
- Sorted or classified information according to guidelines such as content, purpose, user criteria, chronological, alphabetical, or numerical order
- Assigned and recorded/ stamped identification numbers or codes in order to index materials for filing.
Education
Medical Billing & Coding -
Sanford Brown
Garden City, NY05.2016
Medical Office Administration -
Hunter Business School
Levittown, NY11.2010
High School Diploma -
Hempstead High School
Hempstead, NY06.2003
Skills
- Billing (8 years)
- Microsoft Office (10 years)
- Workers' Compensation (8 years)
- Medical Billing (8 years)
- QuickBooks (10 years)
- Account Reconciliation
- Medical Collection (8 years)
- Insurance Verification (8 years)
- Medical terminology
- Account reconciliation
- Insurance Verification
- HIPAA Compliance Knowledge
Timeline
Medical Billing and Collections Specialist
Complete Orthopedic Services Inc.
11.2021 - Current
Accounts Receivable Representative
Health Plus Management Services
03.2016 - 11.2021
Credit Specialist
Corelogic Credco
06.2011 - 12.2013
Medical Receptionist
Joseph P Addabbo Family Health Center
12.2010 - 05.2011
File Clerk
Nassau County Clerks Office
12.2009 - 06.2010
Medical Billing & Coding -
Sanford Brown
Medical Office Administration -
Hunter Business School
High School Diploma -
Hempstead High School
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