Kimber Amo
Cibolo
Summary
Dynamic practice administrator with expertise in contract negotiation and compliance management. Proven success in optimizing revenue cycles, enhancing operational efficiency, and building strong payer relationships. Skilled in conducting quality assurance audits that drive significant revenue improvements while ensuring regulatory compliance.
Overview
30
30
years of professional experience
Work History
Practice Administrator
OpSolutions
01.2016 - Current
- Managed payer and facility contract negotiations to secure favorable terms.
- Oversaw practitioner and facility credentialing, ensuring compliance and streamlining processes.
- Directed compliance efforts, maintaining adherence to all regulatory standards across the organization.
- Led process reviews to improve quality, efficiency, and effectiveness across the organization.
- Maximized technology utilization to enhance patient care quality and improve revenue cycle management.
- Conducted quality assurance audits to enhance process and revenue cycle performance.
- Collaborated with payers to resolve payment issues, achieving maximum revenue outcomes.
Director of Revenue Cycle
American Surgical Professionals
01.2014 - 01.2017
- Led initiatives to optimize commercial insurance claims collection through strategic payer communications.
- Utilized performance measures to assess and enhance functional areas affecting revenue cycle outcomes.
- Conducted process reviews to enhance quality, efficiency, and effectiveness of revenue cycle activities.
- Reviewed departmental performance to ensure proper collection of earned revenues.
- Educated departments on their roles in driving revenue cycle performance metrics.
- Provided departmental direction and supervision, establishing a vision for future growth.
- Maximized technology use to enhance data quality and improve collection timeliness.
- Ensured confidentiality of sensitive information by restricting access to authorized personnel.
Revenue Cycle Manager
McKesson
11.2012 - 01.2014
- Enhanced commercial insurance collections through effective payer communication.
- Improved data quality and ensured timely collections by maximizing technology utilization.
- Led process reviews to enhance efficiency and effectiveness of revenue cycle operations.
- Evaluated functional areas impacting revenue cycle outcomes using performance measures.
- Educated departments on the significance of performance measures for revenue cycle success.
- Reviewed departmental performance to ensure thorough collection of earned revenues.
- Developed policies and procedures to refine billing and collections functionality.
- Provided direction outlining future vision for departmental growth.
Payer Relations Analyst
Access MediQuip
Houston
05.2008 - 04.2011
- Maintained strong relationships with payer clients and internal teams, facilitating contract compliance and addressing any issues.
- Developed and managed implementation processes for new payer business projects, ensuring timely and successful launch.
- Facilitated seamless project execution by liaising between internal departments.
- Conducted training on policies, procedures, and contractual obligations, enhancing team understanding and adherence.
Revenue Manager
Access MediQuip
Houston
01.2009 - 01.2011
- Provided actionable feedback and recommendations that led to enhanced profitability.
- Negotiated cash settlements while resolving facility and payer issues per best practice guidelines.
- Directed external customer processes to ensure compliance and optimize operational effectiveness.
- Managed third-party relationships to facilitate efficient daily operations.
- Oversaw daily operations for collection activities, ensuring accuracy in retrospective audits.
- Led appeal process by guiding selection of appropriate correspondence for denials.
- Evaluated process change opportunities in cross-departmental meetings to drive ROI.
- Assessed staff performance and delivered ongoing feedback focused on production enhancement.
Payer Relations Analyst
Kinetic Concepts, Inc
San Antonio
01.2003 - 01.2009
- Identified payer trends impacting cash flow, including utilization management and billing inefficiencies, to inform strategic decisions.
- Coordinated analysis of payer information to ensure contract compliance, enhancing operational integrity.
- Ensured timely execution of contract implementations, amendments, and updates as an effective liaison.
- Maintained accuracy in billing systems to reduce risk of lost revenue from authorization issues.
- Facilitated cross-department collaboration to implement payer billing requirements, improving alignment and execution.
- Contributed to compliance initiatives through development, implementation, training, and monitoring of policies.
Claims Supervisor
Employee Benefit Administrator
San Antonio
01.2000 - 01.2003
- Processed and analyzed claims for large municipal accounts, ensuring compliance with contractual agreements to minimize disputes.
- Managed quality assurance audits for employer groups, ensuring compliance with standards.
- Reviewed employer contracts, establishing guidelines based on approved benefits.
- Collaborated across departments to facilitate accurate contract implementation, enhancing interdepartmental communication.
- Oversaw daily operations related to employee performance, time management, and payroll, aligning team efforts with organizational goals.
Senior Claims Processor
Group Administrator
San Antonio
01.1996 - 01.2000
- Oversaw account management, including customer service contract reviews and claims processing for medical, dental, and short-term disability, ensuring compliance with standards.
- Conducted internal and external quality assurance audits to ensure compliance.
- Trained new employees on departmental procedures to improve operational efficiency.
- Developed training documents to establish departmental standards and processes.
- Generated and updated reports on production quality and customer service metrics to support decision-making.
Education
Bachelor's of Science - Management
University of Phoenix
Phoenix, AZ05-2024
Certified Medical Coder -
Practice Management Institute
Houston, TX01.2009
Skills
- Claims management
- Credentialing management
- Compliance management
- Contract negotiation
- Payer relations
- Quality auditing
- Revenue optimization
Qualifications Summary
Accomplished experienced professional with 20+ years experience in diverse areas of Revenue Management, building successful teams, using proven methods to expand and strengthen team, regulatory compliance, continued staff training, reimbursement management and providing exceptional customer service. Concentrated focus on increasing and exceeding revenues with a proven and successful record in maintaining relationships with internal and external customers at all levels.
Timeline
Practice Administrator
OpSolutions
01.2016 - Current
Director of Revenue Cycle
American Surgical Professionals
01.2014 - 01.2017
Revenue Cycle Manager
McKesson
11.2012 - 01.2014
Revenue Manager
Access MediQuip
01.2009 - 01.2011
Payer Relations Analyst
Access MediQuip
05.2008 - 04.2011
Payer Relations Analyst
Kinetic Concepts, Inc
01.2003 - 01.2009
Claims Supervisor
Employee Benefit Administrator
01.2000 - 01.2003
Senior Claims Processor
Group Administrator
01.1996 - 01.2000
Bachelor's of Science - Management
University of Phoenix
Certified Medical Coder -
Practice Management Institute