Kimberley L. Morgan
Arvada,CO
Summary
Dynamic healthcare professional with extensive experience in revenue cycle management at AMERITA, INC. Proven track record in process improvement and team leadership, achieving a 50% reduction in denials. Skilled in staff training and customer relationship management, dedicated to enhancing operational efficiency and driving results in fast-paced environments.
Overview
20
20
years of professional experience
Work History
Owner/Operator
Easy Does it Billing Solutions
03.2024 - Current
- 1099 Employment for a 3rd party billing company
Specialty Collections Manager
AMERITA, INC
06.2023 - 03.2024
- Responsible for 9 team members in the Specialty Collections department.
- Research and resolve high dollar drug claims.
- Research problem areas in the department and create new processes to correct those issues.
- Work closely with executive staff on reporting and month end adjustments.
- Worked with other departments to create and implement 5 new SOP's in 90 days.
- Created and implemented focus reports for collectors to decrease the >90 day AR to below 35%
- Analyze reports to find more effective ways to work the outstanding AR.
- Finding trends in underpayment or nonpayment of claims.
Billing Manager (promotional advancement)
RED ROCK RECOVERY CENTER, LLC
07.2019 - 06.2023
- Responsible for payment posting, problem research and resolution of any and all client interactions
- Reduced 120 day past due Receivables by 22% during a 3-month period
- Reduced the over 120 to under 15%
- Reduced denials by 50%
- Developed and implemented now standard billing department process flows
- Continued to increase revenue and customer satisfaction
- Responsible for standard month end reporting and reconciliation processes
- Hired and trained new staff
- Responsible for 2 employees
- Reviewed contracts and fee schedules for accuracy
- Researched denials and non-paid claims
- Collaborated with the intake department to begin collecting money on the front end, which increased revenue by 30%.
- Created and implemented new process for the opening of the Detox facility
- Created the billing process for a 90% clean claim average.
- Worked with Carrier provider representatives to correct issues and claim reprocessing.
Client Transition Services Manager
TRANSAMERICA
01.2019 - 06.2019
- Contract Management
- Responsible for Residual Account Review and Transition processes
- Supported full client customer service needs
- Teamed with other similarly responsible Managers in account transition activities
Client Account Specialist
TRUMPET BEHAVIORAL HEALTH
07.2017 - 01.2019
- Progressed from temporary to permanent employee on 10/1/17
- Responsibilities included:
- Nationwide support of 1,000 plus patient population
- Client escalations and account accuracy audits
- Monthly client billing including payment plans and private payment agreements
- All customer service client communication
Support Supervisor (promotional advancement)
PATIENT ACCOUNT SERVICES
02.2011 - 03.2017
- Consecutive progressive advancement from Insurance Representative to Insurance Team Lead I to Team Lead III
- ROI Medical Records Certification Completed
- Responsibilities included:
- Management of 15 employees to ensure accurate attendance and production reporting and quality assessments
- Monitor account inventory for potential areas of concern
- Analyze account trends
- Develop staff training needs and career development
- Patient escalation resolution
- Interview, hire and orient new employees
- Patient insurance, collections, denials and appeals processing
Financial Account Manager
COMPLETE CARE HEALTH SERVICES
02.2010 - 01.2011
- Managed front end reception staff (2)
- Facilitated staff meetings to ensure production and training goals attainment
- Responsible for employee mentoring to further enhance patient quality care
- Patient record maintenance to include charges and payments
- Ensured good customer service (all telephone communications and appointment monitoring)
- Developed comprehensive patient-centric treatment and financial plans optimizing where possible, insurance benefits
- Decreased Medicare receivables by $18K in first 30 days
- Assisted with 20-30 patients' daily treatment and financial concerns
- Patient and insurance collections, denials and appeals
Education
Bachelor's Degree - Healthcare Administration
UNIVERSITY OF PHOENIX
Lone Tree, CO12.2020
Diploma - Medical Insurance Billing and Coding
PARKS COLLEGE
Thornton, CO08.2004
Skills
- Revenue cycle management
- Staff training and development
- Team leadership
- Process improvement
- Performance metrics
- Customer relationship management
- Healthcare software expertise
- Teamwork and collaboration
References
References available upon request.
Timeline
Owner/Operator
Easy Does it Billing Solutions
03.2024 - Current
Specialty Collections Manager
AMERITA, INC
06.2023 - 03.2024
Billing Manager (promotional advancement)
RED ROCK RECOVERY CENTER, LLC
07.2019 - 06.2023
Client Transition Services Manager
TRANSAMERICA
01.2019 - 06.2019
Client Account Specialist
TRUMPET BEHAVIORAL HEALTH
07.2017 - 01.2019
Support Supervisor (promotional advancement)
PATIENT ACCOUNT SERVICES
02.2011 - 03.2017
Financial Account Manager
COMPLETE CARE HEALTH SERVICES
02.2010 - 01.2011
Bachelor's Degree - Healthcare Administration
UNIVERSITY OF PHOENIX
Diploma - Medical Insurance Billing and Coding
PARKS COLLEGE
Similar Profiles
Hailey PoehlerHailey Poehler
Accounts Receivable (A/R) at Versatile Physicians Solutions Medical Billing Company (VPS)Accounts Receivable (A/R) at Versatile Physicians Solutions Medical Billing Company (VPS)
Meghan MinterMeghan Minter
Billing Specialist at Agility Billing SolutionsBilling Specialist at Agility Billing Solutions
Jill BarrieJill Barrie
Collections Supervisor at Affiliated Billing Solutions, Inc.Collections Supervisor at Affiliated Billing Solutions, Inc.
Bianca KeatonBianca Keaton
Barista at StarbucksBarista at Starbucks
Leo WalterLeo Walter
Senior Product and Technology Innovation Coach at RALSTON CONSULTINGSenior Product and Technology Innovation Coach at RALSTON CONSULTING