Kowo Kimberly

About Kowo Kimberly

Detail-oriented Revenue Cycle Specialist with 5+ years of progressive experience in medical billing, A/R management, claims follow-up, and insurance coordination. Proven track record in reducing A/R aging, optimizing revenue capture, and resolving claim denials. Expert in navigating EHR systems, payer portals, and upholding HIPAA compliance, with a commitment to improving healthcare financial operations.

Experience

1. Revenue Cycle Specialist Member Services

   Medlinks Staffing, Llc

   Jul 2024 — Present · Atlanta, GA, US

   Managed end-to-end accounts receivable (A/R) processes, ensuring timely follow-up and collection of outstanding medical claims from commercial and government payers (Medicare, Medicaid).• Conducted detailed account reviews to identify payment discrepancies, denials, and underpayments, initiating appeals or adjustments.• Proactively monitored claim status via payer portals and clearinghouses, resolving billing issues to reduce A/R aging.• Processed medical, administrative, and technical appeals, including refund requests and claim rejections.• Tracked authorizations for patients requiring pre-approvals and ensured timely claims resolution.• Communicated with payers to ensure accurate coverage and expedited reimbursements.• Utilized Epic, CareRadius, and Facets for case management, eligibility verification, and authorization tracking.• Maintained HIPAA compliance and handled high volumes of calls, faxes (RightFax), and digital records (SharePoint).• Regularly met and exceeded monthly collection goals, contributing to revenue optimization.• Handled home infusion billing, including verification, prior authorizations, claim submissions, and reimbursement follow-up for infusion-related services and specialty pharmacy claims.

Education

• University of Benin

  Bachelor of Science - BS, Sociology and Anthropology

  2013 — 2016