Alejandro Lopez
Miami,FL
Summary
Detail-oriented, organized and meticulous employee. Works at fast pace to meet tight deadlines. Enthusiastic team player ready to contribute to company success.
Overview
11
11
years of professional experience
Work History
Diagnostic Coordinator
South Florida ENT Associates
07.2021 - Current
- Schedule all diagnostic tests/procedures for all doctors
- Schedule and obtain insurance authorizations for all diagnostic tests/procedures ordered
- Arranges other special tests needed related to the ordered test/procedure (lab work, etc.,)
- Maintains communication with patients, insurance companies and the diagnostic facilities
- Verification of benefit, authorization and all other relevant information is documented on test order requisition
- Problem authorizations or denied test/procedures are discussed with the ordering physician and the patient to establish alternative plan treatment
- Payment is collected in-house for self-pay patients (only for in-house CT scans)
- Telephone calls are received and responded to and, if applicable, forwarded to the appropriate person
- Patient inquiries are responded to or referred to appropriate person
- Patients are informed of requirements (i.e
- Insurance cards, photo identification and out-pocket costs
- Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Outpatient Authorization Coordinator
Baptist Health South Florida
03.2021 - 06.2021
- This position serves as a liaison to the Operational Sites, Physician Business Development Team, the Call Center, Managed Care Team, & Physician's offices
- The Outpatient Auth Coordinator will 'bridge' BH outpatient, imaging customers & the Imaging Access Call Center to ensure thorough & consistent communication of new services & protocols
- This position demonstrates exemplary teamwork, service, & overall knowledge of BHSF revenue cycle
- The ability to work within a high-pace, high volume environment is required
- This position requires an aptitude for multi-tasking
- Interacts & works cooperatively with PBD, Scheduling Team, Pre-Registration Team, Operations & Managed Care
- Position requires extensive knowledge in all outpatient diagnostic exams, especially in high-end modality(s) requiring authorizations as well CPT & ICD9 codes
- Ability to demonstrate the highest levels of customer service with physician practices and patients in order to exceed physician & patient satisfaction goals
- Good communication skills
- Inform patients of coverage limitations & financial responsibility for prescribed tests
- Also responsible for site visits to the referring Physician offices to speak about our services
- Must provide presentation at various leadership meetings on the challenges facing us in our market place
- Maintained consistent follow-up on status of prior authorization requests.
- Submitted for prior authorization with required documentation to appropriate funding source.
- Calculated estimated copay based on current insurance benefits.
- Skilled at working independently and collaboratively in a team environment.
Seasonal Team member
ABC Fine Wine & Spirits
11.2020 - 03.2021
- Assist in making appropriate wine and spirit recommendations to guests and assists team members to further increase their knowledge of wine and spirits
- Restock and replenish the sales floor with product from the stockrooms and ensure all posted price points are correct
- Join all team members as they assist in maintaining the cleanliness of the property, including picking up or sweeping any debris inside and outside the storefront, collecting shopping carts from the parking lot and cleaning out the restrooms as require
- Kept work areas clean, organized, and safe to promote efficiency and team safety.
- Contributed to team success by completing jobs quickly and accurately.
Office manager
Advanced Vision Care
06.2013 - 03.2020
- Received incoming calls
- Maintained and operated with both computer and physical filing systems
- Accurately recorded patient information and medical histories for Optometrists
- Scheduled patient appointments for new and existing patients for routine eye exams or medical eye exams
- Excellent in medical billing and manager of reimbursements
- Maintained and ordered medical supplies such as drops, prescription pads, medical accessories and more
- Provided patient education towards eye instruments such as glasses, contact lenses and eye supplies
- Taught staff members how to submit claims, resubmit claims, operate Practice Director and how to interpret insurance coverages for patients
- Organized and submitted company deposits
- Organized and created monthly reports using Microsoft Excel for optical orders
- Troubleshot Windows Desktop Computers, Printers, Fax, Routers, and Modems
- Organized and setup EMR program on office computers
- Ensured Optometrists were credentialed, submitted paperwork to recredential Doctors and ensure licenses are verified and up to date along with the practice
- Maintained computer and physical filing systems.
- Created, maintained and updated filing systems for paper and electronic documents.
Attendant
Dadeland car wash
06.2012 - 06.2013
- Vacuumed interiors of varies vehicles to remove dirt, sand and debris
- Detailed vehicles with wax and buffed for excellent shine
- Cleaned and wiped interior and exterior windows and windshields to remove smudges and debris
- Power washed tough debris from exteriors and wheel wells
Education
Networking Administration Certificate -
Miami Dade College
Skills
- Skills & Abilities
- Microsoft Office
- Medical Billing
- Insurance Verifications and Authorizations
- Multitasking
- Customer Service
- Support End-Users
- Office Support
- Records Management Systems
- Data Entry
- Patient Referral
- Copying and Scanning
- User Experience
Timeline
Diagnostic Coordinator
South Florida ENT Associates
07.2021 - Current
Outpatient Authorization Coordinator
Baptist Health South Florida
03.2021 - 06.2021
Seasonal Team member
ABC Fine Wine & Spirits
11.2020 - 03.2021
Office manager
Advanced Vision Care
06.2013 - 03.2020
Attendant
Dadeland car wash
06.2012 - 06.2013
Networking Administration Certificate -
Miami Dade College