Alma Lopez
Lincoln,United States
Summary
Highly-efficient medical billing professional. Contributing 17 years of experience in medical billing for multi-specialty groups. Specialized in commercial/private pay insurance carriers. Detail-oriented professional with focus on deadlines and skilled in handling medical billing without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information.
Overview
20
20
years of professional experience
Work History
Claims Team Member - Billing Operations
R1 RCM INC.
01.2023 - 09.2023
- Maintained and prioritized to-do-list and followed up to complete tasks on-time.
- Executed and maintained quality control processes to meet criteria and standards and increase customer satisfaction.
- Collaborated with other departments to establish smooth implementation of operational processes and procedures.
- Followed shipping and receiving procedures for goods and materials.
- Developed and implemented strategies to maximize productivity and streamline operations.
Claims Team Member Commercial: HMO, PPO, Work Comp
Sutter Health
07.2006 - 01.2023
- Communicate with insurance providers to resolve and resubmit denied claims.
- Deliver accurate and timely charge submissions.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Review patient records, identify medical codes and create invoices for billing purposes.
- Analyze complex Explanation of Benefit forms to verify correct billing of insurance carriers.
- Train new employees on multiple medical billing programs and data entry software.
Payment Posting Specialist
EMP Emergency Medical Physicians
05.2003 - 07.2006
- Exceed team productivity efficiently by scanning, submitting and archiving records.
- Process insurance payments and post correctly to accounts.
- Comply with established internal procedures and policies.
Education
High School Diploma -
Lincoln High School
Lincoln, CA06.2000
Skills
- Knowledge and experience with Hospital Billing
- Detail oriented
- Teamwork and Collaboration
- Insurance Billing Procedures
- Critical Thinking
- Multitasking and Organization
- HIPPA Compliance
- Medical Terminology
- Problem solving
Timeline
Claims Team Member - Billing Operations
R1 RCM INC.
01.2023 - 09.2023
Claims Team Member Commercial: HMO, PPO, Work Comp
Sutter Health
07.2006 - 01.2023
Payment Posting Specialist
EMP Emergency Medical Physicians
05.2003 - 07.2006
High School Diploma -
Lincoln High School