Amanda Lopez
Bloomfield,NJ
Summary
Dedicated insurance verification representative with background in administrative work. Successful in over 5 years of experience in fast-paced office settings. Hardworking team player with expertise in completing various clerical tasks and offering staff support. Having a knowledge in community outreach and advocating for people from diverse cultural and socioeconomic backgrounds. Eager to draw on strong listening skills to determine each client's needs and recommend helpful resources. Responsible and productive professional when working with little to no supervision.
Overview
7
7
years of professional experience
Work History
Billing Clerk
Saint Barnabas Medical Center, Cancer Center
2017.06 - 2021.04
- Validates eligibility and benefits of patient’s insurance
- Obtain prior authorization for medical services
- Handling inbound telephone and written inquiries from pharmacists and doctors
- Screening and reviewing requests based on benefit plan design, client specifics, and clinical criteria
- Familiarizing with billing codes.
Human Resources Office Assistant
Montclair State University
2016.09 - 2017.05
- Provide customer service at the front desk of the office in a fast paced environment
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Participated in job fairs to recruit new talent.
- Monitored employee attendance and performance to verify punctuality and absences, addressing issues in accordance with company policies and procedures.
- Audit timesheets for Payroll processing.
- Maintained and updated office records, both digital and physical.
- Welcomed office visitors and alerted staff to arrivals of scheduled appointments.
- Managed daily data entry and kept clerical information accurate and up-to-date.
Insurance Verification Representative
Radnet
2021.04 - Current
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
Internship Student
Oasis-A Haven For Women And Children
2019.09 - 2019.12
- Reported back to instructor to receive day-to-day tasks and responsibilities.
- Communicated effectively with faculty and staff and accepted critiques and suggestions for areas of improvement.
- Sorted, organized, and maintained files.
- Interacted with customers by phone, email, or in-person to provide information.
- Delivered clerical support by handling range of routine and special requirements.fd
- Supported with creating project marketing materials to promote services.
- Surveyed local program participants to ascertain problematic areas requiring improvement.
- Conducted community workshops to promote different programs and educate public on available services.
- Collaborated with local organizations to expand health services and resources.
- Engaged clients in health-related activities to enhance overall well-being.
- Planned and participated in off-site and on-site client events and activities.
- Identified and reported signs and symptoms of violence, abuse and neglect for immediate intervention and remediation.
- Intervened in crisis situations and counseled children experiencing emergencies and disruptive incidents.
Education
Bachelor of Arts - Family And Child Studies, Child Advocacy And Policies
Montclair State University, The College of Education And Human Services
Montclair01.2020
Skills
- Programs - Microsoft Office 365, Mosaiq, SMS, Experian, and also familiar with MAC OS.
- Computer Proficiency
- Confidential Records Management
- Data Verification
- Taking Client Histories
- Insurance Terminology
- Customer Experience
- Teamwork and Collaboration
- HIPAA Compliance
- Case Management
- Child Abuse and Neglect Identification
- Administrative Support
- Medical Terminology
- Team Building
- Knowledge of Community Services and Programs
- Attention to Detail
- Insurance coverage verification
Timeline
Insurance Verification Representative
Radnet
2021.04 - Current
Internship Student
Oasis-A Haven For Women And Children
2019.09 - 2019.12
Billing Clerk
Saint Barnabas Medical Center, Cancer Center
2017.06 - 2021.04
Human Resources Office Assistant
Montclair State University
2016.09 - 2017.05
Bachelor of Arts - Family And Child Studies, Child Advocacy And Policies
Montclair State University, The College of Education And Human Services
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