Summary
Overview
Work History
Education
Skills
Timeline
Generic

Anairis Lopez

Rosenberg,TX

Summary

Multi-talented billing coordinator offering several years of healthcare experience. Familiar with confidentiality requirements, patient care standards and insurance claims processes. Flexible, reliable and goal-focused.

Overview

16
16
years of professional experience

Work History

Billing Coordinator

Southwest Nephrology Associates
Houston, Texas
09.2014 - 01.2024
  • Reviewed past due accounts and contacted customers for payment arrangements.
  • Responded promptly to customer inquiries concerning services, bills, payments.
  • Updated billing systems regularly by entering new customer information or modifying existing records.
  • Performed collections activities by contacting customers via phone or email regarding outstanding balances due on their accounts.
  • Analyzed customer accounts to identify discrepancies and resolve billing issues.
  • Provided support for internal departments regarding billing inquiries.
  • Kept up-to-date with details of insurance plans and company requirements.
  • Contacted insurance providers to verify insurance information and obtain billing authorization.
  • Developed effective invoicing procedures alongside accounting staff and contracts department to maximize effectiveness of billing operations.
  • Responded to telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
  • Submitted appeals on behalf of patients for denied claims.
  • Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
  • Computed credit terms, discounts and shipment charges for goods or services to complete billing documents.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Submitted claims to insurance companies.
  • Monitored past due accounts and pursued collections on outstanding invoices.
  • Performed insurance verification, pre-certification and pre-authorization.

Medical Assistant

Foot And Ankle Pain Clinic
Whiting, Indiana
01.2008 - 12.2013
  • Assisted with pre-operative preparation of patients including providing instruction about post-operative care plans.
  • Registered new patients into practice management software program accurately entering demographic information.
  • Conducted EKGs, spirometry testing, audiograms and other diagnostic tests as requested by the physician.
  • Provided assistance to medical staff in performing minor surgical procedures.
  • Filed insurance claims forms in accordance with applicable regulations.
  • Prepared laboratory specimens for analysis and organized lab results for review by the physician.
  • Answered phones, scheduled appointments and managed patient flow while greeting visitors in a professional manner.
  • Ensured that all instruments used during exams were cleaned properly after each use according to established protocols.
  • Organized patient charts before each day's clinic sessions began.
  • Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
  • Adhered to HIPAA regulations regarding safeguarding confidential patient information at all times.
  • Collected samples from patients for laboratory testing purposes.
  • Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
  • Ordered medical supplies, maintained inventory logs and restocked exam rooms when needed.
  • Maintained accurate medical records through filing, charting, transcription and data entry into electronic health record system.
  • Educated patients on healthcare topics such as nutrition and disease prevention methods.
  • Administered injections, medications and treatments as directed by the physician.
  • Interviewed and engaged patients to obtain medical history, chief complaints and vital signs.
  • Participated in team meetings to improve workflows and contribute to improving patient population outcomes.
  • Scheduled appointments for patients via phone and in person.
  • Incorporated outside records into charts and EHR.
  • Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.
  • Responded to patient callbacks and phone-in prescription refill requests.
  • Contacted pharmacies to submit and refill patients' prescriptions.
  • Organized charts, documents and supplies to maintain team productivity.
  • Answered phones, scheduled appointments, greeted patients and ordered supplies.
  • Verified appointment times with patients, preparing charts, pre-admission and consent forms.
  • Assisted back office patient processes to reduce office wait times.
  • Kept facility stocked with necessary supplies, equipment and instruments.
  • Conducted patient interviews to gather health history, vital signs and information about current medical issues.
  • Oversaw patient registration, insurance verification, form completion and appointment scheduling to maintain operational efficiency.
  • Operated x-ray and electrocardiogram (EKG) to administer diagnostic tests.
  • Contacted medical facilities to schedule patients for admission.
  • Changed dressings on wounds to prevent infection and check for healing.
  • Processed orders for medical supplies and lab equipment.
  • Communicated with pharmacies for prescription refills on behalf of supervising physician.
  • Administered medications under physician's supervision.
  • Positioned patients properly during examination or treatment for comfort and safety.
  • Explained treatment procedures and physicians' instructions.
  • Prepared treatment rooms for patient examinations.
  • Collected, labeled and stored laboratory specimens properly prior to testing.

Education

Associate of Science -

Kaplan College - Indianapolis
Indianapolis, IN
05-2008

Skills

  • Nine years of Verification Experience
  • Payments experience
  • Claims Processing
  • Payment posting
  • Customer Engagement
  • Billing dispute resolution
  • Research and due diligence
  • Collections
  • Authorization
  • Proficiency with [Athena, Epic]
  • Medical billing and collections

Timeline

Billing Coordinator

Southwest Nephrology Associates
09.2014 - 01.2024

Medical Assistant

Foot And Ankle Pain Clinic
01.2008 - 12.2013

Associate of Science -

Kaplan College - Indianapolis
Anairis Lopez