CARMEN LÓPEZ VICTORES
Hialeah,FL
Summary
Experienced Medical Professional with over 30 years in healthcare, including clinical roles and recent expertise in medical billing. Demonstrates proficiency in patient care, insurance verification, ICD-10 coding, EMR documentation, and accurate claims submission, ensuring clear communication with patients and providers.
Overview
1
1
Certification
34
34
years of professional experience
Work History
Medical Biller
Premium Health Care
Miami, Florida
08.2025 - 01.2026
- Processed patient claims for premium health care billing operations, ensuring compliance with insurance guidelines.
- Reviewed patient insurance information to ensure accurate claims submission and minimize denial rates.
- Verified medical codes for diagnosis, treatment, procedure, and supply billing using ICD-10 coding system.
- Submitted electronic claims through billing software and payer portals to ensure timely reimbursement.
Medical Assistant
Clinica Sagrado Corazon
San Antonio, Texas
11.2021 - 02.2022
- Administered injections, medications, and specimen collection per provider direction.
- Collected vital signs and updated electronic medical records for clinic visits.
- Prepared exam rooms with supplies, equipment, and infection control standards.
- Reviewed charts and verified patient information before medical visits.
- Communicated instructions and referral details with patients in clear, respectful language.
Doctor
Municipal Health
Havana, Havana
05.2016 - 09.2021
- Assessed patient's medical history and symptoms to accurately diagnose illnesses.
- Diagnosed patients in Municipal Health clinics using community health protocols.
- Prescribed treatment plans for acute and chronic conditions.
- Reviewed medical records and updated patient care notes.
- Educated patients about their conditions and medications prescribed.
Family Physician (Doctor)
Direccion Provincial de Salud
Havana, Havana
01.2006 - 09.2016
- Provide on-the-job education and comprehensive medical services to family members
- Requested diagnostic tests and analyses to assist in patient care.
- Analyzed test and examination reports
- Prescribe and administer treatments and medications.
- Advised patients on diet, hygiene, and disease prevention to enhance overall health and well-being.
- Referred patients to medical specialists to ensure timely and appropriate care.
- Conducted family consultations at provincial health clinics to assess and address healthcare needs under Dirección Provincial de Salud.
- Prescribed treatments and medications following public health guidelines.
Doctor
Medical Office
Havana
09.1991 - 12.2006
- Diagnosed patients in Municipal Health clinics using community health protocols.
- Prescribed treatment plans for acute and chronic conditions.
- Prescribed medications and treatments to alleviate patients' health concerns.
- Reviewed test results to determine diagnosis or course of treatment.
- Conducted follow-up visits with patients to assess the effectiveness of treatments.
- Reviewed medical records and updated patient care notes.
- Collaborated with other healthcare professionals to coordinate optimal patient care plans.
- Attended professional development conferences and seminars for continuing education purposes.
Education
Diploma - Medical Billing and Coding
NUC University
Miami, FL06-2025
Master's Degree - Primary Health Care
Victoria de Girón Institute of Medical Sciences
Havana, Cuba12-1995
Some College (No Degree) - Behavioral Health
Hollywood Career Institute
Pembroke Pines, FLSkills
- Claims Management
- Healthcare Billing Knowledge
- Insurance Claims Processing
- Claims submission
- Claim Verification
- CPT Coding
- ICD-10 coding
- Medical coding
- Billing Software Proficiency
- Payer portals
- EMR Utilizing Medisoft
- Data Entry Speed
- MS Office proficiency
- Revenue management
- Client Communication
- Multilingual communication
- Medical coding
Personal Information
Title: Medical Professional
Certification
- Registered Behavior Technician – RBT 2026-06
- Registered Phlebotomy Technician – RPT 2026-02
- National Society of Leadership and Success 2026-01
- National Certified Insurance & Coding Specialist 2025-06
- CPR/AED: Adult, Child & Infant Standard First Aid (BLS) 2023-06-2026-03
- Certificate of Achievement in ESOL High Beginning. Level 5 2024-05
- Registered Medical Assistant – RMA 2026-10
- Master's Degree in Primary Health Care - Cuba 2008-02
- Medical Specialist in Comprehensive General Medicine - Cuba 1995-12
- Victoria de Girón Institute of Medical Sciences, Havana, Cuba 1985 – 1991
- Doctor of Medicine
Affiliations
- United States Health Professionals Membership Registry
- Health Expert Leadership Providers (HELP)
Timeline
Medical Biller
Premium Health Care
08.2025 - 01.2026
Medical Assistant
Clinica Sagrado Corazon
11.2021 - 02.2022
Doctor
Municipal Health
05.2016 - 09.2021
Family Physician (Doctor)
Direccion Provincial de Salud
01.2006 - 09.2016
Doctor
Medical Office
09.1991 - 12.2006
Diploma - Medical Billing and Coding
NUC University
Master's Degree - Primary Health Care
Victoria de Girón Institute of Medical Sciences
Some College (No Degree) - Behavioral Health
Hollywood Career Institute