Summary
Overview
Work History
Education
Skills
Timeline
Generic

Cecilia Lopez

Oxnard,California

Summary

Dynamic Authorization Representative with a proven track record at Rolling Oaks Radiology, excelling in claims processing and patient advocacy. Demonstrated strong problem-solving skills by reducing authorization processing times and enhancing approval rates through effective communication with insurance companies. Committed to continuous improvement and maintaining HIPAA compliance in all interactions.

Overview

24
24
years of professional experience

Work History

Owner

Cece's Boutique
05.2021 - Current


  • Developed and maintained strong relationships with clients, resulting in repeat business and referrals
  • Increased customer satisfaction by implementing efficient business processes and providing exceptional service.
  • Achieved financial growth with strategic planning, cost control measures, and targeted marketing efforts.
  • Organized and attended trade shows and special events to showcase products, network with other businesses and attract new customers.
  • Managed purchasing, sales, marketing and customer account operations efficiently.
  • Networking to build business at local events
  • Increase and proven sales with participating in local community
  • Engage with customer at local events to promote business, driving measurable sales and growth

Authorization Representative

Rolling Oaks Radiology
08.2001 - Current
  • Maintained poise under pressure while managing high call volumes.
  • Provided exceptional customer service by answering questions, resolving issues, and guiding patients through the authorization process.
  • Consistently provided prompt follow-up on pending authorizations, ensuring minimal delay in receiving essential medical services.
  • Communicated required insurance information in person and by telephone to patients, physician offices, third party payers and agencies.
  • Maintained up-to-date knowledge of insurance policies and procedures to effectively communicate requirements to patients.
  • Verified by telephone or internet eligibility and benefits for third-party payer insurance from information provided on patient registration form.
  • Conducted thorough reviews of medical documentation for accuracy and compliance before submitting authorization requests.
  • Received patient type change notification and took action necessary to meet third-party payer care and coverage guidelines.
  • Developed strong relationships with insurance companies, facilitating effective communication and increasing approval rates for authorizations.
  • Reduced processing time for authorizations by implementing efficient workflows, decreasing wait times for patients seeking necessary treatments.
  • Experience in medical records, scheduling all high end scans and biopsies, mammogram tracking, registration front desk , and Collaborating with Marketing team out on the field.

Education

Oncology Patient Follow Up

Santa Barbara City College
Santa Barbara, CA
2012

ICD Coding

Moorpark College
Moorpark, CA
2011

General Studies

Rio Mesa High School
Oxnard, CA
06.1992

Skills

  • HIPAA compliance
  • Medical terminology
  • Data entry proficiency
  • Authorizations
  • Teamwork
  • Problem-solving
  • Time management
  • Multitasking Abilities
  • Critical thinking
  • Professionalism
  • Continuous improvement
  • Collaborate with Marketing team

Timeline

Owner

Cece's Boutique
05.2021 - Current

Authorization Representative

Rolling Oaks Radiology
08.2001 - Current

Oncology Patient Follow Up

Santa Barbara City College

ICD Coding

Moorpark College

General Studies

Rio Mesa High School