Celeste Lopez
Fresh Meadows,NY
Summary
Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
17
17
years of professional experience
Work History
Insurance Biller/Customer Service Representative
Brooklyn Radio Dispatcher, Inc.
Jamaica, NY
01.2018 - 01.2025
- Processed insurance claims using advanced billing software and systems.
- Reviewed patient records to ensure accurate billing information and coding.
- Communicated with healthcare providers to resolve billing discrepancies and inquiries.
- Managed accounts receivable by tracking payments and follow-ups on outstanding claims.
- Maintained compliance with industry regulations and standards in all billing practices.
- Analyzed trends in denials and underpayments; developed strategies for addressing them.
- Processed appeals for denied insurance claims ensuring timely reimbursement from third-party payers.
- Submitted electronic claims, as well as paper claim forms, via email according to regulations.
- Prepared and processed invoices for payment by insurers according to established procedures.
- Maintained detailed records of all transactions related to insurance billing activities.
- Adhered to HIPAA guidelines regarding confidentiality of patient data at all times.
- Answered phone calls promptly to assist customers with requests.
- Provided exceptional customer service to ensure customer satisfaction.
Office Manager / Medical Assistant
Jamaica Foot Care PC.
Jamaica, NY
01.2009 - 01.2015
- Scheduled and confirmed patient appointments, ensuring efficient clinic operations.
- Managed daily office operations and maintained efficient workflow.
- Organized office supplies inventory and facilitated timely reordering processes.
- Maintained filing system for records, correspondence and other documents.
- Answered phone calls, responded to emails, routed mail and coordinated courier services.
- Tracked invoices and payments to ensure accuracy of accounts receivable and payable information.
- Managed front desk operations including greeting visitors, answering questions.
- Registered patients, insurance verifications and precertification to facilitate seamless visits.
Maintained accurate records of patient coverage details for efficient operations. - Checked in patients, collected co-pays, and processed credit card transactions accurately.
- Prepared, cleaned, and stocked exam rooms to maintain a hygienic environment.
- Assisted physicians with in-office procedures and prepared patients for surgery.
- Cleaned and sterilized surgical instruments according to JACO guidelines to ensure safety.
- Maintained confidentiality of patient records in compliance with HIPAA regulations.
- Performed blood draws to assist in diagnostic processes.
Changed bandages on patients.
Provided pre-operative and post-operative instructions. - Kept examination rooms clean, stocked with necessary supplies and prepared for incoming patients.
- Assist and dispense on the fitting of orthotics.
X-ray processing and developing, cleaning, and maintaining the developer machine.
Receptionist
American Imaging Center.
Jersey City, NJ
01.2008 - 01.2009
- Scheduled and confirmed appointments efficiently using electronic medical record systems.
- Organized patient files and ensured accurate documentation.
- Handled billing inquiries and verified insurance information accurately.
- Maintained the patient's confidentiality in compliance with HIPAA regulations.
- Copied, faxed, scanned, printed, and emailed documents.
- Greeted patients and visitors with professionalism and warmth.
- Managed incoming calls and directed inquiries to appropriate staff.
- Answered incoming calls, took messages, and transferred calls to appropriate departments or personnel.
- Greeted visitors and provided them with assistance.
- Maintained a neat reception area by organizing materials and tidying up furniture.
- Performed data entry tasks into various computer systems accurately and promptly.
- Processed payments and updated accounts to reflect balance changes.
Education
Some College (No Degree) - Certified Medical Assistant
The Chubb Institute
Jersey City, NJSkills
- Bilingual (English, Spanish)
- EKG testing
- Phlebotomy
- Administer injections
- Cleaning and sterilizing of surgical instruments
- Take patients' vital signs
- Assist Dr with office procedures
- X-ray processing and developing
- JACO trained to assist Dr in surgery
- Prepare patients for surgery
- Excellent customer service
- Management experience
- Excellent working relationship with clients and co-workers
- Quick learner
- Ability to handle multiple tasks
- Strong organizational skills
- Time management skills
- Ability to communicate effectively
- Proficient in Microsoft Word
- Proficient in Excel
- Proficient in EMR
- Insurance verification
- Denial analysis
- Effective communication
- Problem solving
- Attention to detail
- Time management
- Record keeping
- Patient confidentiality
- Data entry proficiency
- HIPAA compliance
- Payment posting
- Medical terminology
- Customer service
- Multi-tasking
References
Available upon request.
Timeline
Insurance Biller/Customer Service Representative
Brooklyn Radio Dispatcher, Inc.
01.2018 - 01.2025
Office Manager / Medical Assistant
Jamaica Foot Care PC.
01.2009 - 01.2015
Receptionist
American Imaging Center.
01.2008 - 01.2009
Some College (No Degree) - Certified Medical Assistant
The Chubb Institute