Summary
Overview
Work History
Education
Skills
Timeline

CHRISTINA LOPEZ

Tampa,FL

Summary

Outgoing, team-oriented, and personable professional with significant experience in the multiple industries including medical and childcare services. Possess strong multi-tasking skills, with ability to simultaneously manage various projects and schedules. 10 years of experience authorization coordinator. Recognized as a self-motivated leader who develops innovative solutions that produce positive business results.

Overview

10
10
years of professional experience

Work History

Authorization /Verification/Collecting

Bio Spine Institute
05.2020 - Current
  • Review all documents
  • Run patient benefits
  • Call patient with procedure, injection cost
  • Call patient to collect payments
  • Initiated authorization using different portals
  • Call insurance company for authorization, peer to peer, appeals
  • Fax clinical to insurance company and doctor’s offices
  • Document in Nextgen, Ehr, Saleforce, Epic
  • Email disclosures to patients
  • Provide self-pay cost

Authorization Specialist

Blackstone Medical Services
10.2019 - 03.2021
  • Documented all communication with applicants and inputted information into system using Vortex
  • Review all referrals and clinical notes
  • Obtained underwriting approval by completing application for coverage
  • Call doctor’s office
  • Used different insurances portal to obtain authorization
  • Organization
  • Able to handle high volume of work
  • Call insurance companies

Insurance Representative

Healthsystems
03.2019 - 09.2019
  • Resolve phone inquiries related to claims adjudication
  • Prior authorization and other Pharmacy Benefit Management
  • Demonstrates ability to read prescription drug names, comprehend simple instructions
  • Answer multi phone calls
  • Consulted with outside parties to resolve discrepancies and create effective solutions
  • Answered customer telephone calls promptly to avoid on-hold wait times

Insurance Coordinator

Pediatric Gastroenterology
06.2017 - 02.2019
  • Prepared insurance claims for submission to clearinghouses or insurance companies
  • Responsible for data entry
  • Tracking and verification of insurance documentations prior to scheduled appointment
  • Responsible for attachment of super bill and co-payments
  • Review ICD 9 for correct procedural codes
  • Obtained prior authorization and precertification for procedures
  • Posted payments to accounts and maintained records
  • Maintained strong knowledge of basic medical terminology to better understand services and procedures

Home Health Care Provider

Divine Home Health
09.2014 - 01.2017
  • Review all documents
  • Run patient benefits
  • Call patient with procedure, injection cost
  • Call patient to collect payments
  • Initiated authorization using different portals
  • Call insurance company for authorization, peer to peer, appeals
  • Fax clinical to insurance company and doctor’s offices
  • Document in Nextgen, Ehr, Saleforce, Epic
  • Email disclosures to patients
  • Provide self-pay cost

Education

GED -

Brewster Technical Center, Tampa, FL
05.2000

Skills

  • Applicant engagement
  • Program knowledge
  • Authorizations understanding
  • Good listening skills
  • ICD-10
  • CPT Coding
  • Emr (open emr)
  • Nextgen
  • Saleforce
  • Epic

Timeline

Authorization /Verification/Collecting - Bio Spine Institute
05.2020 - Current
Authorization Specialist - Blackstone Medical Services
10.2019 - 03.2021
Insurance Representative - Healthsystems
03.2019 - 09.2019
Insurance Coordinator - Pediatric Gastroenterology
06.2017 - 02.2019
Home Health Care Provider - Divine Home Health
09.2014 - 01.2017
Brewster Technical Center - GED,

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CHRISTINA LOPEZ