Summary
Overview
Work History
Education
Skills
Timeline
Generic

Denisse Lopez

Miami,FL

Summary

To support the Clinical Business Operations Representative 3 for the University of Miami/UHealth Department of Psychiatry. By coupling my passion for eagerness to serve, I aim to function as a liaison between management to staff, students, and guests who utilize the University of Miami/UHealth Department of Psychiatry operations professional prepare to excel in a dynamic environment.

Overview

19
19
years of professional experience

Work History

Clinical Business Operations Representative II /Team Leader

University of Miami Department of Behavioral and Sciences
Miami, FL
01.2023 - Current

●Oversees and manages staff, to make sure the office is running smoothly, and everything is done in a timely manner.

● Assists with supervisor duties while on supervisors are on time off.

● Answer phone lines for the department; triage incoming calls, respond to questions, direct calls, and document messages in UChart

● In charge of managing the Medical Student Program with scheduling appointments for medical and graduate students.

● In charge of submitting and obtaining prior authorizations for medication and rTMS treatments.

● Works cooperatively with fellow employees to solve problems and enhance the smooth and efficient flow of the practice.

● Train new hires into the team.

● Provides coverage for responsibilities of co-workers when assigned or as need arises.

● Develops and promotes the use of effective methods of communicating with physicians, managers, peers, trainees, and staff on a regular basis.

● Use electronic medical system (EPIC) in utilizing to verify patients’ appointments, enter lab results, medical records, referrals and medical notes for fibro scans.

● Maintains confidentiality of patient information.

● Provide clinical support to clinical faculty in daily activities related to 4 MD's, and 2 advanced registered Nurse Practitioners.

● Assist clinical support to other clinical providers in daily activities.

● Provide medical letters, if needed, to patients and appeal letters to insurance companies.

● Take care of all patient and clinical faculty requests

● Answers telephone calls, greets callers, handles inquiries, takes and delivers messages, answers custom questions and transfers calls to correct personnel according to their needs.

● Verify patient demographics and edit information as necessary to assure accuracy and completeness through Clinic Prep.

● Verifies insurance information and informs patients of any inaccuracy through Clinic Prep.

● Schedule appointments (i.e., follow-ups, RTMS, P2P Reviews) in a timely manner, cancel and reschedule appointments based on patient and/or doctors’ requests.

● Adjust clinics for doctors on vacations or days off.

● Manage all NO-SHOW letters and missed appointment/late cancellation fee disputes.

● Oversee provider schedules to ensure Fill and Schedule rate metrics are maintained at 95-100% capacity.

● Oversee CRM Work queue Message Escalations.

● Initiate and manage prior prescription authorizations for medications and RTMS treatments

Clinical Business Operations

University of Miami Hospital - Department of Neurology
01.2021 - 12.2022
  • Answer phone lines: triage incoming calls, respond to questions, direct calls, and send In-Basket messages through UChart
  • Provide administrative assistant support to Dr. Singh, Rajiv
  • Manage and import radiographic examinations into UChart
  • Receive, prepare, and deliver correspondence to patients, faculty, and staff
  • Develop and promote the use of effective communication methods between physicians, managers, peers, and staff
  • Work cooperatively with fellow employees to solve problems without disrupting the effective call flow of the department
  • Provide coverage for responsibilities of Clinical Business Operations Representatives when assigned or as the need arises
  • Serve as a liaison between patient and provider
  • Take care of all patient and clinical faculty requests

Patient Access Representative

University of Miami Hospital
06.2018 - 01.2021
  • Serve as Patient Advocate and Service Ambassador by providing a favorable first impression and proactive attention to internal and external customers in order to meet or exceed expectations, address concerns, and optimize patient experience
  • Perform all on-site patient access registration-related functions promptly without compromising patient safety, quality, service levels, and reimbursement
  • Comply and abide by all established UHealth policies and procedures related to Patient Access and State/ Federal regulations
  • Identify and collect patients self-pay responsibility including co-pays, deductibles, co-insurance, self-pay discount rates, and previous outstanding balances for both technical and professional components in POS 11 and 22 clinics thereby playing a key role in reducing AR, Bad Debt, and Collection Costs by collecting patients’ financial responsibility upfront
  • Answer multiple phone line systems
  • Schedule radiographic appointments
  • Perform other duties as assigned based on departmental needs in Sylvester Ground Floor Registration, Radiology Department/GI
  • Obtaining copies of insurance cards, driver’s license, and HMO referrals and authorization when applicable

Server

Clubhouse One
11.2010 - 04.2018
  • Consistently provided professional, friendly, and engaging service
  • Skillfully promoted items on beverage lists as well as restaurant specials
  • Followed all safety and sanitation policies when handling food and beverage to uphold proper health standards
  • Displayed enthusiasm and knowledge about the restaurant’s menu and products
  • Routinely cleaned work areas, glassware, and silverware throughout each shift
  • Provided friendly and attentive service
  • Precisely described menu items and special offerings and appropriately identified wine pairings

Hostess

Clubhouse One
11.2010 - 04.2018
  • Proactively prepared for large parties and reservations with anticipatory planning in order to assist with staffing needs
  • Routinely supported other areas of the restaurant as requested, including but not limited to answering telephone lines
  • Complete financial transactions for other staff
  • Demonstrated genuine hospitality while greeting and establishing rapport with guests
  • Verified cash drawer against end-of-day receipts
  • Moved and arranged tables, chairs, and place settings and organized seating for groups with special needs
  • Continually monitored dining rooms for seating availability, service, safety, and well-being of guests

Cashier

Victoria Secret
11.2007 - 09.2010
  • Maintained knowledge of current sales and promotions, policies regarding payment and exchanges, and security practices
  • Contacted other store locations to determine merchandise availability
  • Engaged with customers in a sincere and friendly manner
  • Developed positive customer relationships through friendly greetings and excellent service

Receptionist

Leonachi, INC.
09.2009 - 10.2007
  • Ordered and distributed office supplies while adhering to a fixed office budget
  • Coordinated domestic and international travel arrangements, including booking airfare, hotel, and transportation
  • Managed office supplies, vendors, organization, and upkeep
  • Greeted numerous visitors, including VIPs, vendors, and interview candidates
  • Handle UPS, DHL, and other types of shipping and handling for Miami, Central America, the Caribbean, and South America
  • Helped distribute employee notices and mail around the office

Education

Associate in Arts - Business Administration

Miami Dade College
12-2008

High School Diploma - undefined

Miami Senior High
06-2005

Skills

  • Leadership Oriented
  • Administrative Support
  • Organization Proficiency
  • Interpersonal Skills
  • Accurately & Timely Completion of Designated Assignments
  • Ability to Work as An Integral Team Member Under Minimal Supervision in A Fast Paced, Complex, & Highly Stressful Environment
  • Workload prioritization

Timeline

Clinical Business Operations Representative II /Team Leader

University of Miami Department of Behavioral and Sciences
01.2023 - Current

Clinical Business Operations

University of Miami Hospital - Department of Neurology
01.2021 - 12.2022

Patient Access Representative

University of Miami Hospital
06.2018 - 01.2021

Server

Clubhouse One
11.2010 - 04.2018

Hostess

Clubhouse One
11.2010 - 04.2018

Receptionist

Leonachi, INC.
09.2009 - 10.2007

Cashier

Victoria Secret
11.2007 - 09.2010

High School Diploma - undefined

Miami Senior High

Associate in Arts - Business Administration

Miami Dade College
Denisse Lopez