Elexis Lopez
Davenport,FL
Summary
Personable and dedicated Customer Service Representative with extensive experience in the Healthcare industry. Solid team player with upbeat, positive attitude and proven skill in establishing rapport with clients. Motivated to maintain customer satisfaction and contribute to company success. Articulate, enthusiastic and results-oriented with demonstrated passion for building relationships, cultivating partnerships and growing businesses. During Covid 19 I have partnered with multiple offices in many different fields/ states of Health care to help restore financial loss, by helping with Claims & denials also by gathering medical records of patients to support billing. I have strategized ways to help gain new patients in the office by Calls/social media and Mailing.
Overview
11
11
years of professional experience
Work History
Insurance Biller
Empire Dental
06.2022 - 05.2024
- Processes claims, explanations of benefits, adjustments and statements
- Accounts receivables
- Weekly monthly reporting on excel
- Detail oriented for documentation
- Collections
- Submitting accurate claims to insurance carriers
- Answering phone system and manage messaging
- Follow-up on insurance claims as needed to assure timely payment
Insurance Coordinator
01.2022 - 06.2022
- Filed insurance claims by obtaining and entering data related to patient, insurance provider and medical code for procedures and services provided
- Analyzed weekly and monthly financial reports and reviewed accounts receivable reports and insurance contracts to facilitate revenue cycle management
- Verified that patients had proper insurance coverage prior to procedures or appointment scheduling
- Accessed third-party insurance databases to identify coverage of benefits
- Determined estimated self-pay portion by calculating charges, co-insurance and deductibles
- At home position, in support with back up office demands
Medical Biller / Coder
Stat Ambulance
08.2021 - 02.2022
- Filed and submitted insurance claims
- Reviewed received payments for accuracy and applied to intended patient accounts
- Documented and filed patient data and medical records
- Assessed medical codes on patient records for accuracy
Financial Coordinator
Creative Dental Designs
08.2021 - 02.2022
- Effectively communicated answers regarding billing, treatment and scheduling by phone and in-person
- Discussed nuances of insurance benefits to help patients understand financial obligations
- Input patient and insurance information into company computer system
- Called insurance companies to find pertinent information regarding policies and payment benefits
- Sent treatment claims to insurance carriers on same day that patients received care
- Monitored accounting, payroll and financial reporting activities
- Verified and created invoices and payments for monthly and weekly payments with cash and credit cards
Emergency Room Patient Care Technician
Lakeland Regional Health
02.2021 - 09.2021
- Safely transferred patients to wheelchair or stretchers for transportation to other departments
- Assisted and supported physicians performing procedures
- Applied and educated patients on orthopedic devices like crutch walking
- Monitored patients' condition and reported changes in status or acuity to nurses
- Took blood pressure measurements and reported to nurse or physician if above or below normal levels
- Stocked and replenished patient care areas with appropriate supplies
- Answered patient call signals and signal lights to determine patients' needs
- Turned and repositioned bedridden patients to prevent bedsores
Hollis Cancer Center
Lakeland Regional Health Medical Center
01.2021 - 08.2021
- Reduced scheduling conflicts and ensured timely execution of tasks through proactive rescheduling and resource allocation adjustments.
- Maintained high levels of customer satisfaction through diligent scheduling coordination, ensuring all deliverables were met within agreed timeframes.
- Consistently met deadlines by effectively allocating resources, tracking progress, and making necessary adjustments to schedules as needed.
- Worked with supervisors and team members to understand supply needs and bring levels within desired tolerances.
- Enhanced client satisfaction by efficiently processing insurance claims and addressing billing inquiries.
- Increased revenue by accurately coding medical procedures according to industry guidelines.
- Maintained professionalism and courtesy while managing high call volumes during peak hours.
- Follow up with patients from Emergency Room for scheduling and billing ,
- Scheduled for more then 5 speciialist including , urology,cardiology, Gastroenterologist, Surgeons and etc .
Patient Access Registrar
Advent Health Heart of Florida
10.2016 - 01.2021
- Obtained necessary signatures for privacy laws and consent for treatment
- Updated reference materials with Medicare, Medicaid and third-party payer requirements, guidelines, policies and list of accepted insurance plans
- Processed patient responsibility estimate determined by insurance
- Verified demographics and insurance information to register patients in computer system
- Applied HIPAA Privacy and Security Regulations while handling patient information
- Maintained office supplies inventory by checking stock and ordering new supplies as needed
- Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency
- Managed front office customer service, appointment management, billing and administration tasks to streamline workflow
- Updated patient financial information to promote accurate record keeping
Front Desk Medical Receptionist
Montefiore Medical Center
01.2013 - 08.2015
- Always observed strict HIPAA guidelines according to company policy
- Entered patient information including insurance, demographic and health history into the system to keep all records up to date
- Straightened up the waiting room so that it remained neat and organized
- Informed patients of financial responsibilities prior to rendering services
- Pleasantly greeted each patient and offered the desk sheet for easy sign-in
- Scheduled and followed up on patient appointments, collected and processed patient payments and maintained patient files
- Set up appointments for physician visits and procedures using calendar software
- Communicated with all partners throughout practice, including physicians, nursing staff, technicians and medical assistants
- Took messages from patients and promptly relayed to appropriate staff
- Delivered high-quality administrative and customer service to sustain patient and workflows
Education
High school diploma -
Bronx Envision Academy
High School Diploma -
Invision Academy
Bronx, New York 06-2014
Skills
- As400
- Cerner
- Medhost
- Ecare
- OneSource
- EHR
- All scripts
- EHR phone management
- Microsoft teams
- Microsoft edge
- Word
- Excel
- Regulatory compliance
- Insurance company
- Payment processing
- Appointment scheduling
- Communication
- Multitasking
- Team management
- MS Office
- Friendly, positive attitude
- Computer skills
- EKG
- Acura Checks
- HIPAA compliance
- Claim submission
- Patient confidentiality
Timeline
Insurance Biller
Empire Dental
06.2022 - 05.2024
Insurance Coordinator
01.2022 - 06.2022
Medical Biller / Coder
Stat Ambulance
08.2021 - 02.2022
Financial Coordinator
Creative Dental Designs
08.2021 - 02.2022
Emergency Room Patient Care Technician
Lakeland Regional Health
02.2021 - 09.2021
Hollis Cancer Center
Lakeland Regional Health Medical Center
01.2021 - 08.2021
Patient Access Registrar
Advent Health Heart of Florida
10.2016 - 01.2021
Front Desk Medical Receptionist
Montefiore Medical Center
01.2013 - 08.2015
High school diploma -
Bronx Envision Academy
High School Diploma -
Invision Academy
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