Juliet Lopez
Greeley
Summary
Certified coding professional with strong foundation in medical coding systems, compliance regulations, and healthcare documentation. Adept at ensuring precise and accurate code assignment, optimizing reimbursement processes, and maintaining high standards of data integrity. Known for collaborative teamwork and adaptability in dynamic environments, contributing to team success and achieving organizational goals.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Certified Medical Coder
Sunrise Community Health Center
11.2024 - Current
- Review medical records and assign diagnosis and procedure codes accordingly.
- Consult with medical staff for clarification if needed.
- Comply with HIPAA, Federal and Sunrise regulations.
- Make sure the claim is clean and accurate before submitting to the insurance.
DME Billing Specialist
Tender Care Medical Supply
01.2022 - 10.2024
- Responsible for 100 client accounts.
- Prepare and submit claims to private insurance and Medicaid.
- Achieve maximum reimbursement for services provided.
- Work denials by researching claim in portal and calling insurance and resubmitting claim with documents if necessary.
- Update progress of the billing process.
Patient Account Representative
Professional Finance Company Inc
08.2021 - 10.2021
- Received 75+ inbound calls from patients' with questions about their statements.
- Made outbound calls to patients' who have accounts about to get sent to collection agency or if payment missed.
- Notated account what was done during call.
- Collected payments on payment arrangements or payment in full using credit/debit card or check by phone.
- Requested and sent itemized statements and financial assistance application to patient.
- Set up payment arrangements according to hospital guidelines.
Eligibility Technician
Department of Human Services
01.2021 - 07.2021
- Reviewed applications for different aid programs and determine which qualification criteria for individuals.
- Input all gathered information and research data on applicants into computer system using Compass Pilot, CBMS and Onbase.
- Interviewed five applicants and explain scope of different available benefits. Communicated with people from various cultures and backgrounds on application process.
- Processed three applications and two changes a day.
Medical Records Clerk
Salud Family Health Centers
10.2019 - 03.2020
- Obtained necessary signatures on information release forms to obtain medical and treatment records from other service providers.
- Processed medical records requests from outside providers according to facility, state and federal law.
- Maintained patient confidence by keeping patient records information confidential.
Billing Clerk
Scott Family Health
02.2019 - 04.2019
- Reviewed patient records, identified medical codes and created invoices for billing purposes. Communicated with insurance providers to resolve denied claims and resubmitted.
- Adhered to established standards to safeguard all patients' health information.
- Collected payments and applied to patient accounts.
Medical Coder
Sunrise Community Health Center
07.2013 - 02.2019
- Import charges, reviewed patient charts and interpreted documentation to identify diagnoses and procedures.
- Verified signatures and checked medical charts for accuracy and completion.
- Followed up with medical staff regarding missing information in patient records.
- Maintained accuracy, completeness, and security for medical records and health information.
Skills
- Medical records
- Centricity
- CPT coding
- ICD-10
- EHR systems
- Medical office experience
- Medical coding
- Medical billing
- Documentation review
- Microsoft Word
- Citrix
- HCPCS
Certification
- Certified Professional Coder (CPC)
- March 2020 to February 2026
Timeline
Certified Medical Coder
Sunrise Community Health Center
11.2024 - Current
DME Billing Specialist
Tender Care Medical Supply
01.2022 - 10.2024
Patient Account Representative
Professional Finance Company Inc
08.2021 - 10.2021
Eligibility Technician
Department of Human Services
01.2021 - 07.2021
Medical Records Clerk
Salud Family Health Centers
10.2019 - 03.2020
Billing Clerk
Scott Family Health
02.2019 - 04.2019
Medical Coder
Sunrise Community Health Center
07.2013 - 02.2019
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