Karen Y Garcia Lopez
Great Bend,KS
Summary
Detail-oriented team player with strong organizational skills. Ability to learn new software programs quickly and efficiently. Individual who enjoys new rolls thus furthering my skills.
Overview
9
9
years of professional experience
Work History
Financial Counselor
Clara Barton Hospital And Clinics
03.2022 - Current
- Stayed up-to-date on financial products and consumer rights.
- Contacted insurance providers to obtain key information regarding patient benefits and to submit documentation for accounts.
- Assessed client financial situation and explored background through one-on-one interview process.
- Facilitated presentation and recommendation of services by optimizing client relationships.
- Explored specific plans of action to address creditor demands and reduce debt.
- Identified healthcare resources and programs for patients unable to meet financial obligations.
- Utilized financial software to prepare consolidated financial statements.
Patient Service Specialist
Xpress Wellness
11.2019 - 11.2021
- Completed and filed financial documentation for accounting purposes.
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Completed skilled administrative work to support all office staff and operational requirements.
- Organized paperwork such as charts and reports for office and patient needs.
- Adeptly managed multi-line phone system and pleasantly greeted all patients.
- Checked patient data including insurance, demographic and health history to keep information current.
- Removed invalid computer alerts and cleaned accounts to assure information accuracy.
- Used computer programs and registration systems to schedule patients for routine and complex procedures.
- Scheduled, rescheduled and handled cancelled appointments for patients.
Medical Insurance Representative
Benefit Management Inc.
02.2019 - 11.2019
- Coordinated with contracting department to resolve payer issues.
- Processed 80 invoices each a day and mailed documentation to clients.
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Tracked all pending authorizations to resolve discrepancies and avoid revenue loss.
- Maintained confidentiality of patient finances, records and health statuses.
- Handled 80 calls per day to address customer inquiries and concerns.
- Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
- Resolved claim problems, improved operations and provided exceptional client support.
Customer Service Representative
St Rose Health Center
02.2015 - 03.2018
- Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
- Adeptly managed multi-line phone system and pleasantly greeted all patients.
- Checked patient data including insurance, demographic and health history to keep information current.
- Removed invalid computer alerts and cleaned accounts to assure information accuracy.
- Assessed and forwarded procedure and service details to correct coding staff to best categorize for insurance purposes.
- Scheduled, rescheduled and handled cancelled appointments for patients.
- Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
- Fielded concerns surrounding patients and care, liaising between physician, patient and insurance company.
- Referred and screened patients to make best use of resources, triage staff and serve community members.
- Obtained payments from patients and scanned identification and insurance cards.
- Promptly answered multi-line phone system and greeted callers enthusiastically.
- Adhered to strict HIPAA guidelines at all times to protect patient privacy.
Education
High School Diploma -
Barton County Community College
Great Bend, KS11.2012
Skills
- Spanish fluent
- Medical insurance and benefit knowledge
- Customer Complaint Resolution
- Account recovery knowledge
- Medical terminology knowledge
- Multi-line phone talent
- Payment Negotiation
- Patient Insurance Authorizations
- Payment plans
Timeline
Financial Counselor
Clara Barton Hospital And Clinics
03.2022 - Current
Patient Service Specialist
Xpress Wellness
11.2019 - 11.2021
Medical Insurance Representative
Benefit Management Inc.
02.2019 - 11.2019
Customer Service Representative
St Rose Health Center
02.2015 - 03.2018
High School Diploma -
Barton County Community College
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