Summary
Overview
Work History
Education
Skills
Timeline
Generic

Karen Lopez

Rockwall

Summary

Medical insurance specialist with over 12 years of expertise in insurance verification and claims processing. Proficient in obtaining authorizations and referrals for clinical visits and testing. Skilled in interpreting claims and billing statements, ensuring clear communication with patients. Demonstrated ability to manage multiple high priority projects while delivering exceptional customer service.

Overview

16
16
years of professional experience

Work History

Front Desk Receptionist

Vanguard Vascular & Vein
10.2024 - Current

Greet patients, verify insurance information and collect copays

Post payments to patients accounts

Schedule appointments for testing and for follow ups

Scan medical records and documents, scan medical records and orders for testing

Call patients to confirm appointments

Programs used EClinical works and FormDr

Medical Insurance Specialist

Medical Sleep Solutions
07.2023 - 09.2024

Verified procedure codes

Medical Insurance Specialist

Heart Clinic of San Antonio
11.2009 - 06.2023

Verified insurance and obtained authorizations

Communicated effectively on the phone with patients and insurance payers

Completed and processed accurate insurance claims, both manually and electronically with Athena

Processed credit card and check payments

Posted all processed payments to patient

Answered incoming calls

Completed daily deposits for daily clinical revenue

Education

Associate of Arts - Medical Record Coding And Claims

Iverson Business School
Arlington, TX
05-2005

Skills

    Verify procedure codes

    Verification of insurance

    Billing of Primary and Secondary insurance

    Post payments to accounts

    Entering new medical claims into system

    Claims handling and investigations

    Excellent customer services skills

    Obtaining authorizations for clinical appointment and testing

    Process credit card payments

    Process check payments

Timeline

Front Desk Receptionist

Vanguard Vascular & Vein
10.2024 - Current

Medical Insurance Specialist

Medical Sleep Solutions
07.2023 - 09.2024

Medical Insurance Specialist

Heart Clinic of San Antonio
11.2009 - 06.2023

Associate of Arts - Medical Record Coding And Claims

Iverson Business School
Karen Lopez