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 - 05.2025
  • 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 Insurance eligibility
  • Obtained Authorizations for clinical appointments
  • Verified procedure codes
  • Communicated to patients their out of pocket amount
  • Scheduled patient appointments using Allscripts



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 - 05.2025

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

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