Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Karina Lopez

San Antonio

Summary

Organized and dedicated patient coordinator with proven track record of providing exceptional customer service in fast-paced environments. Offering keen attention to detail and strong decision-making skills to manage multiple, concurrent tasks. Self-motivated work ethic to perform effectively in independent or team environments.

Overview

9
9
years of professional experience

Work History

Advanced Medical Support Assistant

Dept of Veterans Affairs
01.2024 - Current
  • Maintained strict compliance with HIPAA regulations, ensuring the protection of sensitive patient information.
  • Promoted effective communication among medical staff by serving as a reliable liaison between physicians, nurses, and administrative personnel.
  • Managed high call volume, addressing patient inquiries and concerns with professionalism and empathy.
  • Provided exceptional customer service to patients, visitors, and colleagues, fostering a welcoming environment at all times.
  • Enhanced patient satisfaction by efficiently managing appointment schedules and providing timely reminders.
  • Assisted in training new staff members on clinic policies, procedures, and software systems for seamless integration into the team.
  • Determined nature and urgency of patient requests to refer patients to appropriate medical staff.
  • Mailed patient appointment letters.
  • Increased patient access to care by effectively coordinating referrals to specialists and diagnostic services.
  • Verified and updated clinical records.
  • Supported efficient office operations through proficient handling of administrative tasks such as filing, data entry, and record maintenance.
  • Collaborated with interdisciplinary teams to optimize patient care and facilitate seamless transitions between departments.
  • Eased patient anxiety through clear explanation of procedures, treatments, and upcoming appointments while addressing their concerns respectfully.
  • Maintained and obtained medical records.
  • Facilitated positive relationships with external providers through effective coordination and communication of patient referrals.

Patient Treatment Coordinator

Premier Dental
11.2022 - 12.2023
  • Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
  • Maintained confidentiality of patient data and condition to safeguard health information.
  • Upheld confidentiality requirements and regulatory compliance guidelines.
  • Worked closely with patients to deliver excellent and direct individualized patient care.
  • Acted as main point of contact for patients, doctors, and staff by closely reviewing patient charts and maintaining high levels of communication.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Prepared insurance claim forms, explained benefits, and outlined pricing details for procedures and services.
  • Scheduled, rescheduled, and cancelled appointments for dental patients.
  • Communicated with insurance companies to dispute unpaid claims and verify patient coverages.
  • Completed new patient registrations in software to create accurate and comprehensive records.
  • Handled patient complaints quickly and professionally to restore patient confidence and prevent loss of clientele.
  • Managed patient billing processes for timely, accurate payments.
  • Greeted visitors and patients to determine needs, check appointments, and direct accordingly.
  • Understood dental terminology and insurance breakdowns to communicate with external stakeholders.
  • Completed patient referrals to other medical specialists.
  • Secured sign-in sheets, dental charts, and encounter forms to safeguard sensitive data and information.
  • Performed various administrative tasks by filing, copying and faxing documents.
  • Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.

Treatment Coordinator

Excellent Dental Specialists
04.2022 - 11.2022
  • Answer and return incoming calls in a professional manner
  • Appropriately manage multiple incoming calls
  • Schedule patient appointment in appropriate and timely manner in order to maintain full daily schedule and meet production goals -Concentrate on current day first, next day second; i.e an opening in a current day schedule takes priority
  • Monitor/track Broken Appointments
  • Notify clinical staff of changes in schedules
  • Act as liaison between clinician and patient
  • Greet patients immediately upon arrival in pleasant and positive manner
  • Perform check-in procedures; obtain appropriate signatures for required documents
  • Assist the doctor in getting patients to understand and accept the recommended treatment and subsequently coordinate the treatment plan to work for both the patient and the dental office
  • At check-out, collect payment from patient in the form of cash, credit card or check
  • Discuss financial options with patients and enter into computer appropriately
  • Confirm all charges from the day sheet against routing slips
  • Able to perform “close out” procedures at end of day
  • Attend morning huddles
  • Able to independently run the office in the absence of the Lead
  • Maintain cleanliness of front desk area, break area and waiting area
  • Adhere to confidentiality, state, federal, and HIPAA laws and guidelines with regards to patient's records
  • Abide by all PPE standards for administrative staff.
  • Educated patients on dental benefits and coordinated proper payment with insurance companies.
  • Performed in team leader capacity and organized all treatment and placement activities.

Insurance Coordinator

Toothtime Family Dentistry
03.2020 - 04.2022
  • Adhere to enhanced infection control protocols and PPE requirements to reduce transmission of COVID-19
  • Study insurance plans used most frequently with patients to understand the various nuances to communicatemore effectively
  • Document basic insurance information in the patient's file for quick reference
  • Process and submit insurance claims daily
  • Monitor and follow-up on outstanding claims
  • Provide the appointment coordinator with patient names and amounts due, so effective collection over thecounter can take place during the day
  • Identify patients in the daily schedule who are a financial concern, note payment problems on the patient'schart, and arranges a conference with them either before or at the time of the appointment
  • Record all financial discussions with patients in their file
  • Contact patients who have not kept their financial agreement within a 5-day grace period to collect paymentfollowing the financial plan
  • Prepare and mails patients' statements each month on a regular billing cycle
  • Make collection calls
  • Solidify the financial agreement with the patient, such as payment amount and schedule
  • Follow through with correspondence regarding collection when unable to contact the patient on the telephone
  • Prepare and send uncollected accounts to collections or small claims court with employer approval andfollow through as needed
  • Represent employer in small claims court, if necessary
  • Monitor patients whom collection agencies have contacted
  • Send information as requested by insurance companies such as x-rays, charting, narratives, and otherdocumentation for processing the claim when applicable
  • Provide insurance predetermination documentation to patients, contacts the patient to make financialarrangements, and schedules treatment
  • Correspond with insurance companies to resolve payment delays, requests for additional information, or todiscuss denied treatment coverage
  • Handle all inquiries concerning insurance daily

Dental Assistant

Nixon Family Dentistry
02.2016 - 04.2022
  • Explained policy details, claims status, and account changes to inform policyholders
  • Calculated claims amounts and submitted paperwork for payment or review
  • Prepared current and accurate documents, transcribing and entering data into Dentrix & Renaissance for tracking
  • Checked patients in and out of office
  • Took payments
  • Scheduled patients for any treatment appointments
  • Help patients to better understand their insurance benefits
  • Help patients with financing if needed
  • Get slips ready for each patient daily
  • Reviewed insurance policy to determine coverage.
  • Examined letters from policyholders and agents, original insurance applications and other company documents to determine if changes were needed and effects of changes
  • Reviewed and verified age, name, address and principal sum and value of property, on insurance applications and policies.

Education

Diploma -

US High School
Nixon Smiley, Nixon, TX
05.2011

Skills

  • Bilingual in English & Spanish
  • Leadership
  • Multi tasking
  • Patient Records Management
  • Payment Collection
  • Meeting Preparation
  • Appointment Scheduling
  • Insurance Verification
  • Office Administration
  • Critical Thinking
  • Operating Plans Development
  • Verbal and Written Communication
  • Outbound/Inbound Calling
  • Payment Arrangements and Negotiation
  • Claims Handling and Coverage Verification
  • Customer Service
  • Organizational Skills
  • Attention to Detail
  • Benefits Explanations
  • Patient Privacy
  • Insurance Authorizations
  • Reliability and Dedication

Languages

English
Native or Bilingual
Spanish
Full Professional

Timeline

Advanced Medical Support Assistant

Dept of Veterans Affairs
01.2024 - Current

Patient Treatment Coordinator

Premier Dental
11.2022 - 12.2023

Treatment Coordinator

Excellent Dental Specialists
04.2022 - 11.2022

Insurance Coordinator

Toothtime Family Dentistry
03.2020 - 04.2022

Dental Assistant

Nixon Family Dentistry
02.2016 - 04.2022

Diploma -

US High School

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