Summary

Overview

Work History

Education

Skills

Timeline

Keo Lopez

United States

Summary

Dynamic Patient Service Representative with proven expertise in insurance verification and exceptional customer service at Avera. Skilled in planning and coordination, effectively managing high call volumes while maintaining HIPAA compliance. Recognized for enhancing patient experience and streamlining office operations, contributing to improved service delivery and patient satisfaction.

Overview

years of professional experience

Work History

Patient Service Representative

Avera

05.2022 - Current

Welcomes patients, checking them in and completing registration which includes verifying demographics, insurance and collection of any service payments.
Responsible for insurance verifications, authorizations and getting consent and waiver forms signed as appropriate.
Responsible for scanning all pertinent information into the patient's record.
Answers and addresses calls, messages and/or faxes, routing them to appropriate individuals/departments if needed.
Maintains computer appointment scheduling and follows office scheduling policies/parameters.
Expedites delivery of care by coordinating nurse, physician, and patient time. Acts as public relations agent for the physicians by serving the patients in a friendly, efficient manner. Directs patients to ancillary services as needed.
Effectively managed medical supply inventory by placing timely orders to ensure adequate stock levels through Workday and Interstate Office.
Checks Medicare eligibility through Noridian for upcoming Medicare patient appointments.

Fraud Prevention Specialist

Wells Fargo

11.2021 - 05.2022

Maintained detailed records of all investigations conducted, providing valuable data for trend analysis and future case management efforts.
Managed complex cases involving identity theft, credit card fraud, and other forms of financial crime, resulting in successful resolution for affected customers.
Supported colleagues in navigating difficult situations involving potential fraud by providing timely advice based on professional expertise and experience.
Conducted thorough investigations of suspected fraud cases, leading to the recovery of lost funds.
Successful handled 40+ calls per day, while maintaining high call stats.

Office Manager

West Maui Animal Clinic

06.2018 - 09.2021

Makes informal recommendations to the Practice Manager concerning personal matters, such as staff needs, advancements, re-assignments, work hours, or other status changes.
Oversees processing of incoming and outgoing communications, such as mail sorting, reports from Ezyvet, or other production/call-tracking services.
Records sales slips and makes changes for sales of products throughout hospital.
Oversees the performance of posting daily business and hospital invoices, mailing statements, collecting on accounts, maintaining accounts receivable files, assisting bookkeeper, etc.
Collects on delinquent accounts and returned checks.
Manages inventory quarterly and monthly for negative reports.
Monitors and reports on account receivables with a goal of keeping account receivables at less than 5% gross revenue.
Communicated with pet owners regarding pet diagnosis, prognosis, and treatment.
Processed financial transactions for clients through Payjunction, Scratchpay, and CareCredit.
Worked closely with Hills and Royal Canin brand representatives.
Knowledgeable about. the different types of food options for medical conditions
Safely held/restrained animals during procedures
Triaged incoming patients to determine treatment needs and urgency care.
Administered medications, vaccines, and treatments

Lead Administrative Assistant

University Of Hawaii Maui College

11.2013 - 11.2017

Ordered and distributed office supplies while adhering to a fixed office budget.
Maintained physical and computer-based filing systems. Created reports, correspondence, and spreadsheets with Microsoft Office Programs.
Upheld confidentiality of all information.
Trained junior staff on department procedures.
Answered an average of 25+ calls per day with clients.

Education

Emergency Medical Technician Certification -

Kapiolani Community College

Honolulu

05-2018

Associate of Arts - Liberal Arts

University of Hawaii Maui College

Kahului, HI

05-2016

High School Diploma -

Maui High School