Kerri Lopez
Fort Worth,TX
Summary
Detail-driven medical billing and revenue cycle professional with a decade of hands-on experience spanning GI specialty billing, denial management, AR functions, and multi-system platform proficiency. Seeking to grow into a Level II specialist role — Billing, Financial Services, or Accounts Receivable — where deeper RCM expertise, process improvement, and light team leadership can be leveraged. Ideal opportunity is 100% fully remote; open to hybrid or on-site roles as secondary options.
Overview
13
13
years of professional experience
Work History
Billing Specialist
Stridecare
Overland Park, KS
05.2023 - 04.2026
- Managed full claim lifecycle within the Revenue Cycle Management department (front and back end billing functions) for multi-specialty physician group focused on delivering comprehensive lower extremity care.
- Front-end: reviewing claims prior to submission for correct coding, accurate diagnosis-to-procedure code pairing, modifier validation, and resolving any holds that would prevent submitting clean claims to payers.
- Back-end: included processing returned clearinghouse & payer claims, investigating and resolving post-submission holds, clearinghouse-level rejections, and verifying reimbursements alignments with contracted rates.
- Verified patient demographics, insurance eligibility, coverage, and benefits prior to claim submission to reduce downstream denials.
- Researched and identified root causes of denials and rejections, correcting and resubmitting claims while flagging recurring trends to reduce future occurrences.
- Communicated with insurance payers, providers, and internal departments to resolve billing discrepancies and outstanding claim issues.
- Maintained accurate billing records and documentation in compliance with RCM standards and HIPAA requirements.
- Systems Used: Epic, Athena, EClinicalWorks, NextGen, Xper, Pulse, HST Practice Management, and myInsight.
Billing / Coding & Accts Revenue Cycle Expert
Gastrointestinal Associates
Overland Park, KS
01.2018 - 04.2023
- Perform GI medical billing, coding and patient registration function for ambulatory surgery center specializing in Gastroenterology services. Role reports to Business Office Manager.
- Collaborate with insurance companies, healthcare providers, and patients to guarantee precise processing and maximum reimbursement of claims.
- Evaluate and appeal all rejected or unpaid insurance claims; Set up payment plans for patient accounts.
- Assesses medical records and billing history to confirm accuracy of disease condition billing and documentation, as well as performing risk adjustment tasks.
Medical Billing Specialist
Endoscopic Imaging Center (EIC)
Overland Park, KS
01.2016 - 01.2018
- Combined Medical Billing & Coding for ambulatory surgery center specializing in Gastroenterology services. Support provided for 10 doctors and 4 surgery rooms. Clinic center environment.
- Transitioned into Medical Billing Specialist after 3 months as Medical Records Scanner.
- Collected / Posted insurance and patient payments, payment adjustments, billing patients for their responsible portion, prepared / submitted insurance claims to insurance payers and followed up on unpaid or denied claims (correcting and resubmitting, if necessary). Prepared and posted daily deposits for organization. All payments entered into Pulse medical billing practice management software.
- Interpreted and processed (post) Explanation of Benefits (EOB's) and explain EOBs to patients.
- Executed month-end and year-end closing procedures and worked assigned AR and special projects as directed by Center Director and Business Office.
- Established communication with health care providers - doctors, nurses, practitioners, assistants, Center Director, etc. - insurance companies, and patients to obtain and clarify claim and payment information.
Corporate Securities Representative
DST Systems
Kansas City, MO
08.2014 - 12.2015
- Process service requests for alternative investments sector of global provider of technology-based service solutions. Respond to inquiries, resolve problems, and process corrections related to specific transactions. Support and assistance provided to shareholders, broker/dealers, third-party entities, institutions, custodians & client fund groups. 100% inbound calls; 80 calls per day on average.
- Assist with new application process, transfers and rollovers of IRA’s, re-characterizations, conversions and contributions. Work with investors to process redemptions, tender offers and secondary market liquidations.
- Provide information on public- and privately-listed alternative-investment products through First Trust Retirement which covers more than 20 different investments.
Patient Access Representative
Trinity Mother Francis Hospital & Clinics
Tyler, TX
09.2013 - 06.2014
- Medical Insurance Billing / coding for comprehensive health care service provider serving Northeast Texas. Trinity Mother Francis Hospitals & Clinics was listed as one of the best hospitals in Texas in 2013 - 2014 (U.S. News & World Report).
- Assign ICD-9 diagnosis and ICD-9 / CPT-4 procedure codes based on official coding guidelines.
- Make inbound / outbound calls pertaining insurance coverage, confirming / scheduling physician appointments; use initiative to research problems and determine correct action steps to resolve billing and account problems.
- Coordinate between both internal (clinics, including physicians, clinicians, Practice managers and support staff) as well as external customers (direct patient contact to resolve billing eligibility issues).
Education
Medical Billing & Coding Diploma -
Ultimate Medical Academy
Tampa, FL07-2013
Skills
- Billing systems and software
- Insurance verification
- Invoice processing
- Customer service
QUALIFICATIONS
- Over 22 years Customer Service experience
- 8 years of Gastroenterology / Gastrointestinal (GI) medical insurance billing & coding in hospital, clinic, physician practice and business office environments using CPT, ASA, HCPCS, ICD-9/10 and physician fee schedules.
- 9 years of experience in Claims Denial Management.
- 10 years of experience in general AR functions (invoicing, payment application, dispute resolution, credit card retrievals and chargebacks, and customer service).
- 5 years of experience supporting Medicare Part B billing operations.
- Medical Billing / Coding Areas: Charge Capture, Insurance Eligibility, Payment Posting, Claims Denial Management, Patient Collections, Overfunded Accounts, Coding Trends, Payor issues.
- Medical Systems: Pulse, Epic, NextGen, Athena, EClinicalWorks, Xper, HST Practice Management, myInsight
Timeline
Billing Specialist
Stridecare
05.2023 - 04.2026
Billing / Coding & Accts Revenue Cycle Expert
Gastrointestinal Associates
01.2018 - 04.2023
Medical Billing Specialist
Endoscopic Imaging Center (EIC)
01.2016 - 01.2018
Corporate Securities Representative
DST Systems
08.2014 - 12.2015
Patient Access Representative
Trinity Mother Francis Hospital & Clinics
09.2013 - 06.2014
Medical Billing & Coding Diploma -
Ultimate Medical Academy