Kimberly Munoz-Lopez
Waterbury,CT
Summary
Financial Clearance Specialist adept in revenue cycle management and patient account processing. Streamlines documentation of medical necessity and authorizations, enabling efficient hand-offs to Pre-Service Representatives, thereby improving patient satisfaction and operational efficiency.
Overview
1
1
Certification
12
12
years of professional experience
Work History
Financial Clearance Specialist II
Trinity Health
11.2022 - Current
- Initiated authorization and obtained insurance benefits, eligibility, and medical necessity information through effective communication with insurance companies via online portal, phone, or fax.
- Documented patient benefits, medical necessity, authorizations, and financial obligations to ensure accuracy and clarity in account records.
- Actively participates in outstanding customer service and accepts responsibility in maintaining relationships that are equally respectful to all.
- Basic understanding of diagnostic testing and procedure codes (CPT, HCPCS, ICD-9-CM/PCS, and ICD-10-CM/PCS coding, etc.).
Specimen Collector
Accu Reference Medical Lab
Waterbury, CT
08.2022 - 11.2022
- Administered nasopharyngeal or oropharyngeal swabs for respiratory pathogen panel testing, ensuring accurate sample collection for Covid-19 diagnosis.
- Maintained accurate patient records, detailing medical issues encountered during swab procedures to support test result accuracy.
- Organized and cleaned work area to ensure safety and efficiency.
Pap Intake Specialist/Scheduler
J & L Medical Services
Middlebury, CT
01.2022 - 08.2022
- Schedules all patients for sleep management therapy set-up with a Respiratory Therapist either in office or at home.
- Contact patients to explain status of orders, benefits and financial responsibility for services and assist them with questions regarding their insurance coverage via phone and email.
- Explained order status, benefits, and financial responsibilities to patients, assisting with insurance-related inquiries via phone and email.
- Identify trends and provide feedback and education to internal and external customers on compliant documentation requirements for services provided.
Health Unit Clerk
University of Connecticut
Farmington, CT
11.2020 - 09.2021
- Monitored EKGs and reported irregularities to medical staff, ensuring timely intervention. Processes admissions, greets and receives new patients.
- Transcribed physician orders and scheduled diagnostic and therapeutic tests, facilitating patient care processes.
- Observes EKG monitors and reports irregularities to appropriate medical staff. Processes admissions, greet and receives new patients.
- Transported specimens, supplies, and medications via pneumatic tubes, supporting efficient workflow and patient safety.
Clerical Coordinator/PCA
St. Mary's Hospital
Waterbury, CT
10.2018 - 11.2020
- Assist case managers with discharge referrals and preparing the required documentation for additional outpatient services.
- Assisted case managers with discharge referrals and prepared documentation for additional outpatient services, ensuring smooth transitions for patients.
- Assist patients in completing additional financial assistance applications (I.e. Medicaid, Hospital Funding, etc.)
- Prepared and maintained clean environment for inpatients and impending admissions, contributing to patient comfort and safety.
- Responded promptly to patient call bells to ensure timely assistance.
Patient Care Aide
Grand Care Companions
Naugatuck, CT
08.2015 - 11.2019
- Provided comprehensive patient care through changing bed linens, laundering, cleaning, and assisting with personal hygiene to enhance patient comfort and well-being.
- Accompany clients to doctor's offices or on other trips outside the home, providing transportation, assistance, and companionship.
- Completed diverse duties for the client, such as acquiring household supplies and conducting errands.
- Maintained accurate records of patient care and observations to effectively communicate progress and concerns with supervisor or case manager.
Certified Nurse's Aide
SheridenWoods Health Care Center
Bristol, CT
05.2014 - 02.2019
- Document observations of patient behavior, complaints, or physical symptoms for nurse review.
- Assisted patients with meals to ensure proper nutrition intake. or assist patients to eat or drink.
- Document or otherwise report observations of patient behavior, complaints, or physical symptoms to nurse.
- Recorded vital signs, including temperature, blood pressure, pulse, and respiration rates.
Education
High school or equivalent -
Wilby High School
Waterbury, CTSkills
- Revenue cycle management
- Authorization management
- Medical Billing
- CPT Coding
- ICD-10
- Medical Coding
- Order processing
- Medical Records
- Database management
- Data analysis
- Problem solving
- Attention to detail
- Team collaboration
- Adaptation to change
Certification
Certified Revenue Cycle Representative-HFMA
Additional Information - Authorized To Work
Authorized to work in the US for any employer
Timeline
Financial Clearance Specialist II
Trinity Health
11.2022 - Current
Specimen Collector
Accu Reference Medical Lab
08.2022 - 11.2022
Pap Intake Specialist/Scheduler
J & L Medical Services
01.2022 - 08.2022
Health Unit Clerk
University of Connecticut
11.2020 - 09.2021
Clerical Coordinator/PCA
St. Mary's Hospital
10.2018 - 11.2020
Patient Care Aide
Grand Care Companions
08.2015 - 11.2019
Certified Nurse's Aide
SheridenWoods Health Care Center
05.2014 - 02.2019
High school or equivalent -
Wilby High School