Lizbeth Lopez
Zephyrhills,FL
Summary
Diligent Authorizations Representative with solid background in customer service. Proven track record of efficiently resolving customer inquiries and maintaining high satisfaction rates. Demonstrated ability to leverage communication and problem-solving skills to enhance customer experience.
Overview
6
6
years of professional experience
Work History
Customer Service Representative
Centene Coorporation
07.2024 - Current
- Handled routine member inquiries and concerns accurately within established timeframes.
- Minimized complaints by effectively resolving issues at first contact.
- Functioned as front-line advocate for varied member requests and concerns.
- Clarified member understanding to resolve basic issues and identify routing requirements.
- Sustained performance levels according to defined contact center metrics.
- Provided comprehensive customer support in a high-volume call center setting.
- Logged all member interactions for performance monitoring in CRM applications.
- Complied with quality regulations and internal policies to ensure consistent service delivery.
Authorization Specialist
Westcoast Brace & Limb
07.2020 - 07.2024
- Streamlined DME orthotics and prosthetics authorization processes at Westcoast Brace.
- Verified eligibility and benefits for orthotics and prosthetics with insurance companies.
- Documented medical information to ensure accuracy in patient accounts.
- Ensured compliance with health insurance policies during authorization determinations.
- Applied expertise in medical terminology, HCPCS, and ICD-10-CM coding.
- Managed electronic medical records utilizing OPIE billing and patient management systems.
- Optimized patient communication through Solutions Reach and Leading Reach SMS tools.
- Resolved claims issues, including adjustments, provider calls, reconsiderations, and appeals.
Patient Access Representative
Florida Family Primary Care Center
01.2020 - 04.2020
- Ensured compliance with HIPAA regulations to maintain confidentiality of sensitive patient information during all interactions.
- Stayed calm under pressure to and successfully dealt with difficult situations.
- Adapted quickly to changing demands within the healthcare environment, demonstrating flexibility and a strong commitment to quality patient care.
- Provided excellent customer service through active listening skills, understanding patient needs, and offering tailored solutions where applicable.
Assistant Store Manager
Family Dollar
02.2019 - 01.2020
- Managed cash registers efficiently, ensuring accurate transactions, balancing drawers daily, and minimizing discrepancies.
- Managed opening and closing procedures and recommended changes to enhance efficiency of daily activities.
- Enhanced store appearance for increased sales by maintaining cleanliness and implementing strategic merchandise displays.
- Rotated merchandise and displays to feature new products and promotions.
Education
GED -
Earle C Clements Job Corps Center
Morganfield, KY11-1998
Skills
- Customer service
- Active listening
- Critical thinking
- Data entry
- Call center experience
- Computer proficiency
- Problem resolution
- Customer relations
- Conflict resolution
- Complaint handling
Languages
Spanish
Native or Bilingual
Timeline
Customer Service Representative
Centene Coorporation
07.2024 - Current
Authorization Specialist
Westcoast Brace & Limb
07.2020 - 07.2024
Patient Access Representative
Florida Family Primary Care Center
01.2020 - 04.2020
Assistant Store Manager
Family Dollar
02.2019 - 01.2020
GED -
Earle C Clements Job Corps Center
Similar Profiles
Crandall PooreCrandall Poore
Substation Electrician at Utili-Tech Services CoorporationSubstation Electrician at Utili-Tech Services Coorporation
Michelle HyltonMichelle Hylton
Patient Care Associate at Health and Hospital CoorporationPatient Care Associate at Health and Hospital Coorporation
Prince fultonPrince fulton
Laborer/Assembler at Heavenly Hands CoorporationLaborer/Assembler at Heavenly Hands Coorporation