Summary
Overview
Work History
Education
Skills
Timeline
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Lurdes Lozano

Lyons,IL

Summary

Dynamic and bilingual professional with a proven track record at Ivy Rehabilitation, adept in benefit verification and claims analysis. Excelled in leadership roles, fostering teamwork, and enhancing operational efficiency. Demonstrated expertise in insurance terminology and a commitment to continuous improvement, significantly reducing outstanding debt and settling complex claims promptly.

Overview

20
20
years of professional experience

Work History

RCBP/Payor Specialist

Ivy Rehabilitation
03.2021 - Current
  • Exercised leadership capabilities by successfully motivating and inspiring others.
  • Acted as a team leader in group projects, delegating tasks and providing feedback.
  • Followed all company policies and procedures to deliver quality work.
  • Reviewed insurance and claims documents to verify required information and secure any missing data for settlements.
  • Evaluated and settled complex insurance claims in strict timeframes.
  • Contact with insurance carriers to discuss policies and individual patient benefits.
  • Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
  • Communicated effectively with staff members of operations, finance and clinical departments.

Office Manager

Little Steps Physical Therapy
01.2016 - 03.2021
  • Supervised and guided new employees and responded quickly to questions to improve understanding of job responsibilities.
  • Coached employees through day-to-day work and complex problems.
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Responded to customer concerns and questions on daily basis.
  • Handled account payments and provided information regarding outstanding balances.
  • Used data entry skills to accurately document and input statements.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Monitored outstanding invoices and performed collections duties.
  • Audited and corrected billing and posting documents for accuracy of IL Early Intervention payments.
  • Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.

Front Office Manager

ProFormance Therapy
07.2010 - 01.2016
  • Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
  • Kept reception area clean and neat to give visitors positive first impression.
  • Acted as first point of contact and set appointments for prospective clients.
  • Oversaw office equipment maintenance to support continuous and uninterrupted operations.
  • Handled account payments and provided information regarding outstanding balances.
  • Collaborated with customers to resolve disputes.
  • Created improved filing system to maintain secure client data.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Answered telephone calls to offer office information, answer questions, and direct calls to staff.
  • Complied with HIPAA guidelines and regulations for confidential patient data.
  • Assisted patients with understanding personalized insurance coverage and benefits.
  • Achieved insurance pre-authorizations to enable timely patient procedures.

Regional Operations Supervisor

ATI Physical Therapy
09.2004 - 07.2010

• Conducted staff meetings to relay general information or to address specific topics.

• Troubleshot minor problems and reported larger technical issues.

• Assisted with new hire orientation and employee training.

• Demonstrated ability to manage multiple tasks while remaining adaptable and flexible.

• Provided efficient and courteous service to customers at all times.

• Participated in ongoing training to enhance own job skills and knowledge.

Education

Morton West High School
Berwyn, IL

Skills

  • Bilingual Spanish Speaking
  • Benefit Verification
  • Insurance terminology
  • Telephone Etiquette
  • Multitasking And Organization
  • Data Entry And Analysis
  • Claims analysis
  • Professional demeanor
  • Continuous improvement
  • Self motivation
  • Reliability
  • Teamwork and collaboration

Timeline

RCBP/Payor Specialist

Ivy Rehabilitation
03.2021 - Current

Office Manager

Little Steps Physical Therapy
01.2016 - 03.2021

Front Office Manager

ProFormance Therapy
07.2010 - 01.2016

Regional Operations Supervisor

ATI Physical Therapy
09.2004 - 07.2010

Morton West High School
Lurdes Lozano