Michelle Lopez
Woodland Hills,CA
Summary
Objective: To obtain a position that will challenge me to fully utilize my knowledge, skills and work experience.
Overview
9
9
years of professional experience
Work History
Insurance Eligibility Specialist
Path MD Labs
North Hills, CA
08.2023 - 12.2023
- Monitored client accounts for any changes that could impact eligibility requirements.
- Collaborated with other departments to resolve issues regarding incorrect data entries.
- Reviewed patient insurance information to ensure accuracy and completeness of claims submission.
- Compiled and processed data for billing purposes utilizing billing software programs.
- Updated customer information in the database system. Verified accuracy of data entered into the computer system.
Reconciliation Specialist/Billing Specialist
Beverly Hills Cancer Center
Beverly Hills, CA
03.2022 - 06.2023
- Executed billing tasks and recorded information in company databases.
- Used data entry skills to accurately document and input statements.
- Download /saved daily payment EOB's
- Posted insurance payments to company's database of 100 accounts per day.
- Collected data to complete detailed financial reports for management.
Radiology / Laboratory Billing and Coding
Core Analytics Lab And Radiology
Van Nuys, CA
02.2016 - 03.2022
- Completed employee evaluations and implemented necessary improvement plans.
- Provided training and coaching to less experienced radiology and laboratory team members.
- Assigned special projects and deadline to team crew while providing them with the right tools necessary to complete their task.
- Assisted with laboratory department billing and coding.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Oversaw financial operations, producing invoices, processing payments and denials from insurances.
Eligibility Representative II
Quest Diagnostics
03.2018 - 03.2019
- Verifying Patients insurance eligibility via phone, email and online worksheet.
- Billing and coding while meeting a daily quota of 100-120 accounts.
- Answering nurses and doctors inquiries regarding eligibility and payable ICD 10 codes.
- Verifying patients HMO, Medical, and Medicare insurances through quest portal, insurance website, or insurance phone call.
Eligibility Representative and Customer Service
Health Net
12.2014 - 10.2015
- Enter system eligibility data on a daily basis which includes the addition of new enrollees, various changes, and member cancellations.
- Conducted periodic group audits to ensure eligibility data is accurate.
- Always maintained and met the high quality and production standards set by the department.
- In charge of tracking all ACA new files that came into the department on a daily basis
Education
High School Diploma -
Arleta High School
Arleta06.2011
Skills
- Coaching and Mentoring
- Insurance verification
- Handling Customer Complaints
- Quality Assurance
- Time management
- Active learning
- ICD 10 code
- Medical billing and coding
- Bank Reconciliation
- Financial Recordkeeping
- Eligibility expert
- Data entry
Timeline
Insurance Eligibility Specialist
Path MD Labs
08.2023 - 12.2023
Reconciliation Specialist/Billing Specialist
Beverly Hills Cancer Center
03.2022 - 06.2023
Eligibility Representative II
Quest Diagnostics
03.2018 - 03.2019
Radiology / Laboratory Billing and Coding
Core Analytics Lab And Radiology
02.2016 - 03.2022
Eligibility Representative and Customer Service
Health Net
12.2014 - 10.2015
High School Diploma -
Arleta High School
Similar Profiles
SUNIL KAUSHIKSUNIL KAUSHIK
Senior Lab Technician at MIRACLE PATH LABSSenior Lab Technician at MIRACLE PATH LABS
Muneerudeen Muneerudeen null
Regional Manager at DDRC Agilus Path LabsRegional Manager at DDRC Agilus Path Labs
Simran KaurSimran Kaur
Laboratory Technician at Dr. Lal Path LabsLaboratory Technician at Dr. Lal Path Labs