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