Summary
Overview
Work History
Education
Skills
Timeline
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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
Arleta
06.2011

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

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Michelle Lopez