Summary
Overview
Work History
Education
Skills
Languages
Certification
References
Timeline
Generic
Myrna Lisa Lopez

Myrna Lisa Lopez

San Antonio,TX

Summary

Highly-motivated and hard working employee seeking fulltime employment opportunities within the Healthcare industry or a company that can utilize my insurance collection skills, familiarity and collection experience with Commercial, Medicare, Medicaid, Workers Compensation government payers, government programs and legal accounts requests of information and notary preparation. Open to learning new departments, new skills and taking educational courses to join other growing job markets.

Overview

31
31
years of professional experience
1
1
Certification

Work History

Senior Account Representative

University Health
San Antonio, TX
03.2008 - Current
  • Assisted with affidavit and direct written questions preparation.
  • Prepared invoices.
  • Provided notary services for department.
  • Processed incoming mail and correspondence on behalf of the legal account department in a timely manner.
  • Prepared account balances requested by attorney offices, legal retrieval companies, and third-party companies.
  • Corresponded daily with insurance adjusters, attorneys, and internal customer service calls.
  • Facilitated communications by forwarding emails, transferring calls and filing documents.
  • Created spreadsheets in Microsoft Excel for record-keeping and reporting.
  • Processed and distributed invoices to bill clients.
  • Adhered to all company regulations and procedures related to the collection process.
  • Generated reports summarizing account activity for clients and management review.
  • Utilized various software programs such as Excel, Word, and PowerPoint when completing tasks.
  • Communicated regularly with team members about changes made in the collection process or procedures.
  • Verified accuracy of information on existing accounts, updated records as needed.
  • Received and responded to customer inquiries regarding insurance account questions
  • Identified errors in data entry that impacted billing accuracy, corrected mistakes accordingly.
  • Researched discrepancies between customer accounts and payment records.
  • Communicated with insurance providers to obtain authorizations for procedures or services.
  • Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
  • Investigated denied claims to determine cause of denial and appeal as necessary.
  • Processed refunds from insurance carriers or other payers in accordance with company policy.
  • Contacted insurance companies to check status of claim payments.
  • Provided customer service assistance to patients regarding their billing inquiries.
  • Answered phone calls, responded to inquiries and directed calls accordingly.
  • Managed accounts receivable activities including collections, follow-up, and appeals process.
  • Ensured compliance with HIPAA regulations related to patient privacy rights.
  • Actively participated in team meetings to discuss ways to improve processes and procedures.
  • Analyzed trends in denials and rejections of submitted claims for reimbursement purposes.
  • Worked collaboratively with other departments to ensure timely resolution of outstanding debts.
  • Recorded information about status of collection efforts.

OPCSR Team Leader

University Health System
San Antonio, TX
10.2001 - 03.2008
  • Trained staff in the IDX registration system and lab department processes.
  • Registered patients for ancillary departments.
  • Performed laboratory coding.
  • Worked at various University Health clinics
  • Participated in regular meetings with senior leadership to provide updates on team progress.
  • Identified needs of customers promptly and efficiently.
  • Collected payments for the department.
  • Monitored employee productivity to provide constructive feedback and coaching.
  • Coordinated employee schedules according to shift changes and availability.

Temp Agency Employee

Bexar County Medical Society
San Antonio, TX
11.1999 - 07.2000
  • Performed data entry tasks, such as entering patient demographics into the EHR system and updating existing records as needed.
  • Greeted and registered patients upon arrival at the offices.
  • Answered multi-line telephone system, transferred calls appropriately, and took messages when necessary.
  • Retrieved medical charts for doctor's review before meeting with patients.
  • Performed scheduling functions.
  • Assisted with front office duties, such as photocopying, faxing, and scanning documents.
  • Responded to patient inquiries via phone or email in a timely manner.
  • Prepared documents for new patients, such as consent forms and questionnaires.
  • Entered insurance, demographics, and health history into the patient database.

Front Desk Clerk

Best Western Continental Inn
San Antonio, TX
07.1999 - 10.1999
  • Scheduled room reservations.
  • Maintained a clean and presentable reception area to uphold a professional business reputation.
  • Handled payment processing and provided customers with receipts.
  • Processed credit card, cash, and other forms of payment for guest accounts.
  • Greeted customers upon arrival and provided assistance with check-in or check-out procedures.

OPCSR Team Lead

Southwest General Hospital
San Antonio, TX
05.1993 - 07.1999
  • Inputted patient demographics and other relevant data accurately and efficiently during the registration process in the ER and Admissions departments.
  • Answered phone calls promptly and directed them to the appropriate person or department.
  • Performed administrative tasks such as filing, faxing, and scanning.
  • Provided support to clinical staff during peak times of activity.
  • Served as a liaison between physicians and other departments within the hospital setting.
  • Greeted patients and visitors in a professional manner.
  • Verified patient insurance and collected money.
  • Performed hospital admissions functions for the hospital and secured patient valuables.
  • Trained new staff on registration procedures and customer service techniques.
  • Coordinated employee schedules according to shift changes and availability.

Education

Associate of Science - Billing And Coding

Anthem College
Online
08.2008

Skills

  • Updating customer accounts
  • Paperwork Processing
  • Automated Document Scanning
  • Correspondence Sorting and Filing
  • Basic Mathematics
  • Insurance Company Communication
  • Microsoft Office knowledge
  • Payment Processing
  • Document Review
  • Teamwork and Collaboration
  • Multitasking
  • Insurance Verification
  • Insurance Claims
  • Customer Service
  • Account monitoring
  • Account investigation
  • HIPPA Compliance
  • Mail handling

Languages

English
Professional
Spanish
Limited

Certification

  • National Certified Insurance & Coding Specialist - through 12 30 2023 and in process of completing recertification for 2024 through National Center for Competency Testing since 2008

References

References available upon request.

Timeline

Senior Account Representative

University Health
03.2008 - Current

OPCSR Team Leader

University Health System
10.2001 - 03.2008

Temp Agency Employee

Bexar County Medical Society
11.1999 - 07.2000

Front Desk Clerk

Best Western Continental Inn
07.1999 - 10.1999

OPCSR Team Lead

Southwest General Hospital
05.1993 - 07.1999

Associate of Science - Billing And Coding

Anthem College
Myrna Lisa Lopez