NICOLE LOPEZ
Medical Arts Phamracy
Phoenix,AZ
18
years of professional experience
Dedicated billing representative adept at handling clerical tasks such as copying, filing and payment processing with minimal oversight. Skilled listener, speaker and complex problem-solver. Seek to offer 4 years experience and take on new role with room for advancement.
Work History
Billing Manager
3 Years 11 Months- Developed and implemented strategies to reduce billing discrepancies and improve collections.
- Managed billing processes for over 60 facilities to ensuring accuracy and compliance with healthcare regulations.
- Oversaw daily operations of billing department, enhancing workflow efficiency.
- Trained staff in billing systems and procedures, fostering skill development.
- Analyzed billing data to identify trends, driving informed decision-making for process improvements.
- Reviewed billing problems, researched issues, and resolved concerns.
- Boosted team productivity through effective delegation of tasks, setting performance targets, and providing constructive feedback.
- Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
Senior Billing Representative
4 Years 10 Months- Developed rapport with clients to cultivate loyalty and satisfaction.
- Managed efficient and accurate processing of invoices and check requests for 75+ locations.
- Responded to customer concerns and questions on a daily basis.
- Used data entry skills to accurately document and input statements.
- Executed billing tasks and recorded information in company databases.
- Utilized talents and expertise to complete on-time and accurate monthly closing processes.
FFCC Representative
10 Months- Managed over 50 customer calls effectively and efficiently in a complex, fast-paced and challenging call center environment.
- Met or exceeded service and quality standards every review period.
- Acted professionally and patiently when addressing negative customer feedback.
- Referred unresolved customer grievances to designated departments for further investigation.
- Gathered and verified all required customer information for tracking purposes.
- Managed patient medication orders, ensuring accuracy and compliance with healthcare regulations.
- Collaborated with healthcare providers to resolve medication-related issues efficiently.
Member Service Representative
1 Year- Effectively resolved insurance rejections and other billing issues.
- Effectively managed a high-volume of inbound customer calls.
- Accurately documented, researched and resolved customer service issues.
- Managed customer calls effectively and efficiently in a complex, fast-paced and challenging call center environment.
- Acted professionally and patiently when addressing negative customer feedback.
- Investigated and resolved customer inquiries and complaints in a timely and empathetic manner.
- Directed calls to appropriate individuals and departments.
- Answered an average of 60calls per day by addressing customer inquiries, solving problems and providing excitement customer service.
- Streamlined claims processing to enhance service delivery and reduce wait times.
- Resolved member inquiries regarding prescription benefits and coverage options.
Pharmacy Assistant
7 Years 1 Month- Correctly completed pharmacy paperwork, including daily and weekly reports.
- Worked closely with Pharmacy Care Representatives (PCRs) in providing excellent patient care.
- Receptively answered customer questions and helped locate desired items in the pharmacy.
- Displayed patient-oriented and comprehensive clinical pharmacy services and pharmaceutical care.
- Coordinated the pharmacy staff schedule and assisted with personnel monitoring and performance evaluations.
- Properly instructed pharmacy students and residents on introductory and advanced pharmacy practice rotations.
- Assisted pharmacists in preparing and dispensing medications accurately.
- Managed inventory levels, ensuring timely restocking of pharmaceuticals and supplies.
Education
HIGH SCHOOL DIPLOMA - High School Education
Skills
Billing statement review
Invoicing prowess
Regulatory filings
Customer service support
Collection practices
Month-end closing procedures
Billing systems and software
Pharmacy billing experience
Research and due diligence
Records organization and review
Account management
Insurance claims
Customer relations skills
Staff education and training
Collections understanding
Account monitoring
Medical Records Management
Staff Management
Business office administration
Data entry experience
Verbal and written communication
Complex Problem-solving
Staff training and development
Staff management
Task delegation
Documentation and reporting
Relationship building
Goal setting
Strategic planning
Operations management
Project management
Cross-functional teamwork
Project planning
Shift scheduling
Policy implementation
Conflict resolution
Workforce management
Performance evaluations
Business administration
Timeline
Billing Manager
Medical Arts Phamracy
09.2022 - CurrentRead More
Senior Billing Representative
Omnicare CVS Health Company
08.2017 - 06.2022Read More
FFCC Representative
DaVita RX
08.2016 - 06.2017Read More
Member Service Representative
OPTUM RX
08.2015 - 08.2016Read More
Pharmacy Assistant
SAFEWAY PHARMACY
08.2008 - 09.2015Read More
Maya High School
HIGH SCHOOL DIPLOMA from High School Education
Read More