Paula Lopez
Longmont,CO
Summary
Dynamic professional with extensive experience in patient access and medical billing, notably at UC Health. Proven expertise in insurance verification and claim resolution, coupled with strong leadership and communication skills. Recognized for effectively managing billing processes and enhancing customer service, ensuring timely payments and patient satisfaction.
Overview
30
30
years of professional experience
Work History
Pt Access Specialist
UC Health
Longmont, CO
04.2022 - Current
- Checking in pts
- Verifying ins
- making appts
Contract Management
Leanin Tree
Boulder, CO
05.2017 - 04.2022
- Process Control
- Self Starter
- Strong Leadership
- Compliance Audit
- Excellent Multi task skills
Customer service Specialist
Pharmerica
Longmont, CO
01.2014 - 05.2017
- Pharmacy billing
- Contacted pharmacy and nursing Facilities to obtain missing information
- Data entry
Front dest
Boulder Valley Center for Dermatology
Lafayette, CO
04.2011 - 01.2014
- Answer phones
- Make appts
- Balance all the front desk girls drawers and prepared bank deposits
- Data entry
- Submit claims
- Followed up on denied claims with ins company
- Verified insurance coverage
Physician Biller
Banner Health
Greeley, CO
10.2009 - 12.2011
- Accounts receivable
- Negotiated payment with Blue Cross/Blue Shield of Arizona for 12 clinics in Arizona when initial claim is denied
- Heavy customer service phone work
- Data entry
- Filing
- Coordination with all departments to get claims paid
- Pre collection and collection management
Receptionist
Longmont Surgery Center
Longmont, CO
04.2008 - 05.2009
- Disclosed legal documentation with patients
- Assigned anesthesiologist to each operating room
- Accepted all self pay patient funds
- Balanced daily cash receipts
- Prepared client charts/folders for new patients and physicians' office
- Data entry
- Pulled charts for next day surgery schedule
- Answered phones and directed callers
Front Office Coordinator
Dr. Alfred Carr
Longmont, CO
08.2006 - 04.2008
- Answered phones
- Greeted patients and scheduled and confirmed appointments for Dr
- Carr's office, Colorado Aesthetics and the Colorado Hearing Center, all located in the same suite
- Prepared charts
- Originated medical releases and delivered releases to appropriate agencies
- Authorized and pre-certified MRI and CAT scans procedures
- Prepared lab orders for patient delivery
- Managed billing process to insurance company and handled claim resolution
Billing Coding Specialist
Longmont Clinic
Longmont, CO
11.1996 - 08.2006
- Filed insurance claims to major insurance companies (Medicare, Blue Cross/Blue Shield, United Healthcare and Cigna) and started appeal process until claim resolution
- Managed Account Receivable reports on a monthly basis and maintained ongoing spreadsheet of payments and adjustments
Receptionist
Boulder Medical Center
Boulder, CO
12.1994 - 11.1996
- Answered phones
- Greeted patients and prepared charts for four physicians
Education
High School Diploma -
Longmont High School
1040 Sunset St 05-1987
Skills
- Project Management
- Patient registration
- Insurance verification
- Appointment scheduling
- Claim resolution
- Data entry
- Customer service
- Medical billing
- Time management
- Attention to detail
- Communication skills
- Problem solving
- Leadership
- Customer support
- Legal Acumen
- Payment Negotiation
- Career Progression
Accomplishments
- Served as the liaison between the legal department and the billing department to retrieve and summarize accounts for periodic review and in the support of litigation.
- Created and maintained an atmosphere of high level customer service and effective communication, cultivating an environment for a competitive price for the customer and profitability for the company.
- Demonstrated strong multi-tasking and excellent attention to detail skills.
- Consistently met intense deadlines under pressure to meet quarter end and year end projections.
Timeline
Pt Access Specialist
UC Health
04.2022 - Current
Contract Management
Leanin Tree
05.2017 - 04.2022
Customer service Specialist
Pharmerica
01.2014 - 05.2017
Front dest
Boulder Valley Center for Dermatology
04.2011 - 01.2014
Physician Biller
Banner Health
10.2009 - 12.2011
Receptionist
Longmont Surgery Center
04.2008 - 05.2009
Front Office Coordinator
Dr. Alfred Carr
08.2006 - 04.2008
Billing Coding Specialist
Longmont Clinic
11.1996 - 08.2006
Receptionist
Boulder Medical Center
12.1994 - 11.1996
High School Diploma -
Longmont High School
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