ROCHELLE LOPEZ
Tampa,FL
Summary
To obtain a position where my work experience has valuable application and an opportunity for advancement. Authorized to work in the US for any employer. Detail-oriented and methodical Billing Coordinator offering 10 years of experience in related roles. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance. Successful at efficiently handling client inquiries, billing and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements and business correspondence. Knowledgeable about preparing invoices, processing payments and pursuing past-due balances. Well-versed in accurately coding different types of bills for clear recordkeeping and tracking. Team-oriented, dependable and performance-driven.
Overview
8
8
years of professional experience
Work History
Health Insurance Agent
USHA
Tampa, FL
- LICENSES Life & Health, - 0214/0215 Licensed in: AL,FL,GA,KS,MD,MI, MO,OH,SC,TX,NE,VA － Tampa, FL (2021).
Law Firm Billing Coordinator
Bleakley Bavol Denman & Grace
Tampa, Florida
07.2022 - Current
- Maintained detailed understanding of insurance plans and company requirements/guidelines for submissions.
- Collect payments from clients
- Entered details into accounts and tracked payments.
- Pre billing process
- Edits on pre bills and submissions
- Send out invoices to clients
- Work with systems such as Legal X, Counselink, Quovant, Tymetrix, and Prolaw
- Updated documentation, reports and spreadsheets with financial information.
- Answered telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
- Completed appeals of denied claims on patient bills
- Entered details into accounts and tracked payments
- Updated documentation, reports and spreadsheets with financial information
Medical Billing Specialist
Newsom Eye And Laser Center
Tampa, Florida
09.2021 - 07.2022
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- Precisely evaluated and verified benefits and eligibility.
- Payment poster
- Working with Medicare,
Tricare, Aetna, BCBS, Cigna, UHC etc. Posting payments from daily deposit sheets, answering
phones, Customer service, working monthly reports, AR rep, Working grids posting checks
manually as well as via EFT. - Efficient in programs such as Nextech, Trizetto, instamed,change, spot, rad pnc, Availity and optum pay. Ability to multitask, be reliable, as well as
effective work with minimal to no errors
Patient Financial Analyst II
BayCare Medical Group
07.2018 - 03.2021
- Compiled financial data to help build daily AR daily forecast for all lines of business within Baycare's Health System to meet projected cash goals.
- Analyzed and reconciled reports of insurance payers for trends, successors, barriers, and projections to target reduction of A/R days as requested by leadership.
- Trained and supervised new employees, delegated tasks and reviewed work results within transition to Soarian financials.
- Managed accounts between patient, central billing department and payer to enhance account receivables, resolve outstanding issues and/ or patient concerns.
- Meticulously identified and rectified inconsistencies, deficiencies, and discrepancies in medical bills and follow up on medical claims/ records.
- Submitted medical records to large insurance companies as supportive documentation to assist with patient billing needs.
Practice Supervisor
Convenient Care/ Lee Memorial Hospital
Fort Myers, FL
11.2015 - 10.2017
- Supported entire practice's staff, which boosted efficiency and improved overall process flow.
- Created and implemented policies and procedures for effective practice management.
- Managed clinical operations and procedures, including enforcing adherence to federal and state regulations and healthcare law requirements.
- Kept up-to-date on all regulatory changes affecting business operations.
- Led all business operations for Lee Convenient Care, seeking and identifying opportunities to improve profitability through cost analysis and staffing.
- Communicated with patients with compassion while keeping medical information private.
- Collaborated with multi-disciplinary staff to improve overall patient care and response times.
- Facilitated peer-to-peer conflict resolution.
- Initiated training and education programs for supporting healthcare staff.
- Implemented new hire training to further develop skills and initiate discussions on task prioritization.
Customer Service Representative
Lee Memorial Hospital
Fort Myers, FL
03.2014 - 11.2015
- Answered patient questions and fielded complaints to resolve issues.
- Accessed patient information through various software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
- Coordinated with patients and healthcare professionals to meet patient needs.
- Scheduled and confirmed patient appointments with patients and healthcare professionals.
- Oversaw patient registrations by collecting information, verifying benefits and submitting paperwork.
- Ran credit card batches and balanced deposits on daily basis.
- Referred patients to appropriate professionals and services.
- Checked daily doctor schedules and verified insurance.
- Scheduled patient appointment and procedures.
- Organized and maintained patient charts with proper classification and filing systems.
- Troubleshot and resolved department issues to maintain patient satisfaction and keep optimal patient flows.
- Checked claims for errors, corrected issues and mailed out updated documents.
- Generated reports and statements each month to review outstanding balances and identify accounts in need of collection processing.
Real Estate Assistant
Encore! Realty Services Inc
Cape Coral, FL
01.2013 - 03.2014
- Working for the CCAR and entering new listings into MLS systems.
- Starting and completing PRE CMA & CMA Spread sheets.
- Greeted visitors or callers daily to handle questions or direct to appropriate staff.
- Answered office phone and emails to schedule appointments, forward information and complete brochures.
- Organized files, developed spreadsheets, faxed reports and scanned documents to bolster organizational workflow.
- Scheduled home viewings with potential buyers.
- Successfully guided home buyers and sellers through sales and purchase of properties.
- Followed up with prospects throughout sales processes to offer assistance.
- Responded quickly to customer inquiries, asking questions to better understand needs.
- Prepared forms needed for real estate transactions, including contracts, deeds, closing statements and leases.
- Communicated with owners regarding home and loan status.
- Coordinated sales listings through each stage and tracked completion for broker.
- Assisted in developing marketing material for properties.
- Developed close relationships with area realtors and promoted builders to boost referral network.
Education
Bachelor of Science - Public Safety Administration
Florida Southwestern State College
Fort Myers, FL United States2022
Associate of Arts - General Studies
Florida Southwestern State College
2013
Skills
- Conflict Resolution
- Customer Service
- Good listening skills
- Decision Making
- Responsible
- Data Entry
- Team building
- Leadership
- Organization and Time Management
- Self-Motivated
- Professional Relationships
- Customer Experience
- Production Goals
- Office Operations
Accomplishments
- Elite Super User Training/ Certification
- Completed and passed Super User training courses for Revenue Management. A total of 7 course training.
- Well trained Super User for successful end-training, go-live support, and post live training.
- Completed Leadership and Management Training Course
- Honor roll program
- Multiple Contest Winner
- Spirit Award- From CEO of Lee Memorial Hospital
- Multiple ride alongs with Law Enforcement Officers
- Active Health Insurance 0214/0215 License
- Do the right thing program award
- Employee of the month award
- CPR/First aid Certified
Languages
English
Native or Bilingual
Spanish
Limited Working
Timeline
Law Firm Billing Coordinator
Bleakley Bavol Denman & Grace
07.2022 - Current
Medical Billing Specialist
Newsom Eye And Laser Center
09.2021 - 07.2022
Patient Financial Analyst II
BayCare Medical Group
07.2018 - 03.2021
Practice Supervisor
Convenient Care/ Lee Memorial Hospital
11.2015 - 10.2017
Customer Service Representative
Lee Memorial Hospital
03.2014 - 11.2015
Real Estate Assistant
Encore! Realty Services Inc
01.2013 - 03.2014
Health Insurance Agent
USHA
Bachelor of Science - Public Safety Administration
Florida Southwestern State College
Associate of Arts - General Studies
Florida Southwestern State College
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