Yvonne Lopez
Crown Point,In
Summary
Methodical Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring 18 years of related experience to a dynamic position with room for career growth. Demonstrated success in supporting and enhancing revenue cycles for ASC facilities. Knowledgeable about debt management, collections policies and insurance payments. Good verbal and written communication skills.
Overview
25
25
years of professional experience
Work History
Revenue Cycle Specialist
The Carle Foundation
11.2023 - Current
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Helped new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
- Reached out to insurance companies to verify coverage.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
- Helped team when shorthanded
- Increased my knowledge working Medicare dual plans and traditional Medicare.
Senior Revenue Cycle Specialist
Palos Hills Surgery Center
10.2013 - 07.2023
- Duties include: preparing deposit letters for day of surgery, preparing daily cases for charge entry (adding admit times, anesthesia times, antibiotic times, etc.), charging entries for both facility and anesthesia with ability to identify CPT codes that allow for maximum reimbursement, applying deposits made for surgery charges, posting insurance and patient payments, appealing denied charges and short pays, adding procedure codes and anesthesia codes to system when needed, adding insurance companies to system, adding proper fee schedules to procedures for maximum reimbursement
- Handling all patient phone calls regarding balances due and/or deposits due, calling patients that have balances due over 90 days, following up with insurance companies that have not made payments, preparing patient accounts for collections, sending patient accounts to collections
- Training new staff members as needed.
- Identified and resolved payment issues between patients and providers.
- Analyzed EOB's/payer correspondence to identify revenue retention opportunities by disputing invalid refund requests. Payers included Aetna, Blue Cross Blue Shield, United Healthcare, Humana, Medicare, Cigna, Workman's Compensation and other commercial payers.
- Created dispute letters for invalid refund requests.
- Navigated payer/internal systems to ensure timely and accurate resolution of claims.
- Surgical Information Systems, Vision and Caretracker billing system knowledge.
- Reached out to insurance companies to verify coverage.
- Balanced and reconciled accounts.
- Generated receivables reports and offered improvement recommendations.
- Developed financial projections and forecasts to guide investment decisions.
- Improved emergency resolution processes to save time.
- Identified and resolved payment issues between patients and providers
- Contacted responsible parties for past due debts
- Balanced and reconciled accounts
Revenue Cycle Specialist
MidAmerica Orthopaedics
08.2012 - 10.2013
- Duties include charge entry, payment entry, and insurance follow up on denied claims
- Write appeal letters to insurance companies for denied charges
- Analyzed EOB's/Payer correspondence to identify revenue retention opportunities by disputing invalid refund requests.
- Created dispute letters for invalid refund requests.
- Navigated payer/internal systems to ensure timely and accurate resolution of claims.
- Surgical Information Systems, Vision and Caretracker billing system knowledge.
- Answer patient phone calls; take patient payments over phone
- Post patient payments to their accounts
- Help cash apps department to post payments when needed
- Help staff members with insurance questions, denial questions.
- Identified and resolved payment issues between patients and providers
Senior Medical Reimbursement Specialist
Marca Industries
01.2007 - 08.2012
- Duties include charge entry, payment entry, deposits, insurance company follow up on denials/non- payment, appeals, patient phone calls, responding to provider questions and concerns related to their billing
- Other duties include training new staff members; assist in managing staff of 20+ employees with charge entry questions and payment denial questions.
- Processed billing calls and answered questions from patients and third-party carriers
- Processed online and paper appeal submissions and refund requests
- Corrected, completed and processed claims for multiple payer codes
- Assisted in reconciling deposit and patient collections
- Processed billing calls and answered questions from patients and third-party carriers.
- Processed online and paper appeal submissions and refund requests.
- Corrected, completed and processed claims for multiple payer codes.
- Assisted in reconciling deposit and patient collections.
FJ Home Health Care
04.2005 - 12.2006
- Coordinated RN’s and CNA’s for patients that needed home health services, ordered DME equipment for patients.
- Managed time efficiently in order to complete all tasks within deadlines
- Demonstrated respect, friendliness and willingness to help wherever needed
- Organized and detail-oriented with a strong work ethic
- Used critical thinking to break down problems, evaluate solutions and make decisions
Medical Assistant / Front Desk Team Leader
Access La Villita
11.1999 - 04.2005
- Duties included taking patient vital signs, blood drawing when needed, schedule and manage front desk staff for 10+ providers, deposits, payroll, order office and medical supplies, handle patient complaints and provider questions and problems
- Worked on several focus groups to help improve patient and employee satisfaction.
Education
Bachelor’s Degree - Business Administration, Healthcare
Southern New Hampshire University
06-2025
Medical Insurance Coding
Moraine Valley Community College
09.2012
Medical Assistant Certificate -
Long Medical Institute
11.1988
Skills
- Proficient in Microsoft Word, Excel, Power point
- HCPCS Coding Guidelines
- Debt Collection Procedures
- Collecting Payments
- Insurance Verification
- Team Training and Mentoring
- CMS Guidelines
- Accounts Payable and Accounts Receivable
- Medical Billing
- Insurance Benefits Understanding
- Past Due Balance Management
- Claims Review
- Revenue Cycle Management
- Medical Terminology Knowledge
Accomplishments
- I was promoted to take charge of the billing for the new surgery center that was built for MidAmerica Orthopaedics, although I had no prior knowledge of facility billing
- I will always be grateful for that opportunity that has allowed me to gain so much more knowledge of the medical billing industry.
Languages
English
Native or Bilingual
Spanish
Professional Working
Timeline
Revenue Cycle Specialist
The Carle Foundation
11.2023 - Current
Senior Revenue Cycle Specialist
Palos Hills Surgery Center
10.2013 - 07.2023
Revenue Cycle Specialist
MidAmerica Orthopaedics
08.2012 - 10.2013
Senior Medical Reimbursement Specialist
Marca Industries
01.2007 - 08.2012
FJ Home Health Care
04.2005 - 12.2006
Medical Assistant / Front Desk Team Leader
Access La Villita
11.1999 - 04.2005
Medical Insurance Coding
Moraine Valley Community College
Medical Assistant Certificate -
Long Medical Institute
Bachelor’s Degree - Business Administration, Healthcare
Southern New Hampshire University
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