YVONNE LOPEZ
Crown Point
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. Highly motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills.
Overview
26
26
years of professional experience
Work History
Revenue Cycle Specialist
The Carle Foundation
Champaign
11.2023 - Current
- Increased revenue by identifying and resolving billing errors in a timely manner.
- Verified coverage by proactively contacting insurance companies, ensuring accurate billing.
- Enhanced customer satisfaction by promptly addressing and resolving billing disputes.
- Trained new team members on revenue cycle best practices, enhancing overall team knowledge.
- Supported team during staffing shortages by assuming additional responsibilities, maintaining workflow continuity.
- Increased knowledge working Medicare dual plans and traditional Medicare.
Senior Revenue Cycle Specialist Team Lead
Palos Hills Surgery Center
Palos Hills
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.
- Identified and resolved payment issues between patients and providers, facilitating smoother transactions and improving patient satisfaction.
- Analyzed EOBs and payer correspondence to identify revenue retention opportunities, disputing invalid refund requests to ensure proper reimbursement.
- Handled patient phone calls regarding balances and deposits, followed up on overdue accounts over 90 days, coordinated with insurance companies on outstanding payments, and prepared accounts for collections.
- Processed incoming payments accurately and efficiently for multiple accounts.
- Trained new staff members on procedures and policies.
- Processed month-end balancing and provided reports to staff accountant
Revenue Cycle Specialist
MidAmerica Orthopaedics
08.2012 - 10.2013
- Executed charge entry, payment entry, and insurance follow-up on denied claims to ensure accurate billing.
- Identified and resolved payment issues between patients and providers.
- Drafted appeal letters to insurance companies, advocating for resolution of 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.
- Utilized Surgical Information Systems and Caretracker for billing processes.
- Assisted staff with inquiries regarding insurance and denials.
Senior Medical Reimbursement Specialist
Marca Industries
01.2007 - 08.2012
- Performed charge entry, payment entry, and deposits while following up with insurance companies on denials and non-payments, managing appeals, and addressing patient inquiries and provider billing concerns.
- Trained new staff members and managed a team of over 20 employees with charge entry and payment denial inquiries.
- Handled billing calls, resolving inquiries from patients and third-party carriers to ensure timely payment.
- Corrected, completed and processed claims for multiple payer codes.
- Processed online and paper appeal submissions and refund requests.
- Reconciled deposits and patient collections to maintain accurate financial records.
Staffing Coordinator
FJ Home Health Care
04.2005 - 12.2006
- Coordinated RNs and CNAs for patients that needed home health services, ordered DME equipment for patients.
- Managed time efficiently in order to complete all tasks within deadlines.
- Provided assistance to colleagues and patients by maintaining a respectful and friendly demeanor in all interactions.
- 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
- Assisted healthcare providers with patient examinations and procedures.
- Drew blood samples and recorded patient vital signs to support accurate diagnostics.
- Scheduled appointments and coordinated patient follow-ups effectively.
- Managed patient records using electronic health record systems.
- Participated in focus groups to enhance patient and employee satisfaction through collaborative feedback.
Education
Bachelor's Degree - Business Administration, Healthcare, Minor in Accounting
Southern New Hampshire University
Manchester, NH06-2025
Medical Assistant Certificate -
Long Medical Institute
Phoenix, AZ11-1988
MBA - Accounting
Southern New Hampshire University
Manchester, NH04-2026
Skills
- Medical Billing
- Revenue Cycle Management
- Collections Strategy
- Payment Reconciliation
- Insurance verification
- Regulatory Compliance
- Expense Management
- Accounts Payable
- Payment posting
- Benefits Coordination
- Delinquency Management
- Claim Auditing
- Revenue cycle
- Medical terminology
- Revenue management
- Revenue cycle management
- Medical Terminology Knowledge
- Training development
- Claims handling
- Interpersonal Skills
- Insurance validation
- Claims assessment
- Training and development
- Claims Analysis
- Professionalism and ethics
- Payment collection
- Billing proficiency
- Analytical problem solving
- Payment posting
- Receivables oversight
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
- Spanish
- English, Native or Bilingual
- Spanish, Professional Working
Timeline
Revenue Cycle Specialist
The Carle Foundation
11.2023 - Current
Senior Revenue Cycle Specialist Team Lead
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
Staffing Coordinator
FJ Home Health Care
04.2005 - 12.2006
Medical Assistant / Front Desk Team Leader
Access La Villita
11.1999 - 04.2005
Bachelor's Degree - Business Administration, Healthcare, Minor in Accounting
Southern New Hampshire University
Medical Assistant Certificate -
Long Medical Institute
MBA - Accounting
Southern New Hampshire University