Summary
Overview
Work History
Education
Skills
Accomplishments
References
Timeline
Generic

Yasmine Lopez

Cary,NC

Summary

To obtain employment in a field of work that challenges and utilizes my strong communication, and solution oriented skills acquired from previous work and practical experience, to provide exceptional personal care of clients. I am an adamant professional with heart who performs all tasks with the utmost sense of priority, care and genuine concern. I seek to find myself employed with a company who believes in serving their clients with all that they have to offer, as well as one who can appreciate and utilize someone's strength and desire to help others.

Overview

24
24
years of professional experience

Work History

Bilingual Front Desk Receptionist

Triangle Family Services
01.2018 - 08.2024
  • Answering multi line phones and directing calls to the appropriate coordinators/dept
  • Assisting clients, both walk in and establish information regarding all the services that the agency offers
  • Answering questions and offering answers and solutions to clients struggling with a multitude of crisis situations
  • Registering clients for Anger Management and Dose classes, obtaining confidentially sensitive documents and ensuring that all paperwork is properly filled out then uploaded into the appropriate system
  • Manage agency wide Calendar, Schedule meetings, reserve meeting rooms
  • Check in clients and collect payments, as well as other necessary documents such as, insurance cards, intake forms, and annual update forms
  • Generate ID badges for clients to gain access to the facility
  • Reconcile and generate end of the day financial reports
  • Serve as security monitor/ vigilant of all areas where clients and staff meet
  • Problem Solver
  • First line of communication with clients in crisis, so oftentimes we must listen and obtain a mass amount of confidentially sensitive information and decide on the best first step to serve clients
  • Serve as a hub of resources for clients in need of several services.

Revenue Cycle Rep /Financial Navigator

Rex Hospital
04.2022 - Current

Responsible for accurate and timely submission of claims, response to denials, and re-bills of insurance claims

  • Responsible for all aspects of insurance follow-up and collections including interfacing with internal and external departments to resolve discrepancies through charge corrections, payment corrections, writeoffs, refunds or other methods
  • Edit claims (DNB, Coverage Changes, Claim Edits, Stop Bills) within scope of authority (or escalate as needed) to meet and satisfy billing compliance guidelines for electronic submission
  • Contact insurance carriers to obtain authorizations and referral approvals for services and procedures
  • Research medical records to gather information and substantiate medical justification for procedures as required by insurance carriers
  • Submits requested medical information to insurance carrier
  • Responsible for the analysis and necessary corrections of patient invoices or accounts as it pertains to clean claim submissions or re-bills
  • Responsible for maintaining work queues
  • Access, review and respond to third party correspondence via Document Management system
  • Research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, credit balances, sequencing of charges, and non-payment of claims
  • Contact patients, physicians and insurance companies to obtain information necessary for invoice or account resolution through write-offs, reversals, adjustments, refunds or other methods
  • Verify claims adjudication utilizing appropriate resources and applications
  • Post payments (Insurance and/or Patient) and denials to patient invoices/accounts in a timely and accurate manner
  • Reconcile accounts, research and resolve a variety of issues relating to posting of payments and charges, insurance denials, secondary billing issues, sequencing of charges, and non-payment of claims
  • Respond to any assigned correspondence in a timely, professional, and complete manner
  • Identify issues and/or trends and provide suggestions for resolution to management, including payer, system or escalated account issues
  • May maintain data tables for systems that support Patient Accounting operations
  • Evaluate carrier and departmental information and determines data to be included in system tables
  • Read and interpret EOB’s (Explanation of Benefits)
  • Maintain basic understanding and knowledge of health insurance plans, policies and procedures
  • Accurately and thoroughly document the pertinent collection activity performed
  • Participate and attend meetings, training seminars and in-services to develop job knowledge
  • Meets/Exceeds Productivity and Quality standards.
  • Improved revenue cycle efficiency by streamlining processes and implementing best practices.
  • Negotiated payment arrangements with patients experiencing financial difficulties, reducing write-offs and maintaining positive relationships with clients.
  • Managed patient account collections for increased revenue recovery.
  • Audited patient accounts for discrepancies, resolving issues for timely reimbursement.
  • Analyzed financial data to identify trends and areas of improvement within the revenue cycle process.
  • Trained new employees on company-specific systems, tools, and processes for efficient integration into the team.
  • Provided exceptional customer service to patients, addressing concerns and answering inquiries related to billing and insurance coverage.
  • Collaborated with cross-functional teams to improve overall revenue cycle performance.
  • Coordinated closely with clinical staff to ensure proper documentation was submitted for accurate billing purposes.
  • Maintained up-to-date knowledge of payer policies, regulations, and guidelines, ensuring compliance throughout the revenue cycle process.
  • Reduced outstanding accounts receivable balances through diligent follow-up and effective communication with payers.
  • Balanced and reconciled accounts.
  • Reached out to insurance companies to verify coverage.
  • Contacted responsible parties for past due debts.
  • Identified and resolved payment issues between patients and providers.
  • Supported management by processing invoices and documents with consistent on-time delivery.
  • Generated invoices upon receipt of billing information and tracked collection progress.
  • Effectively communicated with clients about payment needs and kept updated, detailed and accurate ledgers.
  • Collaborated with cross-functional teams to develop comprehensive financial strategies for clients.

Covid Team Registrar/Financial Navigator

Neighbor Health Center
02.2021 - 04.2022
  • Educating patients about Sliding fee scale option for those who are uninsured or underinsured
  • Assisting patients with language/educational/medical barriers with SFS process
  • Assist patients to process UNCFA applications
  • Assist with processing Presumptive Medicaid applications
  • Refer patients to Medicaid for screening
  • Check for patients Medicaid Eligibility and coverage
  • Call patients to advise of SFS requirements for new or renewal applications
  • Coordinate with Refugee Agencies to assist in the Eligibility process for new patients
  • Check for UNCFA approval or denial
  • Answer calls and email in a timely manner
  • Serve as clinical support
  • Serve as interpreter
  • Gather, enter and update data
  • Create and generate spreadsheets and reports for SFS/UNCFA/MEDICAID
  • Schedule patients.
  • Organized, reviewed, and filed paperwork for secure recordkeeping.
  • Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
  • Greeted every guest with personable approach and provided knowledgeable service.

Bilingual Front Desk Receptionist

Affordable Dentures & Implants
07.2020 - 02.2021
  • Answering multi line phones/responding to emails and scheduling patients as needed or as based on treatment plan
  • Assisting clients, both walk in and established with information regarding all the services that the practice offers
  • Answering clients with paperwork and checkin/checkout process
  • Registering clients that are new to the practice, as well as maintaining accurate and up to date records on all patients
  • Translate documents and interpret treatment planning for spanish speaking clients
  • Check in clients and collect payments, as well as other necessary documents such as, covid questionaire forms, and annual update forms
  • Establish and maintain rules for clients to gain access to the facility
  • Reconcile and generate end of the day financial reports
  • Maintain a clean and orderly office
  • Seat patients/Take X Rays as needed/ seat patients/ Clean operatories and prepare for next procedure/Sterilize instruments
  • Complete end of day procedures and transport daily deposit to the bank.

Bilingual Front Desk Receptionist

Wake County Human Services
02.2019 - 11.2019
  • Answering multi line phones and directing calls to the appropriate coordinators/dept
  • Assisting clients, both walk in and established with information regarding all the services that the agency offers
  • Answering questions and offering answers and solutions to clients struggling with a multitude of crisis situations
  • Registering clients that are newly diagnosed or new to the county, obtaining confidentially sensitive documents and ensuring that all paperwork is properly filled out then uploaded into the appropriate system
  • Manage department Calendar, Schedule meetings, reserve meeting rooms
  • Check in clients and collect payments, as well as other necessary documents such as, insurance cards, intake forms, and annual update forms
  • Establish and maintain rules for clients to gain access to the facility
  • Reconcile and generate end of the day financial reports
  • Serve as security monitor/ vigilant of all areas where clients and staff meet
  • Problem Solver/ De escalate problem situations so that security does not have to trespass patients
  • First line of communication with clients in crisis, so oftentimes we must listen and obtain a mass amount of confidentially sensitive information and decide on the best first step to serve clients
  • Serve as a hub of resources for clients in need of several services.

Bilingual Front Desk Receptionist

Wake Orthodontics and Pediatric Dentistry
08.2018 - 11.2018
  • Answering multi line phones and directing calls to the appropriate coordinators/dept
  • Assisting clients, both walk in and establish information regarding all the services that the practice offers
  • Register new clients , obtaining data and other necessary documents and ensuring that all paperwork is properly filled out then uploaded into the appropriate system
  • Schedule Patients accordingly as determined by the treatment plan
  • Manage practice Calendar, Schedule meetings
  • Check in clients and collect payments, as well as other necessary documents such as, insurance cards, intake forms, and annual update forms
  • Reconcile and generate end of the day financial reports
  • Assist Patients with routine treatment planning questions.

Bilingual Customer Care Representative/ Benefits Coordinator

Holiday Systems International
12.2015 - 07.2017
  • Educating members on the many aspects and benefits of the vacation ownership and travel membership they have acquired as well as distinguishing the differences between the two
  • Assisting members with logging on to the member website, navigating through the system, troubleshooting problems
  • Conflict resolution with regard to issues such as, financial discrepancies, service discrepancies, and common issues due to lack of information or knowledge on how to effectively use the services provided
  • I assist members with deciding which service best suits the current need and route calls accordingly
  • I generate daily excel spreadsheets to account for daily revenue, as well as inbound/ outbound calls that indicate the type of service that I provided the member
  • Generate email communications to members, affiliation department and respond to time sensitive emails accordingly
  • I reach out to members for utilization or service calls / quality control
  • Collect annual membership dues with a focus on multiple year dues collections
  • Create outlook calendar to schedule appointments for follow ups with members
  • Meet daily quota for calls/ revenue
  • Contact members regarding QA letters regarding cancelations, questions, concerns and need for assistance
  • I also contact members regarding returned invoices.

Coordinator/Administrative Assistant

FIA Property Services
06.2015 - 12.2015
  • Collecting data regarding property status, condition, needs, and time frame for work to be done for the client
  • Generating spreadsheets daily for staffing for the purpose of record/ prioritizing /time efficiency/and organization
  • Handling high volume calls
  • Coordinating with clients as well as staff to work together to meet the needs of the clients as efficiently as possible and in a timely manner.

Front End Assistant/ Interpreter

Costco Wholesale Club
07.4014 - 07.2015
  • Bagging / boxing members purchased items
  • Assisting members with large items and placing them in their vehicle
  • Helping members find and price match items they desire
  • Clothing
  • Merchandising
  • Maintenance
  • Translator.

Secretary to the Asst. Principal/ Child Study Team Secretary/ Interpreter

Pleasantville High School
11.2011 - 01.2013
  • Assisting the Vice Principal in an administrative support capacity
  • Working with children with disabilities
  • Soft Social Work/ Reaching out to the parents of our students to educate them on the services available to them as well as their children within the community
  • Boosting the awareness of the rights of the parents, as well as the student body
  • Generating/Drafting/Creating documents that kept the department in accordance with time sensitive issues as well as legal matters
  • I multitasked daily, taking many inbound calls and making many outbound calls, attending meetings throughout the district, as well as assisting students and their parents.

Dental Assistant

Allied Dental
09.2008 - 01.2011
  • Discussing treatment plans with my patients
  • Informing them of specific details and outlining the importance of their dental health as well as pointing out the correlation between their Dental/Medical health
  • Offering/Selling services to my patients that were beneficial to them, such as, Cleanings, Whitening sessions, Braces, and Night guards
  • Providing care and support to throughout procedures while assisting the Doctor perform the procedure
  • Responsibilities also included: ordering materials, scheduling appointments, verifying insurance, taking X-rays, Preparing rooms for procedures, breaking down rooms and sterilizing instruments in accordance with OSHA standards.

Orthodontic Assistant

Dr. Elliot Silverman
08.2006 - 11.2007
  • Discussing treatment plans with my patients
  • Informing them of specific details and outlining the importance of their dental health as well as pointing out the correlation between their Dental/Medical health
  • Offering/Selling services to my patients that were beneficial to them, such as, Cleanings, Whitening sessions, Braces, and Night guards
  • Providing care and support to throughout procedures while assisting the Doctor perform the procedure
  • Responsibilities also included: ordering materials, scheduling appointments, verifying insurance, taking X-rays, Preparing rooms for procedures, breaking down rooms and sterilizing instruments in accordance with OSHA standards.

Sterilization Technician / General Assistant

Signature Smiles
03.2006 - 08.2007
  • Care and maintenance of instruments and perform pedo/general assisting
  • Discussing treatment plans with my patients
  • Informing them of specific details and outlining the importance of their dental health as well as pointing out the correlation between their Dental/Medical health
  • Offering/Selling services to my patients that were beneficial to them, such as, Cleanings , Whitening sessions, Braces, and Night guards
  • Providing care and support to throughout procedures while assisting the Doctor perform the procedure
  • Responsibilities also included: ordering materials, scheduling appointments, verifying insurance, taking X-rays, Preparing rooms for procedures, breaking down rooms and sterilizing instruments in accordance with OSHA standards.

Fire systems Monitor/ Fire Safety Instructor

Trump Taj Mahal
07.2000 - 03.2006
  • Monitor Casino/Hotel fire safety Equipment/Instruct Fire Safety Courses for employees
  • My role consisted of many tasks including, but not limited to: Monitoring cameras located throughout the property to assure the overall wellness and safety of all who were within as well as about the property
  • Properly documented any and all incidences, safety violations, and or criminal activities that occurred as well contacting and working with the Police Department as needed
  • Implemented a schedule to assess the fire extinguishers maximum functionality throughout the entire property to assure that were being replaced as often as needed
  • I supervised a team to carry out the task properly and in accordance with the rules and regulations of the Atlantic City Fire Department
  • Working with the ACFD, I coordinated and instructed fire safety classes for the security department as well as all other departments within the property.

Education

Dental Assisting/ Dental Radiology Certification - Dental Assisting/ Dental Radiology

Atlantic County Institute of Technology
Mays Landing, NJ
08.2006

High School Diploma -

Atlantic City High School
Atlantic City, NJ
01.1997

Skills

  • Able to multitask, and work with or independently with instruction
  • Bi-lingual
  • Skilled in conflict resolution
  • Consistently meets and exceeds annual metrics
  • Proficient at verifying coverage/covered services
  • Excel at collections/Financial assistance/payment plan enrollment
  • Excellent at multitasking/Prioritizing workflow
  • Work well independently and as part of a team
  • Possess strong leadership and diplomatic abilities
  • Social work and soft selling are skills
  • Radiology, Chair-side assisting, infection control functions, trained in various fields of Dentistry
  • Strong written and verbal communication skills
  • Highly skilled at collections
  • Excellent organizational abilities
  • Proficient at scheduling
  • Proficient at Training

Accomplishments

  • Possess X-Ray License
  • Expanded functions
  • CPR Certified
  • First Aid Certified
  • Epic/ Athena/Dentrix/Eaglesoft
  • Numerous commendations for outstanding work performance
  • Microsoft Office 360/ Word/Outlook 2010/ Excel 2007/2010/Excel Spreadsheet
  • Business Writing Certified

References

References Furnished Upon Request

Timeline

Front End Assistant/ Interpreter

Costco Wholesale Club
07.4014 - 07.2015

Revenue Cycle Rep /Financial Navigator

Rex Hospital
04.2022 - Current

Covid Team Registrar/Financial Navigator

Neighbor Health Center
02.2021 - 04.2022

Bilingual Front Desk Receptionist

Affordable Dentures & Implants
07.2020 - 02.2021

Bilingual Front Desk Receptionist

Wake County Human Services
02.2019 - 11.2019

Bilingual Front Desk Receptionist

Wake Orthodontics and Pediatric Dentistry
08.2018 - 11.2018

Bilingual Front Desk Receptionist

Triangle Family Services
01.2018 - 08.2024

Bilingual Customer Care Representative/ Benefits Coordinator

Holiday Systems International
12.2015 - 07.2017

Coordinator/Administrative Assistant

FIA Property Services
06.2015 - 12.2015

Secretary to the Asst. Principal/ Child Study Team Secretary/ Interpreter

Pleasantville High School
11.2011 - 01.2013

Dental Assistant

Allied Dental
09.2008 - 01.2011

Orthodontic Assistant

Dr. Elliot Silverman
08.2006 - 11.2007

Sterilization Technician / General Assistant

Signature Smiles
03.2006 - 08.2007

Fire systems Monitor/ Fire Safety Instructor

Trump Taj Mahal
07.2000 - 03.2006

Dental Assisting/ Dental Radiology Certification - Dental Assisting/ Dental Radiology

Atlantic County Institute of Technology

High School Diploma -

Atlantic City High School
Yasmine Lopez