Insurance Manager

BRENDA REBECA LOPEZ

**** ** ***** ** ***, MIAMI, FL 33183, 305-***-****, *****.********@*****.***

OBJECTIVE

Goal oriented individual seeking to advance within a Company in order to utilize my analytical & developmental skills.

EXPERIENCE

12/1/2015 TO PRESENT

Med Care Infusion Services

Miami, FL

CUSTOMER RELATIONS SPECIALIST

Verify patient insurance, obtain proper documentation from physicians’ offices & sleep centers in order to request authorization needed to provide patients durable medical equipment.

Contact patient to explain detailed information on insurance benefits & collect co-pays/deductibles.

Process orders/Schedule deliveries.

OCTOBER 2014-DECEMBER 2015

Logisticare

Miami, FL

TRANSPORTATION COMPLIANCE SPECIALIST

Credentialed sub-contractor vehicles and drivers. Scanned & maintained documents in an electronic filing system.

Verified provider documents and ensured fulfillment of contract requirements.

Liaison between transport service provider & member during the transport process.

SEPTEMBER 2013-OCTOBER 2014

Stericycle Communications

Miami, FL

HEALTHCARE COMPLIANCE SPECIALIST

Verified Insurance Benefits & provided detailed benefit information to members.

Interacted with On Call Nurses to confirm Patient Data/Diagnosis Codes in order to create authorizations for inpatient & emergency room admissions for Simply Healthcare, Molina Healthcare, Health-Sun, Coventry, Leon Medical, Medica and Preferred Care Partners.

EDUCATION

8/2007-6/2011

SOUTHWEST MIAMI SENIOR HIGHSCHOOL

Miami, FL

HIGHSCHOOL DIPLOMA

CPR/BLS CERTIFIED 8/1/2016-8/1/2018

REFERENCES

Yvonne Sotto Branch Manager/Med Care Infusion Phone # 305-***-****

Linda Ogaza Supervisor/ Logisticare Phone # 305-***-****

Javier Cardoza Supervisor/ Stericycle Communications Phone # 305-***-****

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