Open to opportunities

Lydia Lopez

@lydialopez

Insurance and front-office operations professional specializing in eligibility verification, prior authorizations, and accurate patient cost estimates.

United States

Message

What I'm looking for

I’m looking for a healthcare team where I can own insurance verification, scheduling, and prior authorizations, translate benefits into clear patient cost estimates, and keep records audit-ready while improving workflows and patient satisfaction.

I’m a detail-oriented insurance and healthcare operations specialist with 15+ years of experience verifying patient eligibility, securing prior authorizations and referrals, and calculating accurate out-of-pocket costs. I bring deep medical documentation knowledge, strong HIPAA compliance practices, and bilingual support in English and Spanish.

In front-office and office manager roles, I’ve led scheduling and workflow optimization, directed check-in/out processes, and interpreted insurance benefits, deductibles, and coinsurance to communicate clear financial guidance to patients. I’ve also driven EMR/EHR transitions, including data migration and staff training, while maintaining accurate records for smooth billing and care coordination.

I’m known for collaborating with patients, providers, and insurance companies to resolve coverage issues and secure timely approvals. From release of information (ROI) handling to denial management and record-quality audits, I focus on accuracy, confidentiality, and consistently excellent patient satisfaction.

Experience

Work history, roles, and key accomplishments

Front Office Coordinator & Scheduler

Tejas Ear, Nose and Throat

Aug 2020 - Oct 2025 (5 years 2 months)

Directed front office operations, including staffing, provider scheduling, check-in/out workflows, and insurance eligibility verification. Obtained prior authorizations and referrals, calculated patient out-of-pocket costs using deductibles and coinsurance, supported EMR transition to a new system, and maintained HIPAA-compliant medical records.

Office Manager/Study Coordinator

Sleep Medicine Consultants

Nov 2013 - Aug 2020 (6 years 9 months)

Oversaw daily operations, staff supervision, and patient chart workflows while coordinating sleep study processes with specialty providers. Managed medical claims submission and denial management, supported insurance appeals, handled billing and accounts receivable tasks, and ensured HIPAA-compliant medical records and release of information processes.

Office Management Staff Supervision Payroll Accounts Payable And Receivable Provider Liaison Denial Management Patient Billing Records Collections Management Payment Posting Account Reconciliation Medical Record Retention Compliance Release Of Information (ROI)HIPAA compliance Data Entry Azalea Health EMR Word Excel Outlook Archiving and Purging

Administrative Assistant/Billing

Texas Sleep Medicine

May 2009 - Nov 2013 (4 years 6 months)

Provided appointment scheduling and patient registration support while verifying insurance eligibility, benefits, and coverage requirements. Submitted and followed up on medical claims, reviewed denied claims, handled insurance appeals, managed accounts receivable and patient statements, and maintained HIPAA-compliant confidentiality for patient and financial information.