Doris Lozo Email & Phone Number

Lexington, Ky, Us

United States

•Conducts calls to patients/parents to support closure of HEDIS gaps in care.• Identify and evaluate health education services within the community.• Ensures maintenance of programs for members in accordance with prescribed quality standards.•Conducts data collection, reporting and monitoring for key performance measurement activities.• Implements key quality strategies focused on initiation and management of member interventions.

•Oversee member communications, resolving issues, and gathering feedback to continuously improve the member experience•Motivate, encourage, and help our users navigate through their programs and meet their goals successfully•Respond to incoming requests from customers and own their journey from start to finish•Communicate effectively and engage with the team via Slack channels•Work with Product and Engineering teams to define technology improvements to make our teams more efficient

Lexington, Kentucky, United States

● Perform analytical and data entry task● Answer patient calls, emails and questions● Schedule patient visits and answer pre-visit questions, including billing● Ensure compliance with professional standards & regulatory requirements● Discuss cost of service, insurance coverage, and payment with the patient● Work as a team player to ensure each patient receives the best service● Manage administrative intake of members.● Work with hospitals, clinics, facilities and the clinical team to manage requests for services from members and/or providers.● Process incoming and outgoing referrals, and prior authorizations● Handle resolution/inquiries from members and/or providers.

Lexington, Kentucky, United States

•Managed the patient registration process, enhancing workflow efficiency and maintaining high standards for patient confidentiality•Trained and supervised registration staff, focusing on the delivery of exceptional customer service and resolution of patient complaints promptly•Monitored registration metrics to identify improvement opportunities, and developed policies and procedures to optimize patient care coordination

Lexington, Kentucky, United States

● Organizes patient documentation in advance of claim preparation● Notifies reimbursement team of missing documentation● Monitors unbilled claims for missing documentation● Responsible for coordinating patient benefit reauthorization process● Performs routine clerical duties as needed in the department● Processes incoming and outgoing referrals, and prior authorizations● Verifies patients insurance● Collects copays

Lexington, Kentucky, United States

● Organizing digital and paper records that they receive from diagnostic● Assists labs, doctors, or patients filling out forms● Ensuring that patients’ medical records are accurate and complete● Managing and maintaining databases● Ensuring the confidentiality of sensitive patient information● Converting written documentation to electronic form for statistical and insurance billing purposes● Recording electronic data for storage, retrieval, analysis, and reporting

Williston, Nd

● Assist the General Manager in day to day operations● Administrative duties related to Payroll, AP and Human Resources● Provides training to staff● Receives and resolved guest complaints and service recovery process● Maintains accurate records including cash flows sheet, guest floor limits● AR Ageing reports, Direct billing● Ensures property, grounds, physical plant and work areas maintained● Cover shifts is all departments as needed

Medical Coding

Associate Of Applied Sciences, Dental Hygiene

High School Diploma