Amanda Castillo

• Expertly managed planning, scheduling and coordination of outpatient procedures in Hospital setting.
• Educated patients about surgeries and provided treatment plan documentation.
• Verified insurance coverage and obtained pre-authorizations.
• Answered telephone calls to offer office information, answer questions and direct calls to staff.
• Received, recorded and addressed incoming and outgoing communication via telephone and email.
• Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
• Answered phone calls and messages for 7 Oral Surgeons at VCU medical facility, scheduling appointments and handling patient inquiries.
• Completed administrative patient intakes with case histories, insurance information and mandated forms.
• Prepare meetings for attendings with insurance companies for “peer to peer” when needed more

information for denials.

• Audited charts for claim denials and submitted supported documents for reconsideration.
• Meet weekly with attendings to review and discuss the OR schedule.
• Coordinated with patient's employment for FMLA.
• Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
• Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
• Placed new supply orders, managed inventory and restocked clerical spaces.
• Managed office logistics by scheduling appointments, maintaining files and collecting payments.

• Filed and tracked insurance claims and communicated claims status to patients.
• Verified insurance and communicated coverage to staff and patients.
• Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
• Obtained prior authorization and precertification for outpatient procedures.
• Coordinated with contracting department to resolve payer issues.
• Achieved revenue goals by managing collections and accounts receivables, referral process and insurance billing.
• Carried out administrative tasks by communicating with clients, distributing mail and scanning documents.
• Verified client information by analyzing existing evidence on file.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures.
• Made contact with insurance carriers to discuss policies and individual patient benefits.
• Assured timely verification of insurance benefits prior to patient procedures or appointments.
• Posted payments to accounts and maintained records.
• Prepared insurance claim forms or related documents and reviewed for completeness.
• Communicated effectively with staff members of operations, finance and clinical departments.
• Prepared insurance claims for submission to clearinghouses or insurance companies
• Trained Front desk staff on current medicaid and medicare regulations and guidelines

• Used axium to schedule, cancel and confirm appointments
• Directed telephone calls to appropriate parties
• Assessed customer needs and responded to customer emails and calls
• Maintained office supplies inventory by checking stock and ordering new supplies as needed
• Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
• Adhered to company policies and scripts to consistently achieve call-time and quality standards.
• Achieved high satisfaction rating through proactive one-call resolutions of customer issues.
• Learned and maintained in-depth understanding of product information, providing knowledgeable responses to diverse questions.
• Educated customers on company systems, form completion and access to services.

• Researched billing issues, scheduled appointments and verified insurance coverage.
• Submitted Orthodontic claims electronically daily.
• Performed in team leader capacity and organized all treatment and placement activities.
• Explained treatment choices to patients and helped determine best options.
• Laid out potential payment plans for patients.
• Educated patients on dental benefits and coordinated proper payment with insurance companies.
• Resolved problems with communication and billing to foster seamless services.

• Verified insurance eligibility for patients
• Registered patients effectively and efficiently
• Collaborate closely with nurses & providers to process & obtain medication prior authorizations as well as referrals
• Electronically filing correspondence & labs
• Collecting patient information to implement procedures to initiate medical records.
• Acted as main point of contact for patients, doctors and hospital staff by closely reviewing medical charts and maintaining high levels of communication.
• Worked closely with patients to deliver excellent and direct individualized patient care.
• Maintained strong knowledge of basic medical terminology to better understand services and procedures.

• Worked with businesses and community partners to gain more memberships throughout the tri-states
• Worked with the membership department to obtain an increase of more than 25% assisting “outbound calls”
• Promoting new advantages, current deals, and awareness of the three memberships of Sam's Club
• Prepared, organized and executed meetings that were needed to help maintain the work flow.
• Engaged in professional networking to maintain strong relationships with communications and media professionals to drive partnerships and effective dissemination of mass communications.

• Calibrated orders for the following day
• Pulled inventory for requested orders in timely manner
• Notified members of items that were out of stock
• Provided invoices for business members
• Coordinated with receiving clerks/overnight crew in regards to the inventory that was coming in & out of the docks.
• Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
• Investigated and resolved customer inquiries and complaints quickly.
• Responded proactively and positively to rapid change.
• Delivered prompt service to prioritize customer needs.

• Registered patients effectively and efficiently
• Knowledge of major medical & vision insurance as well as obtaining medical referrals from physicians
• Worked close in hand with billing to make sure charges are being billed accurately, & providing exceptional customer service to both insurance companies and patients.
• Reviewed each step of patient care and made proactive adjustments to avert issues.
• Screened patients for financial assistance and aided in preparing required funding documents.
• Monitored ongoing care and proactively corrected problems.

• Provided customer service for Business members & prepared tobacco orders
• Used POS system to enter orders, process payments and issue receipts.
• Performed cash, card and check transactions to complete customer purchases.
• Created invoices for convenient store owners for large purchases
• Provided accurate daily deposits/transactions
• Kept track of inventory & purged expired tobacco items
• Followed weekly planogram for new book inventory
• Ran reports weekly for RTVs (return to vendor) to make room for new inventory & Boxed RTVs and processed items out of system.
• Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.