Annette Castner
Bloomingdale
Summary
Dynamic Billing Specialist with expertise in medical billing and insurance verification at Healthways Inc. Proven track record in reconciling patient accounts and enhancing operational efficiency. Adept at providing exceptional customer service while managing high-volume inquiries. Strong knowledge of billing systems and a commitment to HIPAA compliance ensure accurate financial records.
Overview
12
12
years of professional experience
Work History
Billing Specialist
Healthways Inc
Weirton, WV
09.2025 - Current
- Processed billing transactions accurately and efficiently using advanced billing software.
- Reconciled discrepancies in patient accounts to ensure accurate financial records.
- Assisted in the development of billing policies to enhance operational efficiency.
- Responded to inquiries regarding billing issues, providing excellent customer service support.
Prior Authorization Specialist
Healthways Inc
Weirton, WV
09.2025 - Current
- Assisted in processing prior authorization requests for medical services and procedures.
- Maintained accurate documentation in electronic health records and claims management systems.
- Collaborated with healthcare providers to gather necessary information for authorization approvals.
- Reviewed patient insurance benefits to determine eligibility for required services.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Researched denied claims and contacted insurance companies to resolve these issues.
- Managed a high volume of incoming calls, maintaining professionalism while effectively addressing the needs of callers seeking assistance with prior authorizations.
Prior Authorization Specialist
UPMC
Steubenville, OH
05.2024 - 09.2025
- Supported team members by sharing knowledge of authorization protocols and procedures.
- Communicated effectively with patients regarding authorization status and next steps.
- Participated in training sessions to enhance understanding of healthcare compliance regulations.
- Adapted quickly to changes in policies and procedures affecting prior authorizations.
Front Office Assistant
UPMC
Steubenville, OH
12.2017 - 05.2024
- Managed patient scheduling, ensuring optimal use of resources and timely appointments.
- Coordinated communication between departments, enhancing information flow and operational efficiency.
- Maintained accurate patient records using electronic health record systems, improving data integrity.
- Assisted in onboarding new staff, providing training on office protocols and procedures.
Medical Assistant
UPMC
Steubenville, OH
12.2014 - 12.2017
- Administered patient care tasks, including vital sign measurement and specimen collection.
- Assisted healthcare providers in clinical procedures, ensuring patient comfort and safety.
- Managed electronic health records, maintaining accurate and up-to-date patient information.
- Coordinated patient appointments, optimizing scheduling for efficiency and accessibility.
Education
No Degree - Banking And Finance
Jefferson Technical College
Steubenville, OHCertificate - Phlebotomy
Jefferson Community College
Steubenville, OHHigh School Diploma - College Preparatory
Wintersville High School
Wintersville, Ohio Certificate - Medical Assisting
Jefferson Technical College
Steubenville, OHSkills
- Billing systems and software
- Insurance verification
- Invoice processing
- Customer service
- HIPAA compliance
- Account reconciliation
- Claim submission
- Payment posting
- Medical billing expertise
- Patient account management
- Medical coding
- Patient scheduling
- Medical terminology knowledge
- Vital signs monitoring
- EMR / EHR
- Direct patient care
- Clinical documentation
- Phlebotomy
- Procedure assistance
- Electronic medical records
- CPR
- Specimens collection and processing
- Patient assessments
- Professionalism and ethics
- Patient care coordination
- First aid
- Medical office administration
- Payment collection
- Medical billing and coding
- Medical billing
- Insurance claims
- Insurance authorizations
Timeline
Billing Specialist
Healthways Inc
09.2025 - Current
Prior Authorization Specialist
Healthways Inc
09.2025 - Current
Prior Authorization Specialist
UPMC
05.2024 - 09.2025
Front Office Assistant
UPMC
12.2017 - 05.2024
Medical Assistant
UPMC
12.2014 - 12.2017
No Degree - Banking And Finance
Jefferson Technical College
Certificate - Phlebotomy
Jefferson Community College
High School Diploma - College Preparatory
Wintersville High School
Certificate - Medical Assisting
Jefferson Technical College