Summary
Overview
Work History
Education
Skills
Languages
Timeline
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Dulce Maria Castillo

Downey,CA

Summary

Self-motivated Insurance Verification Specialist proudly offering over 5 years' experience building an understanding of medical terminology while tracking patient coverage. A poised professional with benefits explanation and administration expertise. Offering time management and interpersonal skills. Demonstrated knowledge of admissions, insurance verification and authorization processes in hospital and medical office settings.

Overview

12
12
years of professional experience

Work History

Insurance Verification Specialist

Community Hospital of Huntington Park
Huntington Park, CA
07.2021 - Current
  • Verified that patients had proper insurance coverage prior to procedures or appointment scheduling.
  • Determined estimated self-pay portion by calculating charges, co-insurance and deductibles.
  • Managed front office customer service, appointment management, billing and administration tasks to streamline workflow.
  • Verified patient eligibility for insurance coverage by contacting insurance carriers and obtaining the necessary authorization numbers.
  • Maintained accurate documentation on all pre-authorization requests, denials and appeals.
  • Developed a working knowledge of insurance plans, including Medicare and Medicaid regulations and requirements.
  • Provided timely follow up with payers regarding payment status of claims.
  • Identified discrepancies in patient's insurance coverage or benefits, ensuring accuracy of data entered into system.

Front Desk Receptionist

Dr Lawrence Hodor (Podiatry)
Lakewood, CA
09.2017 - 01.2020
  • Greeted and checked in patients, collected necessary paperwork, and updated patient information.
  • Verified insurance coverage and obtained authorizations for services.
  • Answered phone calls, responded to inquiries, scheduled appointments, and managed calendars.
  • Collected co-pays and payments from patients.
  • Prepared patient charts with demographic data prior to each visit.
  • Ensured medical records were properly filed according to established protocols.
  • Scanned documents into electronic health record system.
  • Ordered supplies for front office area when needed.
  • Greeted patients and visitors with welcoming, warm demeanor to create comfortable environment.
  • Scheduled appointments for patients via phone and in person.
  • Relayed messages from patients to physicians about concerns, condition updates or refill requests to facilitate treatment.

Front Desk Receptionist

Los Angeles Eye Center & Clinic (Optometrist)
Los Angeles, CA
03.2015 - 09.2017
  • Greeted customers warmly and made them feel welcome.
  • Answered incoming calls, redirected callers to the appropriate personnel or department and took messages as needed.
  • Assisted with scheduling appointments for clients and visitors.
  • Managed incoming and outgoing mail, courier services, faxes and other correspondence.
  • Identified, evaluated and addressed customer inquiries regarding insurance coverage.
  • Verified insurance coverage to determine eligibility of services and procedures.
  • Adjusted glasses for proper fit according to customer specifications.
  • Scheduled appointments for eye exams, follow-up visits and other associated tasks.

Front/back office medical assistant

Bellflower hospital
01.2013 - 02.2015
  • Charting, rooming patients, chief complaints, and stock rooms, Injections, urinalysis, and glucose test, Appointments, phones, insurance verification and follow up authorizations, Assist physician with sterilization and basic procedures, Communicate with insurance companies, doctors’ offices, and patients to obtain pre- authorizations, Respond to patient questions regarding co-payments, HMO, PPO, and workers compensation coverage

Southern California clinical management
01.2012 - 01.2013
  • Perform routine task suck as taking pulse and respiration rates, temperature and blood pressure, Administer medication including injections of insulin and charting all intake, Observe patients’ physicals, emotional and mental conditions and report and changes., Deal with workers compensation patients, and their medications.

Education

High School Diploma -

Downey High school

Medical Assistant 2011 -

Certificates

Skills

  • Medical Terminology
  • Coverage and Authorizations
  • Documentation and Correspondence
  • Communication and Interpersonal Skills
  • Insurance Coverage Verification
  • Electronic Authorization Processing
  • Customer Service
  • Patient Communication
  • Referral Coordination

Languages

English
Full Professional
Spanish
Full Professional

Timeline

Insurance Verification Specialist

Community Hospital of Huntington Park
07.2021 - Current

Front Desk Receptionist

Dr Lawrence Hodor (Podiatry)
09.2017 - 01.2020

Front Desk Receptionist

Los Angeles Eye Center & Clinic (Optometrist)
03.2015 - 09.2017

Front/back office medical assistant

Bellflower hospital
01.2013 - 02.2015

Southern California clinical management
01.2012 - 01.2013

High School Diploma -

Downey High school

Medical Assistant 2011 -

Certificates

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Dulce Maria Castillo