ELSA CASTILLEJA
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Reliable Prior Authorization Specialist with over 20 years of experience working in fast-paced. Clinical environments. Bilingual professional with skill in prior authorization for patients, finding solutions to issues and tackling work tasks in busy office.
Overview
22
22
years of professional experience
Work History
Patient Services Coordinator
OrthoTexas
04.2012 - Current
- Verified insurance coverage and benefits and communicated directly with patient for timely scheduling of clinic appointment and surgery procedure.
- Tracked pending authorizations to resolve discrepancies and avoid revenue loss.
- Ensured timely insurance verifications and authorizations, preventing delays in scheduled procedures.
- Processed eligibility and benefits verification and authorization requests.
- Communicated effectively with members of operations, finance and clinical departments.
- Researched and resolved routine and complex issues.
- Responded to correspondence from insurance companies.
- Contact patient with surgery estimates.
- Collect payments and issued receipts.
- Coordinated with facilities to set up procedures.
Radiology Scheduler
Plano Radiology
01.2007 - 06.2008
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Coordinated special accommodations for patients with specific needs or requests, ensuring their comfort during appointments.
- Answered phone calls, scheduling appointments, and handling patient inquiries.
Patient Services Coordinator
Metrocrest Orthopedics
08.2001 - 03.2006
- Verified insurance coverage and obtained pre-authorizations.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
- Collaborated with healthcare providers to obtain necessary documentation for prior authorization requests.
- Coordinated with facilities to set up surgeries.
- Collect payments for surgeries.
Education
High School Diploma -
Lewisville High School
Lewisville, TX05.2001
Skills
- Healthcare Systems Knowledge
- Insurance Verification
- Multitasking Abilities
- Conflict Resolution
- Prior Authorization Processing
- Understanding of Insurance Details
- Teamwork and Collaboration
Languages
Spanish
Native or Bilingual
Timeline
Patient Services Coordinator
OrthoTexas
04.2012 - Current
Radiology Scheduler
Plano Radiology
01.2007 - 06.2008
Patient Services Coordinator
Metrocrest Orthopedics
08.2001 - 03.2006
High School Diploma -
Lewisville High School
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