Gina Castellano
Honolulu,HI
Summary
Dynamic Medical Billing and Insurance Verification Specialist with a proven track record at SMA Billing Solutions and Eye Surgery Center of HI. Expert in HIPAA compliance, claim submission, and insurance verification, enhancing patient satisfaction and payment posting processes.
Overview
11
11
years of professional experience
Work History
Medical Billing Specialist
SMA Billing Solutions
07.2019 - Current
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Communicated effectively and extensively with other departments to resolve claims issues.
- Located errors and promptly refiled rejected claims.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Identified and resolved patient billing and payment issues.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
- Managed patient accounts effectively, resolving discrepancies and addressing outstanding balances in a timely manner.
Dishwasher/Fresh Pack
Wholefoods Market
03.2023 - 12.2024
- Kept kitchen areas neat and clean by removing trash and organizing supplies.
- Kept work area clean, dry, and free of debris to prevent incidents and accidents.
- Kept dishes, utensils and glassware clean and rotated following safety standards set by restaurant.
- Completed extra cleaning work on garbage cans, racks, dry storage areas, and other fixtures to keep kitchen spotless.
Dishwasher
1938 Endochine
01.2022 - 12.2022
- Kept kitchen areas neat and clean by removing trash and organizing supplies.
- Kept work area clean, dry, and free of debris to prevent incidents and accidents.
- Kept dishes, utensils and glassware clean and rotated following safety standards set by restaurant.
Insurance Verification Specialist
Eye Surgery Center of HI
10.2013 - 07.2019
- Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Updated patient records with accurate, current insurance policy information.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
Education
None - Liberal Arts
Leeward Community College
Pearl City, HIReceptionist Certificate - Receptionist
Cannon’s Business College
Honolulu, HI06.1982
High School Diploma - Liberal Arts
Waianae High School
Waianae, HI06.1980
Skills
- HIPAA compliance
- Payment posting
- Claim submission
- Insurance verification
- Patient billing
- CPT knowledge
- Denial management
- Medicare and medicaid process
- Akamai software applications proficiency
- Quality-oriented team player
- Data entry
- Insurance claims processing
- Customer service
- Electronic claims
- Knowledgeable in Epic Software
- Clerical support
- 45 WPM
- Account follow-up
Timeline
Dishwasher/Fresh Pack
Wholefoods Market
03.2023 - 12.2024
Dishwasher
1938 Endochine
01.2022 - 12.2022
Medical Billing Specialist
SMA Billing Solutions
07.2019 - Current
Insurance Verification Specialist
Eye Surgery Center of HI
10.2013 - 07.2019
None - Liberal Arts
Leeward Community College
Receptionist Certificate - Receptionist
Cannon’s Business College
High School Diploma - Liberal Arts
Waianae High School
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