JOHANNA CASTRO-PARRA
Horizon Infusions
Grand Rapids,MI
2
Languages
13
years of professional experience
Healthcare professional prepared for the role with strong background in managing prior authorizations and fostering positive relationships with healthcare providers and insurance companies. Known for collaborative approach and consistently achieving results despite changing needs. Proficient in medical coding, insurance guidelines, and effective communication.
Work History
Prior Authorization Specialist
2 Years- Ensured compliance with HIPAA standards when handling protected health information.
- Resolved complex billing issues, including denials and coding errors, to expedite payment processes.
- Developed strong organizational skills to efficiently manage patient accounts and maintain accurate records.
- Reviewed prior authorization requests for medical necessity and payer compliance.
- Coordinated with physicians, payers, and patients to resolve authorization requirements.
- Interpreted benefit coverage, referral rules, and authorization guidelines accurately.
- Tracked pending requests and escalated urgent cases to prevent care delays.
Prior Authorization Specialist
5 Years 1 Month- Verified insurance coverage and eligibility prior to appointments and procedures.
- Verified insurance coverage and eligibility to ensure seamless patient access to appointments and procedures.
- Reviewed patient deductibles and copays for accurate billing and entered details into system.
- Resolved eligibility and coverage issues identified by billing staff to facilitate timely claim processing.
- Reviewed patient deductibles and copays and entered into billing system.
- Verified insurance eligibility and infusion coverage, ensuring accurate benefits before treatment authorization.
- Secured prior authorizations by coordinating with payers, physicians, and intake teams.
Office Administrative Assistant
4 Years 3 Months- Managed calendars, meetings, and travel coordination for executive and departmental schedules.
- Prepared correspondence, reports, and presentations with strict accuracy and consistent formatting.
- Resolved scheduling conflicts and handled administrative requests with professionalism and discretion.
- Coordinated vendor communications, supply orders, and office inventory tracking.
- Maintained confidential records, databases, and internal documentation in compliance with policy.
- Trained new staff on office systems, filing standards, and daily administrative processes.
Retention Customer Service Representative
1 Year 11 Months- Negotiated package adjustments and promotional offers to reduce churn and preserve customer subscriptions.
- Resolved inbound retention calls by addressing billing concerns and service issues with clear, accurate account information.
- Explained internet, TV, and voice service options to support informed renewal and save decisions.
- Documented customer interactions, service requests, and resolution details in CRM systems with careful accuracy.
- Processed account changes, transfers, and order updates while following company guidelines and service policies.
Education
High School Diploma
Skills
Prior authorization process
HIPAA compliance
Healthcare regulations
Medical billing
Medical terminology
Insurance negotiation
Benefit clarification
Strong organizationpeals handling
Patient care
Data entry
Data entry
Follow-up management
Collections management
Administrative support
Patient communication
Patient communication
LANGUAGES
English - Bilingual
Spanish - Native
Timeline
Prior Authorization Specialist
Horizon Infusions
10.2024 - CurrentRead More
Prior Authorization Specialist
Infusions Associate's
09.2019 - 10.2024Read More
Office Administrative Assistant
Cherry Health
06.2015 - 09.2019Read More
Retention Customer Service Representative
Charter Spectrum Communications
07.2013 - 06.2015Read More
Godwin Heights
High School Diploma
Read More