Microsoft Office
Justin Casilla
Miami
Summary
Organized Clinical Coordinator with excellent scheduling, coordination and documentation talents as part of clinical teams. Skilled at admitting patients, managing patient services, providing thorough reports and ensuring patient satisfaction. Detail and patient-oriented with proficiency in handling emergency situations. Experience overseeing daily operations of high traffic locations. Hardworking and organized individual well-versed in maintaining records, training employees and ordering and receiving inventory. Motivated worker with in-depth knowledge of POS systems.
Overview
10
10
years of professional experience
1
1
Certification
Work History
Clinical Business Operations Representative
University Of Miami Health System
12.2021 - Current
- Followed policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Identified and resolved unauthorized, unsafe or ineffective practices.
- Monitors clinical schedule for providers to ensure accuracy of number and types of appointments
- Responsible for triaging all patient related calls for physicians assigned and documenting accordingly any pertinent information.
- Submit requests as needed for any authorizations/referrals for these follow up appointments and procedures
- Utilized computer programs to create invoices, letters and other documents.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Reconciled statements with patient records.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Trained new staff on filing, phone etiquette and other office duties.
Patient Access Representative
University Of Miami Health System
11.2020 - 12.2021
- Secured patient information and confidential medical records in compliance with HIPAA privacy rule standards to protect patient's privacy.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Performed patient scheduling and registration functions to serve as initial contact point for medical office visits.
- Obtained patient's insurance information and determined eligibility for benefits for specific services rendered.
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
Supervisor
Starbucks
10.2019 - 11.2020
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Handled customer complaints, resolved issues and adjusted policies to meet changing needs.
- Maintained compliance with company policies, objectives and communication goals.
- Identified individual employee's unique work styles and adapted management methods.
- Conducted routine inspections of incoming materials to check quality and compliance with established product specifications.
- Created wide variety of hot and cold drinks in average shifts with consistently positive customer satisfaction scores.
- Maintained database systems to track and analyze operational data.
- Maintained and operated espresso machines, blenders, commercial coffee brewers, coffee pots and other equipment.
- Trained new team members with positive reinforcement and respectful, encouraging coaching.
- Trained team members on cash register operation and cash handling.
Server
Bella Terra Assisted Living
10.2014 - 06.2015
- Cultivated warm relationships with regular customers.
- Explained menu items and suggested appropriate options for food allergy concerns.
- Bussed and reset tables to keep dining room and work areas clean.
- Arranged and prepared tables for customers to offer memorable experiences to guests and foster repeat business.
- Kept register accurate through correct billing, payment processing and cash management practices.
- Applied comprehensive knowledge of wine, cider and beer to increase daily beverage sales.
Education
BBA - Business Administration
SUNY Buffalo State
Buffalo, NYHigh School Diploma -
Jackson Liberty High School
Jackson, NJ06.2015
Skills
- Case Management
- Patient Records Administration
- Clinical Data Collection
- Clinical Quality Improvement
- Managing Patient Cases
- HIPAA Compliance
- Unit Leadership
- Store Opening and Closing
- Credit Card Transaction Processing
- Proper Storage Procedures
- Restaurant Operation
- Food and Beverage Operations
Accomplishments
- Provided administrative support and carried out various tasks for the staff.
- Handled patient registration and maintained up-to-date patient records.
- Assisted with staff projects and initiatives, fostered client relationships, and developed new systems.
- Ensured customer satisfaction by managing phone calls, scheduling patient appointments, and organizing patient files in accordance with company policies; consistently surpassed customer expectations by effectively addressing patient needs.
- Demonstrated efficiency and organization in coordinating patient care in a busy primary care practice that offered a range of appointment types.
Certification
Certified Interpreter
- Spanish, LanguageLine Solutions- Sept 2023
Software
Hyperdrive EPIC
Microsoft Teams
Availity- Referrals
Timeline
Clinical Business Operations Representative
University Of Miami Health System
12.2021 - Current
Patient Access Representative
University Of Miami Health System
11.2020 - 12.2021
Supervisor
Starbucks
10.2019 - 11.2020
Server
Bella Terra Assisted Living
10.2014 - 06.2015
High School Diploma -
Jackson Liberty High School
BBA - Business Administration
SUNY Buffalo State