Karen Castillo
Austin,Texas
Overview
32
32
years of professional experience
Work History
CLERK-GS-05/02
Internal Revenue Service
01.2024 - Current
- Back—-up-Clerk lead- Distributes and balances the workload among employees in accordance with established work flow or job specialization, assures timely accomplishment of the assigned workload, and assures that each employee has enough work to keep busy; keep in touch with the status and progress of work, and make adjustments in accordance with established priorities, obtaining assistance from the supervisor on problems that may arise; Estimates and reports on expected time of completion or work and maintains records of work accomplishments and time expended and prepare production reported as requested; Instructs employees in specific tasks and job techniques and make available written instructions, reference materials and supplies; gives on the job training to new employees in accordance with established procedures and practices; Maintains current knowledge and answer questions of other employees on procedures, policies, directives, etc. And obtains information or decisions form supervisor on problems that come up; Checks on work in progress or spot checks work not requiring reviews and reviews completed work to see that supervisor’s instructions on work sequence, procedures, methods, and deadlines have been met. Identifies errors and amends or rejects work not meeting established standards, Completes quality reviews documentation.
- Performs a variety of administrative tasks using an automated system which involves assigning, maintaining, monitoring, or updating work status and inventory records; ordering research; acknowledging correspondence; maintaining, updating, and initiating personnel records; timekeeping; and performing other support activity. Identifies and reviews Forms W-2 attached to Forms 1040EZ and 1040PC for conditions meeting criminal Investigation criteria and code the returns appropriately. Prepares and maintains regular production/ inventory reports/ attendance records using established formats and sources of data applicable to the program. Functional, or organizational reporting requirements. Prepares special reports as directed. Reviews documents for specific requirements necessary for processing. Processes current year and/ or prior year individual and/ or business returns and related information. Periodically reviews filed material in the light of ongoing programs or special projects and determines if such material should be consolidated, have new classifications, be retired, etc.
- Performs various clerical duties such as maintaining records, extracting, sorting, numbering, batching and filing tax returns and related correspondence. Receive, open, sort and distribute both incoming and outgoing mail. Screened documents, forms, and the letters addressed or routed to various offices. Reviewed and processed outgoing mail. Maintained appropriate records and/ or logs for tracking and reconciliation purposes. Conducted searches and other follow up actions on delayed shipments. Examined file materials to identify or information from records to meet the needs of users. Periodically reviewed filed materials in the light of ongoing programs or special projects. Provided technical support of customers who need advice, assistance, and training in applying hardware and software systems; provided technical support and expertise in resolving the most complex customer problems.
- Clerk-
Billing Resolution Specialist
Tenderheart Health Outcomes/Longhorn Health Solution
11.2017 - Current
- Investigating & resolving claim denials.
- Maintaining detailed notes and records.
- Responding to and completing appeals for low payments, denials, medical necessity denials.
- Fulfilling Medical Records requests.
- Data input
- Communicating internally and with external customers to ensure timely review / resolution.
- Identifying trends and/or root cause of issues, propose potential solutions to management.
- Evaluating appeal details and proposing recommendations based on findings.
- Maintaining strict confidentiality and adhere to all HIPAA guidelines and regulations.
- Other duties as assigned by management.
- Primary Responsibilities:
Data Entry/Clerical Operations
Parson Corporation -Contractor
10.2022 - 09.2023
- Scripts
- Wall Pulls
- ERS Suspense pulls
- Mail Backs
- IRS Austin TX
Sales Associate
Circle-K
07.2022 - 11.2022
- Provide prompt, efficient and courteous customer service
- Maintain a clean, customer friendly environment in the store
- Ring customer sales on an electronic cash register
- Receive cash from customers and give correct change
- Perform all regular cleaning activities and other tasks that are included on job assignments
- Forecast, order and stock merchandise (with appropriate training).
Sales Associate
7-11
09.2016 - 05.2022
- Provide prompt, efficient and courteous customer service
- Maintain a clean, customer friendly environment in the store
- Ring customer sales on an electronic cash register
- Receive cash from customers and give correct change
- Perform all regular cleaning activities and other tasks that are included on job assignments
- Forecast, order and stock merchandise (with appropriate training).
FirstCare Health Plans
02.2011 - 05.2016
Billing Collection Specialist
Seton/Medorizon/Mysis HCS
09.2000 - 02.2005
- Responsible for the oversight of billing including all functions necessary for the timely filing of insurance claims and subsequent collections of all monies due because of claims submission.
Insurance Specialist
Financial Corporation of America
05.1998 - 07.1999
- Worked directly with senior management, the bankruptcy court, insurance companies, debtors, creditors committee and individuals creditors to collect monies owed to hospitals and surgical centers via phone and written correspondence.
Claims Processor/Analyst
PCA Health Plans of Texas
01.1996 - 10.1997
- Responsible for the processing of medical claims, radiology, physical therapy, occupational therapy and outpatient hospital claims.
Claims Processor/Data entry
MetLife Insurance Company
06.1993 - 08.1995
- Processed thousands of medical claims submitted by providers in accordance with policy and provisions, state mandated regulations and company procedures.
Skills
- Telephone etiquette
- Customer satisfaction
- Cash handling
- Cash management
Timeline
CLERK-GS-05/02
Internal Revenue Service
01.2024 - Current
Data Entry/Clerical Operations
Parson Corporation -Contractor
10.2022 - 09.2023
Sales Associate
Circle-K
07.2022 - 11.2022
Billing Resolution Specialist
Tenderheart Health Outcomes/Longhorn Health Solution
11.2017 - Current
Sales Associate
7-11
09.2016 - 05.2022
FirstCare Health Plans
02.2011 - 05.2016
Billing Collection Specialist
Seton/Medorizon/Mysis HCS
09.2000 - 02.2005
Insurance Specialist
Financial Corporation of America
05.1998 - 07.1999
Claims Processor/Analyst
PCA Health Plans of Texas
01.1996 - 10.1997
Claims Processor/Data entry
MetLife Insurance Company
06.1993 - 08.1995
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