Lisa Castellucci
Warwick,FL
Summary
Analytically proficient healthcare professional with 15 years of experience in administrative and financial roles. Reliable, organizational, problem-solver with advanced customer relations, supervisory, and team building skills. Experience stepping into roles and quickly making positive changes to drive company success. Dedicated to working closely with all levels of management and staff to fulfill the mission of the organization.
Overview
8
8
years of professional experience
Work History
Referral Coordinator
CharterCARE Health Partners
12.2022 - 03.2024
- Collaborated with medical staff to process appropriate referral requests from patients, doctors and other health care professionals based on individual patient needs and insurance coverage.
- Developed comprehensive knowledge of insurance requirements, advocating for patients when necessary to secure approval for needed services. Responded to patient inquires to offer timely updates regarding referral status.
- Kept healthcare providers informed of referral status updates, promoting optimal continuity of care throughout referral process.
- Called insurance companies for benefits information on behalf of patients.
- Developed and maintained strong working relationship with referral sources to streamline processing.
Payment Reconciliation/Office Manager
Narragansett Foot & Ankle Center
03.2019 - 03.2024
- Reconcile weekly insurance and patient payments.
- Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
- Trained and mentored administrative staff members on company policies, daily tasks execution and industry best practices in regards to Medicare guidelines and HIPPA compliance.
- Monitored payments due from patients and promptly contacted patients with past due payments.
- Coordinated efforts to obtain prior authorizations for diagnostic imaging and referrals.
- Managed, scheduled and coordinated surgical schedules.
- Expertly performed insurance verification, billing, and claim processing to meet industry best practices.
Lead MRI Authorization Specialist
Orthopedics Rhode Island
05.2021 - 04.2022
- Developed thorough knowledge of MRI authorization process and wrote Departmental Policies and Procedures Operational Manual.
- Managed departmental staff, which included conducting interviews, performing on-boarding, preparing and conducting quartering coaching conversations. Initiated corrective action plans when necessary.
- Monitored MRI queue and appointment schedules to ensure that staff was adhering to company best practices.
- Responded to patient inquiries and concerns and, when necessary, escalated complex problems to department supervisors.
Billing Manager
Knightsville Internal Medicine
09.2016 - 03.2019
- Resolved billing issues by applying knowledge and completing in-depth research.
- Conducted insurance verification, coded procedures, submitted billing, and performed payment reconciliation.
- Helped patients to implement payment plans.
- Liaison between office and various insurance companies in regards to coordinating Meaningful Use Program
- Coordinated preparation of external audit materials and external financial reporting
Education
Bachelor of Arts - Marketing
Bryant University
Smithfield, RISkills
- Managerial Aptitude
- Team Building
- Teamwork and Collaboration
- Customer Relations
- Communications
- Proficient in Information Gathering
- Detailed-Oriented
- Knowledgeable in Referrals and Prior Authorizations
Timeline
Referral Coordinator
CharterCARE Health Partners
12.2022 - 03.2024
Lead MRI Authorization Specialist
Orthopedics Rhode Island
05.2021 - 04.2022
Payment Reconciliation/Office Manager
Narragansett Foot & Ankle Center
03.2019 - 03.2024
Billing Manager
Knightsville Internal Medicine
09.2016 - 03.2019
Bachelor of Arts - Marketing
Bryant University
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