Lisette Caillo
Brooklyn
Summary
Dedicated Hospital Care Investigator with extensive experience in problem-solving, teamwork, and compliance. Proven ability to analyze patient feedback and streamline processes, resulting in improved service quality and enhanced patient satisfaction. Committed to fostering a positive work environment through constructive communication.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Hospital Care Investigator
South Brooklyn Health Hospital
Brooklyn, NY
03.2025 - Current
- Conducted thorough investigations on patient insurances to ensure compliance with hospital policies.
- Assisted in data collection and analysis for quality improvement initiatives within patient services.
- Collaborated with healthcare teams to identify areas for enhancing insurance protocols.
- Maintained accurate records of investigations, ensuring adherence to regulatory standards and hospital guidelines.
- Maintained structured and timely contact with applicants and government agencies.
- Contributed to a positive work environment by providing constructive feedback to staff members based on investigation findings, promoting professional growth opportunities.
- Reduced complaints by addressing patient concerns, ensuring their needs were met promptly and professionally.
- Strengthened communication between departments through consistent updates on ongoing investigations, facilitating collaborative problem-solving efforts.
- Interviewed applicants and explained scope of different available benefits.
- Reviewed applications for different aid programs and determined which qualification criteria for individuals.
- Followed guidelines when reviewing applicant data to determine eligibility for economic assistance.
- Communicated with people from various cultures and backgrounds on application process.
- Assisted clients with completion of applications and paperwork.
- Screened uninsured hospital patients to determine eligibility for federal, state, and county medical or disability assistance.
- Documented findings and prepared reports on investigations to support management decision-making processes.
Government Specialist
Wyckoff Heights Medical Center
Brooklyn, NY
12.2006 - 03.2025
- Analyzed patient feedback to identify areas for improvement in service quality and responsiveness.
- Conducted regular audits of third party insurances, ensuring compliance with regulatory requirements and internal policies.
- Followed all company policies and procedures to deliver quality work.
- Improved customer satisfaction rates through proactive problem-solving and efficient complaint resolution.
- Collaborated with cross-functional teams to achieve project goals on time and within budget.
- Led quality assurance efforts, maintaining high standards for all timely reimbursements.
- Collected, arranged, and input information into database system.
- Generated reports detailing findings and recommendations.
- Created and managed project plans, timelines and budgets.
- Interacting with supervisors, co-workers and subordinates.
- Interacting with other hospital departments/employees to resolve outstanding payer balances.
Education
High School Diploma -
Washinton Irving High School
New York, NY06-1993
Skills
- Healthcare systems
- Policy interpretation
- Research
- Interviewing techniques
- Teamwork and collaboration
- Customer service
- Problem-solving
- Attention to detail
- Time management
- Effective communication skills
- Problem-solving abilities
- Multitasking
- Excellent communication
- Critical thinking
- Reliability
- Adaptability and flexibility
- Decision-making
- Documentation and paperwork
- Computer proficiency
- Documentation skills
- Task prioritization
- Conflict resolution
- Appointment scheduling
- Professionalism
- Record keeping
- Knowledgeable in EPIC, ePACES, OminPro, Micrsoft Word, excel, MediTech, All Scripts, Outlook
Certification
- Certified Coding Apprentice
Languages
Creole
Native or Bilingual
Timeline
Hospital Care Investigator
South Brooklyn Health Hospital
03.2025 - Current
Government Specialist
Wyckoff Heights Medical Center
12.2006 - 03.2025
High School Diploma -
Washinton Irving High School