Summary
Overview
Work History
Education
Skills
Timeline
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Maria Victoria De-Castro

Oxon Hill,Maryland

Summary

Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.

Overview

33
33
years of professional experience

Work History

Insurance Verification Specialist

Not For Profit Hospital Corporation dba United Medical Center
07.2004 - 04.2025
  • Obtain quality patient demographic and billing information
  • Update necessary changes in individual insurance coverage and notifies patient of deductible and coinsurance
  • Researching and resolving account with discrepancies.
  • Verification of insurance benefit, securing pre-authorization from HMO and PPO insurance company
  • Admit/register emergency room patients into Meditech system
  • Set up payment plans and advice patients regarding payment options
  • Assess patient's liability and link to available funding sources such as Medicaid
  • Attain pre-certification and pre-authorization for admitted patient
  • Collect co-pays, deductible and out of pocket costs for services rendered
  • Research all Self Pay patients for possible assistant.
  • Counsel patient with financial options available to assist with payment
  • Manage heavy inbound and outbound calls from physician's office and/or insurance carriers
  • Supervise and Co-ordinate daily function with DECO Agency in relation with Medicaid application and/or Financial Assistance Application for Charity write-off.
  • Ensured compliance with HIPAA regulations while managing sensitive patient information during the verification process.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Updated patient records with accurate, current insurance policy information.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Collaborated with team members to resolve discrepancies in insurance verification, ensuring proper billing practices.
  • Demonstrated a high level of professionalism and attention to detail in all aspects of insurance verification specialist role, consistently exceeding performance expectations.
  • Achieved insurance pre-authorizations to enable timely patient procedures.
  • Developed strong relationships with insurance representatives, facilitating smooth communication channels for resolving inquiries or disputes.
  • Expedited patient registration process by efficiently validating eligibility for various insurance plans.
  • Reduced errors in billing by accurately maintaining patient records with updated insurance information.
  • Coordinated with care teams across various departments to ensure seamless integration of verified coverage information into overall treatment planning.
  • Supported timely claims processing by submitting accurate and complete documentation to insurance companies.
  • Improved claim submission times by streamlining verification and authorization process.
  • Obtained payments from patients and scanned identification and insurance cards.

ER Patient Access Registration Officer

Greater Southeast Hospital
06.1992 - 07.2004
  • Admit/register emergency room patients to the hospital
  • Administered registration of patient and passed on information to required hospital departments.
  • Verify billing information to facilitate accurate claims processing
  • Managed to request and collect cash from patient according to policy And procedures by informing them of their payment options
  • Conduct patient interview, explain hospital policies and patient bill of rights
  • Adhered to organizational and departmental specific safety Standards and guidelines
  • Ensure that prior certification and/or authorization is obtained to meet Payer protocol
  • Enter daily charges for claim processing
  • Closing daily payment batch
  • Answer heavy volume of in-coming calls
  • Enhanced data accuracy by meticulously reviewing and verifying submitted documents during the registration process.
  • Improved customer satisfaction with timely and accurate registration services, addressing inquiries professionally.

Education

High School Diploma -

OXON HILL SENIOR HIGH SCHOOL
Oxon Hill, MD
05-1980

Skills

  • Teamwork and collaboration
  • Customer service
  • Problem-solving
  • Time management
  • Dependable and responsible
  • Attention to detail
  • Organizational skills
  • Active listening

Timeline

Insurance Verification Specialist

Not For Profit Hospital Corporation dba United Medical Center
07.2004 - 04.2025

ER Patient Access Registration Officer

Greater Southeast Hospital
06.1992 - 07.2004

High School Diploma -

OXON HILL SENIOR HIGH SCHOOL

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