Mona Lisa Castello
Conroe,TX
Summary
Administrative professional in the medical/ administrative arena with over 20 years of clerical, billing, coding skills. Looking for a growth oriented position with great job culture and a chance for advancement. Knowledgeable Insurance Representative promoting more than 25 years' expertise successfully working for organizations in the healthcare market. Courteous and cordial with a desire to take on challenges at a new company.
Overview
16
16
years of professional experience
1
1
Certification
Work History
Medical Insurance Specialist/Biller and Coder/ABA Credentialing
Behavioral and Educational Solutions
Silver Spring, MD
11.2022 - Current
- Assisting patients with statements, Medical records retrieval, Collection of payments, Filing and correcting claims, Credentialing new ABA BCBA, occupational therapists, HCPS and analysis skills, Medical billing and coding for ABA facility, Leadership within the department, Posting payments and account reconciliation, Insurance verification, authorizations, recertifications, Scanning medical records, auditing, Excel, Accounts receivable
Medical Insurance Specialist/ Credentialing
Cole ABA Financial Services
Spring, TX
02.2021 - 05.2022
- Billing, coding claims and submitting to insurance companies, worked denials, AR and appeals, assisting with managing teams and acting a team lead when manager was out of office, credentialing new providers, updating CAQH, assisted patients with billing needs, collected payments and many other duties.
Financial Counselor/Biller
USPI Memorial Hermann Surgery Center
The Woodlands, TX
06.2017 - 07.2019
- Register patients for day surgery, Collection of monies for surgery fees, Assisting patients in filling out forms for day surgery, Answering phones and assisting patients with directions etc, Using quick books, credentialing, billing insurance claims, insurance verification, authorizations, precertification, Accounts receivable, Scanning medical records, auditing and Excel and medical records retrieval
Eligibility Specialist (contract Work)
Apex/McKesson Healthcare Corp
The Woodlands, TX
11.2016 - 02.2017
- Collected information from medical charts to determine if patients met certain criteria to be qualified for medical treatments through Medicare, Advocated for cancer patients with Medicare to help them qualify for programs through insurance that would help with quality of life, Collected all data and populated with a spreadsheet to send to insurance companies helping patients get financial assistance with cancer related treatments including drugs, Insurance verification, Insurance authorization, Insurance precertification, Scanning medical records and creating and maintaining Excel spreadsheet and medical records retrieval
Medical Biller/Coder
Emerus Hospital Partners
The Woodlands, TX
04.2015 - 11.2015
- ER coding and billing of emergency room hospital charges, Submitted claims to insurance companies, Worked rejected claims, coordinated meeting with AR accounts, Contacted patients regarding their bills; working with patients to resolve accounts, Worked accounts to bring to current status/Accounts receivable, Insurance authorizations, Insurance reauthorizations, Insurance precertification, Scanning medical records; auditing; medical records retrieval, Maintaining Excel spreadsheet of all accounts, Billed home health
Medical Biller
Houston Center for Infectious Disease
The Woodlands, TX
04.2014 - 04.2015
- Worked rejected claims and troubleshooted to get maximum reimbursement from insurance company, Verification for surgery benefits, Faxing, filing and copying charts, Resolved patient accounts that were in collection/Accounts receivable, Input of daily charges and billed to insurance companies, Credentialed new physicians entering practice, Insurance verification, Insurance authorizations, Insurance precertification, Scanning and auditing medical records and medical records retrieval
Medical Administrative Assistant/Credentialing Specialist
Tomball Regional Medical Center
Tomball, TX
12.2012 - 01.2014
- Managed reception area; including check in and out of patients, greeting patients and visitors, Answering telephone; scheduling appointments, scheduling surgery, Accounts receivable, Designed electronic file systems and maintained paper files, Planned travel arrangements for 10 people, Maintained the front desk area and reception area including cleaning, ordering supplies, Served as a central point for all visitors, Credentialing for several physicians, Insurance verification, authorizations, precertification, Scanning medical records and medical records retrieval
Medical Secretary
Sadler Surgery Center
The Woodlands, TX
07.2011 - 05.2012
- Assisting claims and filing medical claims, Verification of surgery center benefits', Calling patients to go over medical benefits prior to surgery, Assisting patients in filing out appropriate paper work prior to surgery, Scanning, copying, filing, Greeting patients and check in and out, Assisting with co pays/ balances; posting charges and assisting patients with hearing aid needs, Physician coding and billing to insurance companies, Insurance auth and precertification, Scanning and auditing medical records and medical records retrieval
Medical Secretary
Coastal Pulmonary
Toms River, NJ
11.2007 - 11.2010
- Greeting patients and checking them in and out of office, Collecting co pays and balances, Scheduling appointments, Answering phones, Faxing, referrals, test precertification, Ordering supplies, Calling in refills for patients; correspondence in MS Outlook for meetings, Filing, billing, scanning, copying and assisting with Pulmonary Function testing appointments, Insurance verification, authorization and precertification, Scanning medical records, auditing medical records and medical records retrieval
Education
Some College (No Degree) - Medical Billing/Coding
Lonestar Community College
Skills
- Answering (1 year) (10 years)
- Billing (1 year) (10 years)
- Coding (1 year) (10 years)
- Workday (10 years)
- Scheduling (1 year) (10 years)
- Medical Billing (10 years)
- ICD-10 (10 years)
- Applied behavior analysis (2 years)
- Medical terminology (10 years)
- Communication skills (10 years)
- CPT coding (10 years)
- Documentation review (10 years)
- Customer service (10 years)
- Medical Coding (10 years)
- ICD-9 (10 years)
- Analysis Skills (10 years)
- Insurance Verification (10 years)
- Epic (1 year)
- Transcription (2 years)
- Medical Records (10 years)
- Anatomy Knowledge (10 years)
- EMR Systems (10 years)
- Hospital Experience (3 years)
- Microsoft Outlook (10 years)
- Data Entry (10 years)
- HIPAA (10 years)
- ICD Coding (10 years)
- Medical Scheduling (10 years)
- Autism Experience (2 years)
- Phone Etiquette (10 years)
- Medical Office Experience (10 years)
- QuickBooks (2 years)
- Microsoft Excel (10 years)
- Microsoft Office (10 years)
- Microsoft Word (10 years)
- Accounting (5 years)
- Typing 45 WPM (10 years)
- Accounts receivable (10 years)
- AdvancedMD
- Meditech (10 years)
- Time management
- English
Certification
CPR Certification
Additional Information
Credentialing
Personal Information
Title: Administrative Biller/Coder/ Secretarial
Timeline
Medical Insurance Specialist/Biller and Coder/ABA Credentialing
Behavioral and Educational Solutions
11.2022 - Current
Medical Insurance Specialist/ Credentialing
Cole ABA Financial Services
02.2021 - 05.2022
Financial Counselor/Biller
USPI Memorial Hermann Surgery Center
06.2017 - 07.2019
Eligibility Specialist (contract Work)
Apex/McKesson Healthcare Corp
11.2016 - 02.2017
Medical Biller/Coder
Emerus Hospital Partners
04.2015 - 11.2015
Medical Biller
Houston Center for Infectious Disease
04.2014 - 04.2015
Medical Administrative Assistant/Credentialing Specialist
Tomball Regional Medical Center
12.2012 - 01.2014
Medical Secretary
Sadler Surgery Center
07.2011 - 05.2012
Medical Secretary
Coastal Pulmonary
11.2007 - 11.2010
Some College (No Degree) - Medical Billing/Coding
Lonestar Community College
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