Nazia Mohammed-Castro
Miami,USA
Summary
Behavioral Health Consultant with expertise in implementing and optimizing electronic health record (EHR) systems. Proven track record in enhancing EHR efficiency and user satisfaction through effective training and technical support. Experienced Behavioral Health Paraprofessional skilled in crisis intervention and patient counseling, contributing to improved patient outcomes and self-management strategies.
Overview
12
12
years of professional experience
Work History
Behavioral Health
United Healh Care
Miami, FL
08.2023 - Current
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Communicated with patients, ensuring that medical information was kept private.
- Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
- Used Citrix to document patient information, progress notes, and treatment plans.
- Used Star to document patient information, progress notes, and treatment plans.
- Used Linx Systems to document patient information, progress notes, and treatment plans.
Patient Financials Dept
BioPlus Oncology Specialty Pharmacy
Altamonte Springs, FL
09.2021 - 07.2023
- Applied administrative knowledge and courtesy to explain procedures and services to patients.
- Engaged with patients to provide critical information.
- Facilitated communication between patients and various departments and staff.
- Processed payments using cash and credit cards, maintaining accurate records of transactions.
- Organized patient records and database to facilitate information storage and retrieval.
- Provided excellent customer service to patients and medical staff.
- Verified patient insurance eligibility and entered patient information into system.
- Compiled and maintained patient medical records to keep information complete and up-to-date.
- Recommended service improvements to minimize recurring patient issues and complaints.
Medical Billing/Administrative Assistant
PhyCon
Oklahoma City, OK
12.2019 - 07.2021
- Executed billing tasks and recorded information in company databases.
- Monitored outstanding invoices and performed collections duties.
- Handled account payments and provided information regarding outstanding balances.
- Managed invoicing and payment processing operations.
- Interacted with customers to resolve billing disputes and respond to inquiries.
- Processed customer invoices, credit memos and payments within established timelines.
- Generated daily, weekly and monthly reports for billing department.
- Maintained detailed records of customer payments and billing adjustments.
- Entered and maintained billing information in company internal databases for accessibility.
- Verified accuracy of billing data and corrected discrepancies.
Operating Room Scheduler
Affiliated Anesthesia
Oklahoma City, OK
08.2017 - 11.2019
- Worked with supervisors and team members to understand supply needs and bring levels within desired tolerances.
- Coordinated with facilities to set up surgeries for 40 various surgeons.
- Verified insurance coverage and obtained pre-authorizations.
- Expertly managed planning, scheduling, and coordination of outpatient procedures.
- Updated daily operating room calendars with accurate appointment schedules.
- Resolved scheduling conflicts to maintain high-quality patient services.
Patient Care / Medical Billing Coordinator
Healthback Home Health
Oklahoma City, OK
01.2013 - 05.2017
- Delivered excellent patient experiences and direct care.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Updated patient records with accurate, current insurance policy information.
- Generated reports to track insurance verifications and claim progress.
- Reviewed provider coding information to report services and verify correctness.
Education
Certificate of Technical Studies - Pharmacy
National School of Technology
Miami06-2005
Associate of Arts - Education
University of Phoenix
Tempe, AZSkills
- Insurance verification and medical billing
- EMR systems and databases
- Medical terminology expertise
- Decision-making and critical thinking
- Documentation accuracy and compliance
- Patient confidentiality and privacy
- Medical records management
- Utilization management strategies
- Performance metrics analysis
- Behavioral health knowledge
- HMO and Medicare experience
- Process improvement initiatives
Timeline
Behavioral Health
United Healh Care
08.2023 - Current
Patient Financials Dept
BioPlus Oncology Specialty Pharmacy
09.2021 - 07.2023
Medical Billing/Administrative Assistant
PhyCon
12.2019 - 07.2021
Operating Room Scheduler
Affiliated Anesthesia
08.2017 - 11.2019
Patient Care / Medical Billing Coordinator
Healthback Home Health
01.2013 - 05.2017
Certificate of Technical Studies - Pharmacy
National School of Technology
Associate of Arts - Education
University of Phoenix
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