Summary
Overview
Work History
Education
Skills
Timeline
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Samantha Castro

Highland,CA

Summary

Dynamic Financial Services Representative with extensive experience at Loma Linda University Health Care. Proven ability to enhance patient satisfaction through effective communication and problem-solving. Skilled in EPIC and CRM software, demonstrating strong organizational skills and adaptability. Successfully streamlined authorization processes, preventing delays in care delivery while maintaining strict HIPAA compliance.

Overview

11
11
years of professional experience

Work History

Financial Services Representative

Loma Linda University Health Care
04.2024 - Current
  • Assisted patients with account inquiries and service requests
  • Utilized CRM software to track customer interactions and follow-ups within EPIC
  • Processed authorization requests efficiently to ensure timely approvals and service delivery.
  • Collaborated with healthcare providers to confirm patient eligibility and benefits coverage.
  • Assisted in resolving discrepancies by communicating with insurance companies and healthcare teams.
  • Enhanced team communication by participating in regular meetings to discuss process improvements.
  • Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
  • Prevented delays in care delivery by proactively identifying potential issues during the pre-authorization process and seeking clarification from providers when needed.

Surgery Scheduler

Loma Linda University Health Care
09.2018 - 03.2024
  • Coordinated surgical schedules, optimizing patient flow and resource allocation.
  • Communicated effectively with patients and healthcare providers to ensure appointment accuracy.
  • Managed electronic medical records, ensuring compliance with healthcare regulations and policies.
  • Trained new staff on scheduling protocols and EPIC system navigation for improved efficiency.
  • Assured timely verification of insurance benefits prior to patient procedures or appointments.
  • Made contact with insurance carriers to discuss policies and individual patient benefits.
  • Improved communication between medical staff and patients by explaining insurance benefits and financial responsibilities.
  • Collaborated with HR and management to facilitate employee leave requests and returned work assessments.
  • Assisted patients with FMLA/disability claims, providing guidance and support throughout the process.

Customer Service Representative

Loma Linda University Health Care
01.2014 - 09.2018
  • Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
  • Coordinated appointment scheduling, optimizing provider availability and minimizing wait times.
  • Collaborated with cross-functional teams to ensure consistent delivery of high-quality service experiences.
  • Verified insurance coverage to confirm patient coverage for necessary medical services.
  • Gathered demographic and insurance information to register patients for medical appointments.
  • Maintained patient confidentiality by adhering to HIPAA regulations and securing sensitive information.

Education

Cajon High School
San Bernardino

Skills

  • Telephone etiquette
  • Empathy and patience
  • Teamwork and collaboration
  • Multitasking
  • Reliability
  • Organizational skills
  • Adaptability and flexibility
  • EPIC/CRM knowledge
  • Task prioritization

Timeline

Financial Services Representative

Loma Linda University Health Care
04.2024 - Current

Surgery Scheduler

Loma Linda University Health Care
09.2018 - 03.2024

Customer Service Representative

Loma Linda University Health Care
01.2014 - 09.2018

Cajon High School

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Samantha Castro