Joyce Ann Castillo, PHRN, CPC, UKRN

Experience

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  IGT Solutions

  Oct 2011 - Aug 2013

  Travel Specialist

  • Process United Airlines passengers’ domestic or international flight changes and inquiries• Appointed as Person in charge whenever a supervisor is not available• Do floor support for new hires and newly trained international reservations agent

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  UnitedHealth Group

  Sept 2013 - Sept 2014

  Conceptualize, coordinate, and execute creative ideas for the company’s monthly employee engagement to maintain harmonious environment between the management and employees and motivate them to consistently provide customer • Addresses and process health care providers’ queries and disputes about their patients' benefits, claims and prior authorization requirements with United Healthcare Insurance.

  • Head of Employee Engagement

    Dec 2013 - Sept 2014

  • Claims Resolution Specialist

    Sept 2013 - Sept 2014
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  TaskUs

  Mar 2015 - Jun 2016

  Customer Service Representative

  ​TaskUs Inc.• Addresses and resolves Uber riders’ complaints about their driver and/or trip.

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  Omega Healthcare Management Services

  Jun 2016 - Mar 2018

  Medical Coder

  • Works as an HCC/Risk adjustment and Home Health coder• Assigns accurate ICD-10-CM, CPT and other service codes for diagnosis and procedures performed in the Outpatient and Home Health setting• Ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines• Promotes accurate database information, optimizes reimbursement

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  NovaSolution

  Apr 2018 - Aug 2018

  Healthcare Business Analyst

  • Provides analytical, planning and coordination support on hospitals or facilities in Brunei, Malaysia and Maldives handled by the company• Do daily system checks for possible transaction errors and issues for Vesalius and design the best system resolution

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  Burjeel Royal Hospital

  Nov 2018 - Jul 2019

  Approval Medical Coder / Insurance Coordinator

  • Doing medical record review to abstract necessary information required to support accurate Outpatient coding• Assigns accurate ICD-10-CM, CPT, DRG, HCPCS and other service codes for diagnosis and procedures performed in the Outpatient setting• Manages the overall hospital’s insurance claims, approval, procedures and denials• Submit new claims and seek, review, and resubmit denied/ rejected approvals electronically for Insurance members• Works closely with Physicians, Nurses, Coders and Registration to obtain information related to patients which requires approval from Insurance Company Show less

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  SEHA -Ambulatory Healthcare Services Co.

  Sept 2019 - Sept 2022

  Senior Insurance Coordinator

  •​Do daily prior authorization and follow ups for dental procedures for AHS Dental clinics in Abu Dhabi and Al Ain• Resolves and resubmits rejected claims with appropriate justification to obtain approval• Manages the department's overall approval, procedure billing and denials• Coordinating, liaising and networking between insurance companies regarding eligibility, payments, approvals, reconciliation and other requirements• Person-in-charge that coordinates, manages, and resolves issues regarding Dental pre-approval requests and claims denial with the Insurance Coordinators all AHS clinics in Abu Dhabi and Al Ain• Mentoring other team members and work with them to ensure high level of accuracy• Work cooperatively with other Clinic & Admin staff in a positive team approach Show less

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  Ahava Medical and Rehabilitation

  Jun 2022 - Feb 2023

  Medical Coder / Scribe

  • Remotely assist the physician in documenting the patient's chart in each encounter completely and accurately • Assigns and sequences ICD-10-CM/CPT codes to diagnoses and procedures for documented information.• Ensures compliance with established coding guidelines, third party reimbursement policies, regulations and accreditation guidelines

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  Blackpool Teaching Hospitals NHS Foundation Trust

  Feb 2023 - now

  Registered Nurse

  • GASTROENTEROLOGY • GENERAL MEDICINE• Provide comprehensive nursing care to patients, ensuring their physical, emotional, and social needs are met.• Assess, plan, implement, and evaluate individualized care plans for patients, taking intoaccount their unique medical conditions and requirements.• Administer medications and treatments as prescribed by physicians, and monitor and record their effects.• Collaborate with the interdisciplinary healthcare team to ensure coordinated and effective patient care.• Conduct thorough patient assessments, including vital signs, and communicate any changes in the patient's condition to the medical team promptly.• Assist in the development and implementation of patient education programs to promote health and wellness.• Adhere to all clinical policies, procedures, and protocols, ensuring compliance withregulatory standards and guidelines.• Maintain accurate and up-to-date patient records, ensuring confidentiality and privacy.• Foster a positive and supportive work environment through effective communication and collaboration with colleagues. Show less