Medical Assistant

Ruby Castillo

**** ******* ******

Spring Valley, CA 91977

619-***-**** & **********@*****.***

OBJECTIVE: To obtain further knowledge and experience as an Administrative

Assistant.

Summary of Qualifications

* 15 years of office experience

* 8 years in Workers' Compensation field

* Easily adaptable to any work environment

* Computer literate

* Bi-lingual, Spanish and English

* Excellent communications skills

* Detailed oriented with excellent organizations skills

EXPERIENCE:

09/07 to 02/08 Broadspire, A Crawford Co., San Diego, CA

Claims Assistant

Duties include assisting three adjusters:

Set-up new claim files into the system. Call providers for

medical

status updates and billing inquiries. Do all benefit

letters. Heavy filing

and copying of all medical and correspondence. Set-up

medical

appointments. Enter all benefit, medical and expense

payments into the

the system. Handle all Spanish speaking calls for

translating. Prepare

legal documents in Legal Solutions. Order office supplies.

Open all

incoming mail and distribute.

11/06 to 09/07 Frank Gates Acclaim, San Diego, CA

Claims Assistant

Set-up claim files and enter all medical only and Indemnity

claims into system. Enter all benefit payments and medical

payments in system.

Do monthly report and quarterly reports in Excel. Process

all medical

bills. Call providers for medical status updates and

billing inquiries. Handle all bill status calls. Handle all

Spanish speaking call for translating. Filling and copying

all medicals and correspondence. Call bill review company

for status on pending bills status.

09/06 to 11/06 Heggeness & Sweet, LLC

Temporary Positions Preferred Employers

12/01 to 08/06 Interstate Brands Corporation, San Diego, CA

Claims Assistant

Duties include assisting three adjusters: Set-up new claim

files into the

the system. Call providers for medical status updates and

billing inquiries.

Do all benefit letters. Handle all bill status calls. Heavy

filing and copying all medical and correspondence. Set-up

medical appointments. Enter all compensation medical and

expense payments into the system. Handle all Spanish

speaking calls for translating. Order office supplies.

08/01 to 10/01 WILLIS Administrators, San Diego, CA

Temporary Position Claims Assistant

Duties include assisting two adjusters: Set-up and enter

all

medical only and Indemnity claims in the system. Enter all

claims into

the EDI system. Call providers for medical status updates.

Do all

benefit letters, handle all bill status calls. Set-up

medical appointments,

open mail daily. Handle all Spanish speaking calls for

translating. Heavy

filing and copying. Enter all benefit payments into the

system.

09/99 to 08/01 NASSCO, Workers' Compensation Dept., San Diego, CA

Claims Assistant

Duties include assisting two adjusters: Set-up files and

enter all the

Medical only and Indemnity claims into the system. Call

providers for

medical status updates and set-up medical appointments. Do

all the

benefit letters. Prepare wage statements for lost time

claims. Use Legal

Solutions for legal forms. Enter and pay all medical,

compensation

payments into the system. Heavy filing and copying of all

medical and

Correspondence. Do weekly reports for Accounting

Department. Order

office supplies. Open all incoming mail and distribute.

Call Bill Review

for payments status for providers.

09/98 to 09/99 CIGNA Workers' Compensation Dept., San Diego, CA

Claims Assistant

Duties include assisting two adjusters: Enter all medical

only and Indemnity claims into system. Do all benefit

letters

Call employers for additional information needed to

complete

claims set-up. Open all incoming mail and separate to

appropriate adjusters. Enter all claimant

demographics into the system. Call for

medical status and set-up medical appointments. Heavy

filing. Call bill

review company for payment status.

01/98 to 08/98 USCD Medical Center

Temporary Positions Comprehensive Health Center

Pathology Medical Laboratories

03/97 to 01/98 Community Care Network (CCN), San Diego, CA

Department Assisting I, For Appeals & Recons/UM Dept.

Open and

mail twice daily. Make phone calls to the physicians

advisors for UM

Review Appeals Program. Prepare files for review. Enter

trauma and

and ambulatory recons/appeals into Excel log, prepare

for review and

distribute to physician advisor. Mail out all

correspondence requesting

medical records and handle all payments for medical

records. Heavy

copying, filing and faxing. Order supplies for the

Clinical Appeals Unit.

06/96 to 02/97 Community Care Network (CCN), San Diego, CA

Department Assisting I, (Workers' Comp Dept.)

Enter 5020 into system per fax or telephonic and set-up

file for the

Physical Medicine Review Program. Call for medical

status. Answer

injury report calls for the MCO Program. Handle copying,

filing and

faxing. Order supplies for the Work Comp Dept. Do weekly

reports the Physical Medicine Review.

09/95 to 05/96 Community Care Network (CCN), San Diego, CA

Data-Entry Clerk I, Credentialing Dept.

Enter all new providers applications into the system.

Update

providers files and call providers for missing

information for

Eligibility purposes. Open all incoming and distribute.

08/92 to 08/95 Managed Health Network, Los Angeles, CA

Claims Clerical II, Claims Department

Perform all clerical duties; prepare claims in system for

adjusters to review to pay. Enter updated information

on providers and subscribers into system. Batch files,

open mail and distribute, heaving copying.

EDUCATION ICT, Institute of Computer Technology, Los Angeles, CA

Certificate of Completion 1989

IEA Classes, 1 left for completion (Rehab)

Bell High School, Los Angeles, CA

Diploma 1985

REFERENCES Available upon request

Contact this candidate