Expert in healthcare compliance with 8 years of experience shepherding patients through the medical system to provide comprehensive support and care. Provide timely responses to patients, colleagues, and partners, either answering questions directly or making appropriate connections to ensure their needs are met. Due to being culturally bilingual in English and Spanish, I have helped Spanish-speaking patients maneuver the healthcare system and feel respected and heard in the process. In all matters, I create a safe space, adhering to all confidentiality and HIPAA regulations.I stay current on compliance-related laws and regulations through personal initiative as well as attending seminars and training programs.Talent areas include:Risk AssessmentCompliance PoliciesAudits & ReviewsRegulatory RequirementsReports & PresentationsTeamwork & CollaborationPatient EducationFact GatheringAction PlansHIPAA & ConfidentialityStrategic PlanningData AnalysisMentoring & TrainingDocumentationEvaluations & InterviewingWhen not at work, I love to travel and have visited London, Paris, Spain, and Chile so far. Due to my travels, I enjoy trying all kinds of new cuisine and sometimes find the best experiences in tiny hole-in-the-wall spots. Mostly, I’m just a happy person, and when I’m not traveling or eating, you can find me reading or spending some quality time with my Yorkie.I look forward to connecting with you here or directly at kpm4castro@gmail.com.
Braillet Corporation
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Non-Discrimination ConsultantBraillet Corporation Feb 2017 - PresentCoolidge, Arizona, United StatesIn contract role for Humana, provide telephonic counseling and support to Spanish-speaking members to ensure ADA regulations are being met by Medicare. Direct members to proper channels by providing direction on next steps. Support providers with ADA-compliant materials and documentation. Communicate with providers and Humana attorneys regarding ADA and Centers for Medicare and Medical Services (CMS) guidelines. Prioritize cases based on urgency. Mitigated potential lawsuits, which could be $1+ million, as liaison with CMS to ensure Medicare services were ADA compliant. Avoided possible civil rights violation by helping HIV-positive member find provider who could meet medical needs after another provider was unable to offer accommodations. Reduced or eliminated Medicare fines through member education on how to provide appropriate paperwork to illustrate compliance.
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Personal Health Coach | Field Care ManagerHumana Aug 2012 - Feb 2017Acted as member advocate for up to 50 members, educating them on guidelines and requirements. Visited homes twice monthly to provide resources on food and nutrition, medication, financial assistance, home health care, and medical devices. Goal was to avoid rehospitalization through follow-up care and education. Supported up to 800 members virtually as resource for healthcare resources. Conducted research on claims to determine reasons for approval or denial. Trained new employees. Enabled Humana to secure additional Medicare funds by ensuring members completed preventive screenings through incentives and support. Reduced rehospitalization through alignment with Arizona Long-term Care Association to provide in-home care and housekeeping for members. Improved members’ peace of mind by negotiating payments for healthcare services, which helped avoid collections and fines. Encouraged members to build and continue positive health habits by introducing them to community resources, including Meals on Wheels, home modifications, and free medicine. -
Cps Specialist I, Ii, IiiArizona Department Of Economic Security: Child Protective Services Nov 2008 - Jul 2012Supported children and families through increasing levels of responsibility and promotions. Managed all aspects of multiple cases, including site visits, educating parents, and collaborating with various community agencies to provide services. Attended court hearings, and met with childcare providers and schools. Participated in IEP, 504, and child family treatment meetings. Conducted family visits and educated parents about CPS guidelines. Educated families on child development and childcare. Mentored new employees, providing training on policies, systems, and documentation. Participated in forensic interviews as Spanish translator. Supported SWAT teams and police during highly volatile situations involving children. Attended ongoing training about topics to provide optimal services. Recognized as #1 specialist at location for quality of reports and time management. Improved clients’ parenting skills by building supportive, empathetic relationships that transformed hostility and fear to understanding and planning next steps.
Karla Castro Education Details
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Education With Emphasis In Counseling Human Relations -
Sociology
Frequently Asked Questions about Karla Castro
What company does Karla Castro work for?
Karla Castro works for Braillet Corporation
What is Karla Castro's role at the current company?
Karla Castro's current role is Nondiscrimination Consultant at Braillet Corporation | Bilingual Healthcare Compliance Expert.
What schools did Karla Castro attend?
Karla Castro attended Northern Arizona University, Arizona State University.
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Karla Castro
Greater Tampa Bay Area4merck.com, rocketmail.com, merck.com, staffing-the-universe.com -
2mmm.edu, oliverscholars.org
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1jbhunt.com
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1northstartowers.com
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