Karla Castro

Karla Castro Email and Phone Number

Nondiscrimination Consultant at Braillet Corporation | Bilingual Healthcare Compliance Expert @
Karla Castro's Location
Greater Phoenix Area, United States
About Karla Castro

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.

Karla Castro's Current Company Details
Braillet Corporation

Braillet Corporation

Nondiscrimination Consultant at Braillet Corporation | Bilingual Healthcare Compliance Expert
Karla Castro Work Experience Details
  • Braillet Corporation
    Non-Discrimination Consultant
    Braillet Corporation Feb 2017 - Present
    Coolidge, Arizona, United States
    In 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.
  • Humana
    Personal Health Coach | Field Care Manager
    Humana Aug 2012 - Feb 2017
    Acted 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.
  • Arizona Department Of Economic Security: Child Protective Services
    Cps Specialist I, Ii, Iii
    Arizona Department Of Economic Security: Child Protective Services Nov 2008 - Jul 2012
    Supported 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

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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