Vilma Castaneda Email & Phone Number

Bayonne, New Jersey, United States

• Develope and implement the growth strategy for CarePoint Health within its target markets.• Provide services related to expanding provided networks, supporting existing practiceswithin the medical group, cultivated and supported new services lines and fostering excellentmarketing and public relations with community physicians.• Serve as a key member of the Business Development team.• Facilitate communication between physicians, vendors and administrators to reach efficiencyacross the organization.• Plan, organize materials and information, assisted physicians with credentialing processand collaborate directly with office staff and clinical team member at all levels of the organization.

Englewood, New Jersey, United States

• Managed daily operations of a team of colleges to provide superior customer service.• Tracked productivity monitoring of staff to maximize resources and results.• Implemented processes and tools to consistently achieve key performance metrics.• Provided regular reporting and communication to Nthrive leadership and back to Clients.• Created a positive, effective and caring work environment by leading through Nthrive’s values.• Supported leadership with analyzing Patients Access performance to drive client satisfaction andrelated revenue cycle results.• Managed follow up, billing and payment resolutions of Workers Compensation and No Faultclaims.

Hackensack, New Jersey, United States

• Served as the primary internal team contact on one- day- to day issues as assigned by AD, or Manager.• Participated in activities of new client start-up and provide staffing support and training.• Consistently pursue customer satisfaction and immediately report any potential client concerns to AD, or Manager.• Assisted in the completion of client reports.• Accountable for maintenance of client relationships.• Lead by values and visibility to accomplish goals, ensure quality and monitors that policy and procedures are being followed in their areas of responsibility. Partake in determining appropriate levels of staffing and resource allocation.

Hoboken, Jersey City, & Bayonne, Nj

• Managed all aspects of a successful department including hiring, training, supervising,monitoring daily production and devising plans to achieve targeted goals.• Provided high quality, client-focused service by assessing client needs anddeveloping rapport to build customer base; efforts resulted in increased customersatisfaction and retention.• Provided leadership and direction of internal and external hospital operations andensured compliance with established company policy and federal/state rules andregulations.• Supervised work in progress (WIP) of 12 Health Care Representatives to obtainhigher remittances for the hospitals.• Documented eligibility and enrollment issues and facilitated issue resolution resultingin high approval rates and faster cycle times.• Prepared reports for upper management regarding status of hospital operations.• Prepared and assisted with Charity Care State Audits pursuant to NJAC regulations

Hoboken, Nj

• Performed screening, assessed and reviewed inpatient eligibility for federal and disabilityprograms, form completion and delivery of application to appropriate agency.• Interviewed clients in a hospital setting and assisted them in obtaining maximumbenefit coverage.• Completed application for State and Federal programs, based upon medical definitionof disability as it relates to body systems and to functions of daily living to increasehospital revenue.• Reviewed medical records and expedited all necessary action to expedite benefitapproval.• Adhered to company legal standards regarding Protected Health Information (PHI),Personal Identified Information (PII), and Personnel Transaction Identifier (PTI).• Kept ongoing communication with Government Agencies regarding status of claims.• Maintained documentation of status of claims and client contract on Company and/orhospital systems.

Bloomfield, Nj

• Performed interviews and obtained patient information and required documentation toprocess and approve charity care applications.• Provided information and assistance to patients on government agency programs andhealthcare program and procedures.• Analyzed, secured and/or verified patient’s information to approve or deny CharityCare applications.• Served as a liaison between Hospital administration, Department Heads and staff.• Provided referrals to other community agencies of applicants that were eligible forPublic Assistance, Medicaid or Social Security.