Open to opportunities

Lorena Alfonso Castro

@loalfonsoca

Message

RCM Specialist who improves eligibility, authorizations, and billing accuracy with clear customer communication.

Colombia

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What I'm looking for

I’m looking for a role where I can handle eligibility verification, COB, and claim scrubbing while preventing denials. I want a collaborative team that values my suggestions and helps me continuously improve.

I bring a strong RCM focus and a mindset grounded in courage to both stand up for accuracy and listen for better outcomes. At Health Prime, I pursue complete eligibility verification, secure prior potential authorizations, and help prevent front end denials while supporting timely, correct claim handling.

I also have customer-facing experience that strengthens how I resolve issues and follow through. From handling inquiries, complaints, and medical requirements to scheduling appointments and maintaining detailed call records, I’ve built a dependable back-office and customer support approach using tools like Epic, Salesforce, Hubspot, and Slack.

Experience

Work history, roles, and key accomplishments

RCM Specialist

Health Prime

Aug 2024 - Jul 2026 (1 year 11 months)

Performed eligibility verification and obtained prior authorizations to prevent front-end denials. Coordinated benefits (COB), calculated patient benefits, and supported billing by managing claim scrubbing and timely submission via clearinghouses.

Eligibility Verification Prior Authorizations Claim Scrubbing Clearinghouses Billing Support Denial Prevention

Call Center Agent

Task Us

Feb 2024 - Aug 2024 (6 months)

Responded to customer inquiries via email and phone in a timely and accurate manner. Handled complaints, provided solutions within a time limit, followed up for resolution, and supported ordering, refunds, and exchanges.

Email Support Phone Support Complaint Handling Refunds

Appointment Setter

GraySquare Solar

Sep 2022 - Jan 2024 (1 year 4 months)

Engaged potential clients over the phone to introduce company services. Scheduled appointments with closers, followed up with leads and prospects, and maintained call records to improve outreach.

Appointment Scheduling Lead Follow Up Phone Outreach Appointment Coordination Prospecting

Customer Support Specialist

Desk Virtual Solutions

Aug 2021 - Feb 2022 (6 months)

Engaged potential clients for a cosmetic surgery clinic by introducing procedures and requirements. Checked medical requirements, supported sales, and assisted with customer support activities.

Customer Support Sales Support