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Castaneda, Valerie
8830 Napa Landing
Boerne, TX 78015
(210) 245-1996
RNCASTANEDA2015@YAHOO.COM
OBJECTIVE
To obtain a registered nurse position with an established health care system that will
give me the opportunity to utilize my nursing skills in order to contribute and enhance
optimal patient care.
EDUCATION
January 2013 – May 2015
University of Texas Health Science Center School of Nursing
Bachelor of Science in Nursing
August 2000 – May 2012
St. Philip’s College
Associates of Science in Pre-Nursing
August 2000 – December 2011
St. Philip’s College
Associates of Arts Degree in General Studies
 Part-Time Honor Roll (Spring 2001)
 President’s Honor Roll (Spring 2002)
 President’s Honor Roll (Fall 2002)
BLS Certification, January 2017
Vision and Hearing in the state of Texas, January 2019
Audiometric Equipment in the state of Texas, January 2019
Disaster Medical Shelter Training, Infinite
State of Texas Registered Nurse May 2016
DEMONSTRATED SKILLS
-Compassionate -Reliable -Responsible -Accountable
-Collaborative -Independent -Diligent worker -Self-initiative
CLINICAL EXPERIENCE
• North Central Baptist Hospital – 3 months – Clinical Applications
Valerie Castaneda Page 1
CERTIFICATES
• Clarity Child Guidance Center– 1.5 months – Psychiatric and Mental Health
• Methodist Transplant Hospital- 1.5 months- Psychiatric and Mental Health
• Methodist Hospital – 3 months - Childbearing Families
• Veterans Health Care System – 1.5 months - Adult I Medical Surgical
• Christa Santa Rosa Children’s Hospital- 1.5 months - Child and Family
• University Hospital – 1.5 months - Adult II ICU/ER
• Methodist Hospital – 1.5 months – Leadership and Management
Full patient care including medications, discharge planning, patient education,
and collaborative care.
Work History
Appeals Administrator I
2011-2013 The Scooter Store, New Braunfels, Texas
 Reviewed all denied claims at each stage of the Appeals Process and confirmed
billing procedure, compliance to Medicare regulations and support for medical
necessity.
 In cases where additional medical documentation is needed, coordinated with the
physician’s office, hospital, home health care or other specialists to obtain
necessary documentation.
 Researched and implemented arguments for all redeterminations, and
reconsiderations requests based on the decisions made by management.
 Contacted customers to obtain additional information, when necessary.
 Contacted Medicare to obtain additional information or resolve Medicare errors,
when necessary.
 Consults with Management and prepares all write offs and dismissals.
P&C Insurance Customer Service Representative
2010 – 2011 Nationwide Insurance, San Antonio, Texas
• Provided prompt, accurate, and friendly customer service, including
responses to specific inquiries regarding insurance eligibility, coverage’s, policy
changes, transfers, claims, billing and provided requested documentation.
• Explained Insurance products and services and recommended appropriate
coverage’s based on analysis of the policyholder’s circumstances.
• Contacted customers to obtain additional paperwork, when necessary.
• Resolved client issues relating to inaccurate documentation or data entry;
Assisted Management with special projects
Valerie Castaneda Page 2

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Resume for Valerie Castaneda 2

  • 1. Castaneda, Valerie 8830 Napa Landing Boerne, TX 78015 (210) 245-1996 RNCASTANEDA2015@YAHOO.COM OBJECTIVE To obtain a registered nurse position with an established health care system that will give me the opportunity to utilize my nursing skills in order to contribute and enhance optimal patient care. EDUCATION January 2013 – May 2015 University of Texas Health Science Center School of Nursing Bachelor of Science in Nursing August 2000 – May 2012 St. Philip’s College Associates of Science in Pre-Nursing August 2000 – December 2011 St. Philip’s College Associates of Arts Degree in General Studies  Part-Time Honor Roll (Spring 2001)  President’s Honor Roll (Spring 2002)  President’s Honor Roll (Fall 2002) BLS Certification, January 2017 Vision and Hearing in the state of Texas, January 2019 Audiometric Equipment in the state of Texas, January 2019 Disaster Medical Shelter Training, Infinite State of Texas Registered Nurse May 2016 DEMONSTRATED SKILLS -Compassionate -Reliable -Responsible -Accountable -Collaborative -Independent -Diligent worker -Self-initiative CLINICAL EXPERIENCE • North Central Baptist Hospital – 3 months – Clinical Applications Valerie Castaneda Page 1 CERTIFICATES
  • 2. • Clarity Child Guidance Center– 1.5 months – Psychiatric and Mental Health • Methodist Transplant Hospital- 1.5 months- Psychiatric and Mental Health • Methodist Hospital – 3 months - Childbearing Families • Veterans Health Care System – 1.5 months - Adult I Medical Surgical • Christa Santa Rosa Children’s Hospital- 1.5 months - Child and Family • University Hospital – 1.5 months - Adult II ICU/ER • Methodist Hospital – 1.5 months – Leadership and Management Full patient care including medications, discharge planning, patient education, and collaborative care. Work History Appeals Administrator I 2011-2013 The Scooter Store, New Braunfels, Texas  Reviewed all denied claims at each stage of the Appeals Process and confirmed billing procedure, compliance to Medicare regulations and support for medical necessity.  In cases where additional medical documentation is needed, coordinated with the physician’s office, hospital, home health care or other specialists to obtain necessary documentation.  Researched and implemented arguments for all redeterminations, and reconsiderations requests based on the decisions made by management.  Contacted customers to obtain additional information, when necessary.  Contacted Medicare to obtain additional information or resolve Medicare errors, when necessary.  Consults with Management and prepares all write offs and dismissals. P&C Insurance Customer Service Representative 2010 – 2011 Nationwide Insurance, San Antonio, Texas • Provided prompt, accurate, and friendly customer service, including responses to specific inquiries regarding insurance eligibility, coverage’s, policy changes, transfers, claims, billing and provided requested documentation. • Explained Insurance products and services and recommended appropriate coverage’s based on analysis of the policyholder’s circumstances. • Contacted customers to obtain additional paperwork, when necessary. • Resolved client issues relating to inaccurate documentation or data entry; Assisted Management with special projects Valerie Castaneda Page 2