Experience

NYCHSRO\Medreview

• Supervisor for UM Cebu

  • Dec 2016 - Present

• Medical Intake Coordinator / Assistant Supervisor for UM Cebu

  • Sep 2016 - Present

  - Accepts authorization service request and notifications for MedReview Members- Take phone calls from concerned persons and solve their queries.- Verify eligibility and benefits accurately and obtain initial authorizations- Ascertain the medical records are properly and confidentially maintained.- Checking authorization status- Ensure up to date and accurate paperwork and documentation of all the facts and details.- Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks; participating in professional organizations.- Accomplishes organization goals by accepting ownership for accomplishing new and different requests; exploring opportunities to add value to job accomplishments. Show less

• Medical Intake Coordinator

  • Oct 2015 - Sep 2016

  - Accepts authorization service request and notifications for MedReview Members- Initiates entry of requests into Utilization Management system as applicable- Assists with departmental auto fax process- Generates notifications to members, facilities and agencies according to established protocol- Timely entry of notes in the into Utilization Management Application for each event per protocol- Interfaces with other MedReview Departments and External customers to obtain and verify information relevant to pre-authorization requests including authorization details when requested for appeals- Communicates with facilities/ agencies/ providers/ members to collect pertinent date regarding and episode of care and give applicable authorization numbers and status to facility/ agency/ member. Updates authorization information in Utilization Management System.- Handle calls from providers and members with excellent customer service.- Assist Medreview providers , members and or authorized representative with questions and concerns regarding authorization Show less



Sykes Asia Inc.

• Customer Service Representative - Mentor

  • Jun 2014 - Oct 2015

  - Attracts potential customers by answering product and service questions; suggesting information about other products and services. - Opens customer accounts by recording account information. - Maintains customer records by updating account information. - Resolves product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution. - Supervise new agents in performing daily duties and responsibilities Show less

• Customer Service Representatives

  • Nov 2013 - Mar 2014

  - Attracts potential customers by answering product and service questions; suggesting information about other products and services. - Opens customer accounts by recording account information. - Maintains customer records by updating account information. - Resolves product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution. Show less



Private Duty Nurse

• United States
• Staffing and Recruiting
• 1 - 100 Employee

• Medical Nurse

  • Jun 2013 - Nov 2013

  - Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients. - Assess patient health problems and needs, develop and implement nursing care plans, and maintain medical records. Administer nursing care to ill, injured, convalescent, or disabled patients.



Qualfon

• United States
• Outsourcing and Offshoring Consulting
• 700 & Above Employee

• Line Management Department

  • Jan 2012 - Sep 2012

  - Resolves Technical Support Issues or service problems - Opens customer accounts by recording account information. - Resolves Technical Support Issues or service problems - Opens customer accounts by recording account information.