To work with an organization offering a dynamic and professional environment will help to achieve the goals of the organization and simultaneously enhance my skills and knowledge & able to grow professionally within the organization.

SKILLS & ACHIEVEMENT

Computer Skills:

•       Knowledge in Microsoft Office (Word, Excel and Outlook)

•       Well-trained and able to use HIS System (Hospital Information System)

•       Well-trained and able to use EPIC/SALAMA System

•       Well-trained and able to use Eclaimlink System

Work Achievements:

•       Already completed 9 years + of working experience related to Healthcare in reputed Hospitals in the UAE.

Language Skills:

•       Tagalog: Native Proficiency

•       English: Full Professional Proficiency

•       Arabic: Moderate Proficiency

Participated:

•       Accredited by Joint Commission International in November 2009

•       Re-Accredited by Joint Commission International in November 2011           Fire drill (every 6 months) conducted by civil defense

WORK EXPERIENCE

Insurance Coordinator                                                                                                                             December 2015 up to present

NTT Data Services – Dubai – RCM (Revenue Cycle Management)

LATIFA HOSPITAL – Dubai Health Authority – Dubai – UAE

•       Getting approvals for medical procedures through Eclaims link.

•       Ensuring coverage of claims, guiding staff for correct use age of claim forms, approval papers.

•       Coordinating with insurance companies for obtaining information on new policies and their coverage.

•       Explaining coverage of medical benefits to patients when required.

•       Assisting invoices department in insurance processing.

•       To liaise with insurance companies regarding eligibility, approvals. Payments and other requirements.

•       To maintain and update records related to pre-approval.

•       Compliant with HIPOAA rule and regulation

•       To coordinate and co-operate with colleagues of the same department on other related department for smooth running of Insurance operations

•       Acquired specific CPT and ICD-10 CODES to ensure proper treatment and billing of all detailed procedures.

Senior Executive Front Office & OP/IP Billing – Cashier                                    November 2009 to November 2015

RAK HOSPITAL –Ras Al Khaimah UAE

•       Welcome and great all the patient and visitor in person or over the phones.

•       Answering the phone while maintaining polite, consistent phone manner using proper telephone etiquette.

•       Responsible for keeping the reception clean and organized.

•       Register the new patient and update existing patient.

•       Facilitates patient flow by notifying the provider of patient arrival, being aware of delays and communicating with the patient and clinical staff.

•       Respond to patient and visitors inquirers in a courteous manner.

•       To maintain patient confidentiality

•       Receive patients for admission and/or their respective with welcome and courtesy.

•       In coordination with the respective Ward-in-charges, assign appropriate room to patient.

•       Thoroughly explain hospital rules and regulations such as visiting hours, payment procedures.

•       Prepare and submit claims to various companies either electronically or by paper.

•       Identifies and resolves patient billing complaints.

•       Handling collection to account at the end of the day.

•       Review invoices to identify any errors before invoice delivery.

•       Compile and maintain documents and records of all billings.

•       Monitor online payments, credit card or bank transfer payments.

•       Manage aged bills and inform customers regarding payments.

•       Update all billing procedures.

•       Improvise existing billing procedures to avoid recurrence of errors.

•       Prepare and doing Admission.

•       Prepare daily or periodic reports of all billings.

•       Initiate and establish new procedures in billing tasks.

EDUCATIONAL ATTAINMENT

•       Bachelor of Science in Computer Engineering – Saint Joseph Institute of Technology (2002-2004 )

•       Medical Billing Certification (online courses) – ExpertRating Global Certification (April 04, 2017)

•       Customer Service Training (online courses) – Advance Learning Interactive System Online (April 04, 2017) ICD-10 Medical Coding –Module 1: Introduction to Coding – 360training online (July 12, 2017)

•       Completed assigned E-Learning Courses related to Costumer Service, Email & Phone Etiquettes and others.

Reference Available on Request