Bachelor in Cooperatives
Polytechnic University of the Philippines
Polytechnic University of the Philippines
- Responsible for triaging, investigating, and resolving instances of
healthcare fraud and/or abusive conduct by medical professionals.
- Using information from tips and complaints from plan members, the
medical community and law enforcement, employee's conduct
confidential investigations and document relevant findings and report
any illegal activities in accordance with all laws and regulations.
- Identify, communicate, and recover losses as deemed appropriate.
- May also complete root cause analysis.
- Mentoring new hires and assisting my team members if they have
questions with the process.
- Patient scheduling
- Requesting requirements for prior authorization
- Admin task
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Search the Internet for information on a wide variety of topics.
Marketing professionals who use research and analysis to improve a website's ranking on search engines like Google.