2014-2018
Bachelor of Science in Tourism Management
University of San Agustin
More Info About Me
Hi, I earned my bachelor's degree in tourism management after graduating. I already have almost 6 years of work experience and 5 years in the travel industry. I am currently employed as a provider service advocate for a healthcare organization.
I have experience in the following industries: sales, hospitality, healthcare, and travel.
I've been a sales representative or travel associate for about 3 years at one of the best-known travel agencies in the Philippines. I've acquired the skills and expertise required in the sales and travel industries as a sales representative and travel associate. I've developed a deep understanding of the marketing strategies and techniques required to drive revenue growth by doing inside and outside sales. In addition, I worked as a customer service representative for a BPO company, I handled accounts for foreign airlines based in the United States. I also have brief experience working as an interim team leader and as a support director.
I am currently working as a provider service advocate for a BPO company, handling healthcare accounts based in the United States. This field is completely new to me, and I’m glad that I was able to swiftly adapt and broaden my skill set along with it.
My Skills and Competencies
Social Media Management
Communication
Customer Service
Certificates
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My Experience and Education
2023
-
Present
Carelon Global Solutions
(CCR - Provider Advocate)
HIPAA Trained.
Verify patient insurance coverage and eligibility prior to appointments.
Monitor appeal statuses for medical claims and services.
Provide regular updates on appeal and claim progress to providers.
Ensure confidentiality and compliance in managing appeal information.
Coordinate with insurers and providers to obtain necessary appeal documentation.
Resolve claim issues by liaising with insurers and providers.
Follow up on unpaid claims to expedite payment.
Inform providers of claim status, denials, and resolutions.
Collaborate with billing and coding teams for streamlined claim resolution.
Educate healthcare providers on patient financial responsibility, including co-payments, deductibles, and out-of-pocket expenses.
Stay informed on insurance regulations and reimbursement guidelines.
Assess medical necessity for prior authorizations based on insurance criteria.
2021
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2023
IGT TECHNOLOGIES PHILIPPINES INC.
(CSR/ TRAVEL ASSOCIATE - UNITED AIRLINES)
Managed bookings for customers according to their specific needs and financial constraints.
Helped customers choose the most economical flight choices available.
Offered extensive information about travel destinations, checking restrictions, and the services provided.
Providing flight alternatives and assisting customers in rescheduling flights affected by severe weather or cancelations due to unforeseen circumstances.
Facilitating accommodations in case of flight cancelations, issuing vouchers, and collaborating with other airlines to arrange alternative flights for urgent travel situations.
Recommend and promote airline amenities like credit card memberships and seat upgrades when suitable.
Established solid connections with customers to promote ongoing business engagements and referrals.
2018
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2021
Rakso Air Travel and Tours, INC
(Sales Representative and Travel Consultant)
Organize flights, accommodations, car rentals, and tours for travelers.
Provide destination recommendations, create personalized itineraries, and offer the best options within clients' preferences and budgets.
Assist in processing tourist visa applications for countries like the Schengen area, Korea, Japan, the US, and the UK.
Lastly, we also distribute our tour packages to local travel agencies on a commission basis, engaging with them through office visits, phone calls, and emails.
My Services
Social Media Management
Analyzing engagement data, identifying trends in customer interaction and planning digital campaigns to build community.
Data Entry / Web Researcher
Search the Internet for information on a wide variety of topics.
Content Creator
Promote companies' products and services by developing copy for websites, social media, marketing materials.