2015
Bachelor of Science in Pharmacy
Our Lady of Fatima University
ABOUT ME
I have 6 years of experience processing claims and performing various data entries and administrative tasks. With 2 years of background from a BPO company handling insurance claims accounts, interacting with customers through emails, inbound and outbound calls.
Due to the nature of my job, I developed my critical thinking skills and decision-making skills. It also developed my ability to work in a team environment as well as independently to work under pressure and to multi-task.
I was fortunate to be able to work remotely during the height of the pandemic. This has improved my ability to perform my duties efficiently and with little supervision. I am confident that with hard work and dedication, I will continue to produce high-quality results.
Working from home has benefited me in many ways, including my safety, mental health, financial needs, and the opportunity to spend quality time with my family. Now that I've decided to push myself out of my comfort zone and take a risk to achieve my goals, I'm dedicating myself to learning the skills necessary to excel in my chosen field.
My Skills and Competencies
Social Media Management
Data Entry
Content Creator
Certificates
My Experience and Education
2021
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2022
UST-Global
(Claims Adjuster)
• Responsible for processing and authorizing the payment of medical claims, negotiating bills on an as-needed basis, and monitoring medical bills to make sure there are no errors in billing or items which aren’t covered by insurance.
• Carry out documentation of claim files; evaluation of potential exposure to legal liability; establishment of appropriate claim reserve; negotiation of a fair settlement of claim based on supporting claim documents and thorough investigation
• Send necessary documentation and create correspondence to physicians, insurers, and claimants
2020
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2021
Teletech
(Pharmacy Technician (CSR III))
• Sort electronic copies of incoming fax transmittals make outreach and receive inbound calls.
• Manage correspondence with insurance companies, physicians, specialists, and patients as required.
• Look through denials and submit appeals in a bid to get them approved by insurance companies.
2018
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2020
Ashford Pharmaceutical Laboratories Inc.
(Regulatory Affairs Officer)
• Responsible for representing the company as a liaison officer in government agencies such as FDA and DOH. Maintains validity of FDA licenses, permits, and registration of all products of the company.
• Communicate with FDA regarding pre-submission strategies, potential regulatory pathways, compliance test requirements, or clarification and follow-up of submissions under review.
• Handles and analyzes product complaints, Product recall, or market withdrawal activities as necessary.
2017
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2018
Optum Global Solution
(Pharmacy Technician)
• Sort electronic copies of incoming fax transmittals and make outreach calls.
• Review incoming faxes and initiate coverage determination requests promptly.
• Manage correspondence with insurance companies, physicians, specialists, and patients as required.
2016
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2017
Generika Drugstore
(Pharmacy Assistant)
• Performs administrative duties, including answering phones, receiving and inputting prescription orders, operating cash registers, and restocking inventory.
• Counts pills, labels bottles, prices, and compounds medications to prepare prescriptions for patients as directed.
• Completes patient sales transactions for the purchase of prescription and over-the-counter medications as well as other pharmaceutical products.
My Services
Social Media Management
Analyzing engagement data, identifying trends in customer, and developing digital community-building campaigns
Data Entry
Search for information on a wide range of topics on the Internet.
Content Creator
Develop copy for websites, social media, and marketing materials to promote a company's products and services.