Diploma in Office Management Technology in Medical Office
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
Hi! I’m Ruffa Mae Cristobal, with experience in the US Healthcare Account for 5 years. Always ensure the highest level of functionality and productivity in work. Adept in working with patient records, medical billing, and all aspects of healthcare administration in a fast-paced environment. Committed to utilizing my strengths and experience working in the healthcare system to support a smooth administrative process.
POLYTECHNIC UNIVERSITY OF THE PHILIPPINES
We are a project team, wherein we cater what’s the client request including Payment review, Posting adjustment and Claims follow up. Provides support (or coverage) for the Insurance Claims Representative(s) on Auto & General liability claim intake/initial processing as needed or as required. Obtain information necessary for a claim to be established in the claims system. Handle all inquiries from claimant, insured or medical provider regarding the status of a claim. Performing related data entry in proprietary applications. Enter new flood insurance claims and claim payments, review of all documentation including adjuster reports, engineer reports, underwriting alerts, inputting concise yet sufficient file documentation.
Contact insurance companies to check eligibility and benefits, claim follow-ups for denials and appeals via phone or online portals. Research, resolve, and prepare claims that have not passed the payer edits daily. Determine and initiate action to resolve rejected/denied invoices. Assist with other billing/collection duties, as needed
Answer incoming customer inquiries regarding coverage, benefits, and billing, and escalate issues to appropriate personnel. Answer incoming customer inquiries regarding coverage, benefits, and billing, and escalate issues to appropriate personnel.
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.
Scheduling appointments, handling correspondence, and managing records.