1999
Bachelor of Science in Physical Therapy
Emilio Aguinaldo College
More Info About Me
I handled Claims Department, I manage/supervise staff within the department, with 16 years of experience in Claims Process, highly organized with proven office management skills and lots of initiative. Able to deal with people at all levels and ensuring the department runs like a clockwork.
My Skills and Competencies
Social Media Manager
Facebook Ads Management
Data Entry
Content Creator
Certificates
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My Experience and Education
2018
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2018
Value Care Health System, Inc.
(Assistant Manager Claims Department)
• Handled the department and assists the AVP for Claims Administration in the timely and accurate review and evaluation of processed claims.
• Responsible in approving written correspondence/action memos to hospitals, clinics and doctors as well as members with concern related to claims.
• Recommends timely appropriate action for hospitals, clinics and doctors seeking re-evaluation of claims and bills as well for disapproved reimbursement.
2015
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2018
Value Care Health System, Inc.
(Department Supervisor Claims Department)
• Evaluates and approves all processed bills checked by the Section Supervisors.
• Oversees the timely processing of claims for hospital bills, professional fees and reimbursements to avoid suspension and to avail discounts.
• Coordinates and communicates with the proper hospital/clinic authority regarding hospital bills and payables, as well as doctors concerning their professional fees
2013
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2015
Value Care Health System, Inc.
(OIC Department Supervisor Claims Department)
• Coordinates with the Claims Manager in the timely, accurate review and evaluation of processed claims.
• Evaluates and approves all processed bills checked by the Section Supervisors.
• Addresses timely and properly, all concerns, inquiries and problems encountered by the claims processors and analysts
• Evaluates overall performance of claims processors and analysts and recommend promotion or demotion as necessary.
• Evaluates and recommend approval or disapproval for all sick leaves, vacation leaves, overtime and request for office supplies.
My Services
Social Media Management
Social Media Marketing is telling the world you’re a rock star. Content Marketing is showing the world you are one.
Facebook Ads Management
Facebook ads by getting inspiration from a few of our ad examples that have seen success.
Graphic Design
Graphic design is a craft where professionals create visual content to communicate messages.