April Ann Rivera, Insurance Coordinator, Sr. Healthcare-Patient Coordinator

April Ann Rivera

Insurance Coordinator, Sr. Healthcare-Patient Coordinator

American Spine Center

البلد
الإمارات العربية المتحدة - دبي
التعليم
بكالوريوس, Nursing
الخبرات
9 years, 5 أشهر

مشاركة سيرتي الذاتية

حظر المستخدم


الخبرة العملية

مجموع سنوات الخبرة :9 years, 5 أشهر

Insurance Coordinator, Sr. Healthcare-Patient Coordinator في American Spine Center
  • الإمارات العربية المتحدة - دبي
  • مايو 2013 إلى أكتوبر 2017

- (Revenue Cycle Management) Requesting for pre-approvals, eligibility verification, submitting claims, resubmission of rejected claims and reconciliation.
- Responsible for insurance verification and accurate communications to staff and patients regarding the insurance coverage.
- Negotiating with insurance companies for empanelment, adding of clinic services, and handling patient referrals.
- Head of Department, Frontdesk.

Administrative and Accounts Assistant/Insurance Coordinator في Dubai Healthcare City
  • الإمارات العربية المتحدة
  • ديسمبر 2009 إلى أبريل 2013

December 2009 - April 2013
Administrative and Accounts Assistant/Insurance Coordinator
Customer Service
Dubai Healthcare City, Dubai UAE

• Doing front desk jobs like booking, cancellation, reminding & confirmation of patient's schedule.
• Does the reporting for HIRAS (Healthcare Information Reporting and Analysis System) . This is a
clinical data repository (CDR) and Data Warehouse (DW) to capture and store all Dubai Healthcare
City Healthcare Operator patient encounters. Uses the latest CDT codes.
• Receives medical claims from patients, evaluating claims in terms of eligibility and completeness.
• Coordinates with insurance companies and medical providers for direct billing and organizing the claims process.
• Monitor patient payments and control financial activities of patient and their respective dentist/doctor for accounting purposes, reports directly to the administrative manager.
• Reconciles daily collections (cash, cheques, credit card receipts)
• Writes correspondence for the clinic to the patients, suppliers and companies.
• Coordinating & up-dating the doctors of their schedule
• Monitoring of the stocks of the supplies if it's enough & be aware of their expiry dates
• Has knowledge in cosmetic dentistry assisting.

Nurse في Angono Medics Hospital
  • الفلبين
  • أغسطس 2009 إلى أكتوبر 2009

August 2009 - October 2009
Nurse (General Ward and Emergency Room)
Angono Medics Hospital
Philippines

Nurse في Binangonan Municipal Hospital
  • الفلبين
  • فبراير 2009 إلى يوليو 2009

February 2009 - July 2009
Nurse (Emergency Room)
Binangonan Municipal Hospital
Philippines

• Attends to disaster situations by giving first-aid, securing safety and handing necessary help.
• Collects current symptoms, as well as a detailed patient history and then consults and coordinates with health care team members to assess, plan, implement and evaluate patient care plans.
• Performs triage, while considering both physical and psychosocial elements
• Manages basic life support needs and stabilizes patients until the attending physician is available,
• Works directly under physicians, assisting them during exams, diagnostic testing and treatments.
• Attends to the patient's needs.
• Prepares and administers (orally, subcutaneously, through an IV) and records prescribed medications.
• Gives direct nursing care. Provides IV therapy.
• Gives health teachings.
• Observe medical Sepsis
• Assist Physicians and other care provider with examinations and special procedures.

English Teacher في MECA English
  • الفلبين
  • أبريل 2008 إلى سبتمبر 2008

April 2008 - September 2008
English Teacher for Koreans
MECA English
Philippines

• One on one teaching via phone and internet.
• Planning, preparing and delivering lessons to students of various age and profession. Age of students
vary from 5 years old to 50 years old.
• Devising and writing learning materials that are individualized to cater the specific need of each student.
• Basic administration such as keeping student registers and evaluating the students' performance.

Nursing Trainee في Rizal Provincial Hospital
  • الفلبين
  • يناير 2008 إلى مارس 2008

January 2008 - March 2008
Nursing Trainee - Emergency Room
Rizal Provincial Hospital
Philippines

الخلفية التعليمية

بكالوريوس, Nursing
  • في Siena College, Philippines
  • يونيو 2007

College: Siena College, Philippines Degree: June 2007 - Bachelor of Science in Nursing

Specialties & Skills

Administration
Customer Service
Time Management
Multitasking
Adaptability
ACCOUNTING
ADMINISTRATIVE MANAGER
BILLING
COLLECTIONS
CORRESPONDENCE
CREDIT CARD
CUSTOMER SERVICE

اللغات

الانجليزية
متوسط
التاغلوج
متمرّس

الهوايات

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