Insurance Coordinator, Sr. Healthcare-Patient Coordinator
American Spine Center
Total des années d'expérience :9 years, 5 Mois
- (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.
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.
August 2009 - October 2009
Nurse (General Ward and Emergency Room)
Angono Medics Hospital
Philippines
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.
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.
January 2008 - March 2008
Nursing Trainee - Emergency Room
Rizal Provincial Hospital
Philippines
College: Siena College, Philippines Degree: June 2007 - Bachelor of Science in Nursing
