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April Rely Cordova, Medical Insurance Claim Specialist

April Rely Cordova

Medical Insurance Claim Specialist·Med-Metrix International Ph-II Inc.

United Arab Emirates

Bachelor's degree, Pharmacy

Work experience

Total years of experience: 11 years, 8 months

Medical Insurance Claim Specialist

November 2022 - December 2025

Med-Metrix International Ph-II Inc.

Pasig City, Philippines •Hybrid

November 2022 - December 2025

• Processed In-patient, Out-Patient and Pharmacy claims for AtlantiCare
Physician Group under HIPAA Regulations.
• Reworked pending, unresolved and denied medical claims for
resubmission.
• Used Veradigm (Allscripts), Citrix - Cerner and Powerchart as electronic
medical records systems.
• Trained new team members of work processes
• Provided general support as part of a team
Company industry:
Business Process Outsourcing (BPO)

Data Processing Associate

November 2020 - January 2022

Appen Global

Cavite City, Philippines •Hybrid

November 2020 - January 2022

• Processed Text and Image Annotation and Transcription for Project Based
Accounts (Touchdown, Ocean, Fado, Gordon, Camotes, Visleck, Oleta,
Ellis)
• Processed auditing work for Fado Project (Fiverr Account)
• Provided general support as part of a team
Company industry:
IT Services

Chat Customer Service Representative

January 2020 - January 2020

Concentrix CVG Philippines, Inc.

Makati City, Philippines

January 2020 - January 2020

• Processed Postpaid Mobile inquiries for a Singaporean Based
Telecommunications Account
• Reworked unresolved issues by other agents that caused customer to chat
back with the company.
• Provided general support for ordering services online for a Singaporean
Based Telecommunications Account
• Provided general support as part of a team
Company industry:
Call Centers & Customer Care Outsourcing

Voice Customer Service Representative

November 2019 - December 2019

Amazon Operation Services Philippines, Inc.

Pasay, Philippines

November 2019 - December 2019

• Processed ordering inquiries for Amazon
• Tracked orders for customers and contacted couriers on customers behalf
• Processed Re-Order, Cancellation, Refund and Return of parcels or items
as per customer request for Amazon
• Provided general support as part of a team
Company industry:
Retail & Wholesale

Chat Customer Service Representative

January 2018 - December 2018

24/7.ai Customer Philippines, Inc.

Makati City, Philippines

January 2018 - December 2018

• Processed Billing inquiries for Australian Based Telecommunications
Account
• Reworked unresolved issues by other agents that caused customer to
contact back with the company.
• Processed Cancellation and Relocation of Home Phone and Home
Internet services for Australian Based Telecommunications Account
• Provided general support as part of a team
Company industry:
Telecommunications

Medical Quality Analyst

January 2015 - October 2016

ARMCO Healthcare Services Inc.

Pasig City, Philippines

January 2015 - October 2016

Company industry:
Other Healthcare Services

Back-office Customer Service Representative

January 2013 - December 2014

Startek Philippines

Makati City, Philippines

January 2013 - December 2014

• Processed disconnection of telephone services for US Based
Telecommunications Company
• Reworked unresolved disconnection request as an Escalation Agent
• Served as POC for New Hires of the team
• Provided general support as part of a team
Company industry:
Call Centers & Customer Care Outsourcing

Training and Quality Associate

January 2014 - October 2014

Startek Philippines

Makati City, Philippines

January 2014 - October 2014

• Hosted Calibration Calls with Clients, Training & Quality Department
Heads and Operations Management team regarding correct order
processing.
• Hosted Quality Control updates and Knowledge Check with the operations
team
• Trained operations team for process updates from clients
• Served as Quality Analyst for operations team
• Researched workaround for system issues for disconnect process to
complete
• Supervised trainees during their Academy Bay Course
• Attended different Training Courses offered by the department
• Provided general Training and Quality Intern support
Company industry:
Telecommunications

Intern

January 2009 - January 2010

South Star Drug Inc.

Pasig City, Philippines

January 2009 - January 2010

• Assisted in dispensing medications
• Assisted in patient counseling
• Helped in re-stocking gondolas
• Helped organize Dangerous Drug Record Book of the pharmacy
• Provided general pharmacy intern support
Company industry:
Pharmaceutical Manufacturing

Intern

January 2009 - January 2009

Am – Europharma Corporation

Calamba, Philippines

January 2009 - January 2009

• Assisted in monitoring weight variation of in-process medications
• Assisted in assaying of different drug products
• Observed Good Manufacturing Pharmacy Practice in different in-process
products
Company industry:
Pharmaceutical Manufacturing

Intern

January 2008 - January 2008

St. Claire’s Medical Center

Makati City, Philippines

January 2008 - January 2008

• Assisted in dispensing medications
• Helped in re-stocking gondolas
• Answered phone calls and organized paper works inside of pharmacy
• Provided various pharmacy intern functions
Company industry:
Medical Hospital

Intern

January 2007 - January 2008

Mercury Drug Corporation

Makati City, Philippines

January 2007 - January 2008

• Prepared medications for dispensing
• Re-packed loose tablets and capsules
• Helped in restocking gondolas
• Provided general pharmacy intern support
Company industry:
Pharmaceutical Manufacturing

Education

Centro Escolar University Makati - Gil Puyat Campus

October 2012

October 2012

Bachelor's degree, Pharmacy

Philippines

Skills

BILLING
Intermediate
BILLING
Intermediate
CUSTOMER SERVICE
Intermediate
CUSTOMER SERVICE
Intermediate
ELECTRONIC MEDICAL RECORD
Intermediate
ELECTRONIC MEDICAL RECORD
Intermediate
HEALTHCARE INDUSTRY KNOWLEDGE
Intermediate
HEALTHCARE INDUSTRY KNOWLEDGE
Intermediate
INSTRUCTING
Intermediate
INSTRUCTING
Intermediate
INSURANCE POLICIES
Intermediate
INSURANCE POLICIES
Intermediate
INTERNET SERVICES
Intermediate
INTERNET SERVICES
Intermediate
MEDICAL BILLING
Intermediate
MEDICAL BILLING
Intermediate
POSTPAID MOBILE PHONE
Intermediate
POSTPAID MOBILE PHONE
Intermediate
SALES
Intermediate
SALES
Intermediate

Languages

English

Beginner