Claims Processor
NAS Administration Services LLC
Total years of experience :9 years, 9 Months
Jan. 2010 - May 2011
Claims Processor
NAS Administration Services LLC, Abu Dhabi, UAE
• Validated information on all medical claims received: assessed accompanying medical data and patients insurance policy; provided adjudication to either approve or deny claim.
• Data entry of all claims to include: medication, lab work ups and other diagnostic or medical procedures; interpretation of ICD coding and medical terminology; provision of prompt turnaround on claims decision.
Feb. 2003 - Aug. 2007
Database Supervisor
Philippine Health Insurance Corporation, Philippines
• Supervised database unit: overseeing all technical aspects of data input; scheduling and mentoring quality of work and providing objective assessment and feedback.
• Provision of clerical and administrative support to the corporate manager to include preparation of all correspondence and monthly meetings.
May 1999 - Jan. 2003
Accreditation and Quality Assurance Officer
Philippine Health Insurance Corporation, Philippines
• Conducted inspections of over 100 Hospitals in all categories within the region.
• Checked hospital facilities to ensure quality service and made assessment of manpower to ensure optimum care levels.
• Conducted domiciliary visits to beneficiaries and interviewed patients about the quality of services rendered by the hospital staff.
Additional Skills Training:
Apr. 2003 Association of Nursing Service Administrators of the Philippines, Inc. and Davao Medical Center, Philippines
Basic IV Therapy Training Course
Jul. 2001 Values Orientation Workshop
The Civil Service Commission Regional Office XI and
Philippine Health Insurance Corporation, Philippines
1992 - 1997 BS in Nursing Brokenshire College, Davao City, Philippines