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Overview

Looking for full-time work (8 hours/day)

at $6.60/hour ($1,161.60/month)

BS Information Technology

Last Active

July 20th, 2024 (146 days ago)

Member Since

January 30th, 2013

Profile Description

TATA CONSULTANCY 
Service Desk Analyst 
November 16 2022 – September 12 2023 
 
CONIFER HEALTH SOLUTIONS 
PATIENT SERVICES II 
Taguig City, Philippines 
May 04, 2020 - May 04 2022 

Completes both scheUpgrade to see actual infog functions and registration functions with the patient for an
upcoming visit during one call:
• ScheUpgrade to see actual infog: Responsible for timely scheUpgrade to see actual infog, provide callers with important information
related to their appointment (i.e., Prep information for test, directions, order management
etc.)
• Financial Clearance: up to and including verifying patient demographic, insurance information
and securing payment of patient’s financial liability/performing collection efforts
• Verifies order is complete and matches scheduled Upgrade to see actual infocludes indexing and exporting
physicians’ orders to correct account number.
• Collect and verify required patient demographic and financial data elements, including
determining a patient's financial responsibility and securing pre-payment for future
services/performing collection efforts
• Create a complete pre-registration account for an upcoming inpatient/surgical admission
• Completes all pre-certification requirements by obtaining authorization from insurer and/or
healthcare facility 

MEDTRONIC PHILIPPINES
CUSTOMER SERVICE IV 
29F One World Place
32nd Street Bonifacio Global City
Taguig City 
March 9 2019 - February 24 2020 

Provided front-line care center support to patients and handle escalations from
patients.
• Partnered with assigned internal and external stakeholders to meet care center need
for patients, and individual needs of Health Care Providers.\
• Monitor Helpline call activity to identify patients that may need additional support and
direct appropriate group for intervention.
ACCENTURE, INC. (PHILIPPINES)
Utilization Management Representative (Non Clinical)
Accenture Delivery Center,
Pioneer St., Boni Avenue, Mandaluyong City
April 8 2016 – February 22 2019
• Determines contract and benefit eligibility; provides authorization for inpatient
admission, outpatient precertification, prior authorization, and post service requests
• Refers cases requiring clinical review to a Nurse reviewer.
• Responds to telephone inquiries from clients, providers.
• Develops and maintains positive customer relations and coordinates with various
functions within the company to ensure 

Teletech Customer care Management
Intern Trainer –
• Handled two product training for new associates 
Customer Service Representative (Member Services and Claims) 
November 12, 2013 – March 31, 2016 

Helped potential customers evaluate and judge the merits of various plans to help them
select the most appropriate type of coverage for their unique individual needs.
• Described the benefits and coverage associated with different types of health care plans
and describe exclusions and non-covered treatment approaches. This involves
interpreting the terms of individual policies and offering suggestions for consumers on
how to go about comparing different covered treatment options.
• Determined whether a physician or health care provider is covered under their policy or
"in network." In addition to helping a customer assess which providers are in network
and covered.
• Assisted caller with deductibles, co-pays and insurance payments as they relate to
different forms of care.
• Answered questions with regard to premium payment and billing.This includes
explaining statements, helping customers understand various pieces of insurance
paperwork and answering questions with regard to insurance premium payments. 

ACS a Xerox Company
Personal Benefits Representative (Project Based) 
August 5, 2013 to November 12,2013 

Responded to telephone Inquiries using standard procedures.
• Gathered Information and researched/resolved inquiries and logs customer calls.
• Communicated appropriate options for resolution in a timely manner.

SMART Communications, Inc. 
Data Center and Systems Operator (Prepaid Team) 
May 2012 – February 8, 2013 

Performed and monitored daily Prepaid Systems database and archive backup.
• Executed and monitored System backup (daily, weekly and monthly).
• Maintained Data Center operational procedures and documentation.
• Monitored and investigates hardware problem.
• Operated and monitored system processes, user jobs and batch running in all production
servers.
• Prepared daily reports and data extraction for internal users.
• Responsible for back-up / restoration, report generation, and process execution. 

Transaction Processing Representative(DATA ANALYST) 
ACCENTURE, INC. (PHILIPPINES)
Accenture Delivery Center,
Pioneer St., Boni Avenue, Mandaluyong City 
August 31, 2010 to April 2012 

Performed data entry and research in various systems such as SAP and tracking tools.
• Applied knowledge of processes and related systems to assist in identifying,
assessing and resolving issues/problems.
• Assessed and resolved non-standard and standard issues or problems.