Highlights:

Skills:Prior Authorization, Enrollment and Eligibility Analyst

Enrollment and Eligibility Analyst 10/2021 - current
Optum Global Solutions, Filinvest City, Muntinlupa Philippines
Industry: Healthcare
I manage enrollment and coverage updates for multiple clients while ensuring HIPAA compliance. I handle high volume emails, coordinate with clients and providers, and consistently meet productivity and quality goals. With over five years of remote experience, I have developed strong independence, time management, and attention to detail.
- Managed enrollment and coverage updates for 12 clients in a timely and accurate manner. - Responded to client emails and attended calls when necessary. - Maintained confidential patient information according to HIPAA standards. - Worked remotely for 5+ years while meeting productivity and quality targets.--
Associate Clinical Admin Coordinator 10/2019 - 09/2021
Optum Global Solutions, Filinvest City, Muntinlupa Philippines
Industry: Healthcare
I supported providers by gathering required information for prior authorizations and ensuring accurate and timely call coordination. This strengthened my communication skills, documentation accuracy, and ability to respond efficiently to urgent clinical requests.
- Utilize phone system to respond to and transfer calls to appropriate individuals or department. - Ask providers standard questions to understand requests, gather necessary information, and assess urgency. - Check procedure codes against notification requirements and benefit coverage to determine if prior authorization is required for a member.--
Assistant Restaurant Manager 09/2018 - 09/2019
Jollibee Foods Corporation, Rosario, Cavite Philippines
Industry: Food Service
To assist in managing daily restaurant operations, ensuring excellent customer service, food quality, and team performance while meeting sales and profitability goals.
- Prepare shift schedules for staff. - Keep detailed records of daily, weekly, and monthly costs and revenues. - Coordinate communication between front of the house and back of the house.--

Arise and Shine Acaddemy 06/2011 - 05/2014
Cabuyao City, Laguna, Philippines
Degree: High School Or Below
Major:N/A
A graduate of Arise and Shine Academy, a Christian school that instilled in me strong values of faith, discipline, and integrity. My education provided a solid academic foundation while nurturing character, leadership, and service. I carry forward the principles of responsibility, respect, and compassion, preparing me to contribute positively in both professional and personal endeavors.

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