Summary
Overview
Work History
Education
Skills
Additional Information
Languages
Certification
Timeline
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Apriel Joy A. Sefuentes

Apriel Joy A. Sefuentes

Health Care Specialist
Blk 143 Lot 174 Deca Homes Talomo Bago Gallera Davao City

Summary

Dynamic Healthcare Executive with a proven track record , adept in customer relations and proficient in Microsoft Office. Excelled in enhancing customer satisfaction and streamlining claims ,authorization processes and the like, demonstrating strong leadership and bilingual communication skills in English and Filipino. Achieved significant improvements in operational efficiency and patient billing management.

Overview

4
4
years of professional experience
5
5
Certifications

Work History

Healthcare Executive

FGC Plus
01.2022 - 06.2024
  • Authorization Specialist 2022-2023

(checking Authorization status or Appeal status via call or insurance portal, requesting authorization and providing medical records if necessary )

  • AR Aging (Account review, sorting , and sending patient billing statement)
  • Billing representative (Account review,sorting, calling patient to collect balance and process payment)
  • Updating patient Coordination of benefit and rebill insurance

Customer Service Representative

Teleperformance
09.2020 - 01.2022
  • Resolved customer or provider complaints with empathy and providing customer satisfaction by promptly addressing concerns and providing accurate information, to avoid repetitive patients or providers calling for the same issue.
  • Handles checking claim status , appeals , provider demographic update and authorization.
  • Help providers to navigate provider portal
  • Provides patient eligibility and benefit information

Education

Bachelor of Science - in Hospitality Management

University of Southeastern Philippines
Obrero, Davao City
04.2001 -

Skills

  • Customer Relations
  • Team Player and Team Leadership
  • Knowledgeable in operating Microsoft Word, Excel, and Power Point Presentation
  • Can communicate in English,Filipino and Cebuano Language

Additional Information

  • On call server for functions and conventions
  • Service crew at The French Baker Lanang Davao
  • Coffee Barista at The Coffee Bean and Tea Leaf

Languages

English
Cebuano
Filipino

Certification

Top Agent of the Month

Timeline

Collection process refresher training

05-2024

Top Agent of the Month

04-2024

Top Collector of the Month

04-2024

Top Agent of the Month

01-2023

Top Agent of the Month

04-2022

Healthcare Executive

FGC Plus
01.2022 - 06.2024

Customer Service Representative

Teleperformance
09.2020 - 01.2022

Bachelor of Science - in Hospitality Management

University of Southeastern Philippines
04.2001 -
Apriel Joy A. SefuentesHealth Care Specialist