Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic
DIVINA S. BELDAD, RN

DIVINA S. BELDAD, RN

Manila

Summary

I am an insurance professional with extensive experience in managing insurance documentation, adept at processing insurance claims and verifying coverage. Proven ability to streamline administrative tasks while ensuring compliance and accuracy. Skilled in medical coding and proficient in managing high volumes of inquiries, ensuring seamless operations in fast paced environments. Known for effective team collaboration and adaptability to changing needs, with focus on meticulous attention to detail and excellent communication skills.

Overview

19
19
years of professional experience
1
1
Certification

Work History

Insurance Coordinator

Medcare Medical Centre Branch of Medcare Hospital LLC
04.2018 - 06.2025
  • Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
  • Ensuring the coverage of claims, validity and which under policy that has direct agreed tariff, contract agreement between the provider (clinics/hospitals) and insurance company as payers.
  • Verified insurance and communicated coverage to staff and patients.
  • Assisted patients and staff with understanding complex insurance policies, effectively addressing their concerns or questions.
  • Getting the approvals for medical insurance procedures through direct DHPO (Dubai Health Post Office) dashboards under monitoring by DHA or Dubai Health Authority (eClaimLink) for the unified system enabled to support the multiple electronic claiming transactions that will facilitate the standard communication between Providers, Payers, Authorities and Patients and direct provider portal system to the insurance companies
  • Managed a high volume of queries, promptly resolving issues while providing accurate information on policies and procedures.
  • Coordinate and cooperate with colleagues from the same department and other related departments for smooth running medical insurance operations.
  • Processed maximum 60 insurance approval requests by the doctors daily for the procedure like radiology, laboratory, surgery and other procedures.
  • Dispatch weekly and monthly insurance claim forms through Electronic Medical Records (E.M.R).
  • Perform various duties that require multi-tasking skills in a fast-paced environment and assigned by management team.

Customer Service Executive (C.S.E.) - Senior Staff

Medcare Medical Centre Branch of Medcare Hospital LLC
03.2015 - 06.2025
  • Provided company information and policies to patients upon inquiry and answered questions via phone, email and WhatsApp.
  • Enhanced customer satisfaction by promptly addressing inquiries and resolving issues.
  • Escalated critical patient’s issues to supervisor to avoid lost revenues and canceled policies.
  • Boosted customer retention rates by providing exceptional service and building rapport with patients.
  • Took inbound and outbound calls from the patient for various reasons, examples: verifying patients’ insurance prior scheduling appointment, processing payments and answering any questions or handling any concerns they might have.
  • Coordinates physician schedule and maintain patient flow by communicating patient’s arrival and delays.
  • Mail or route claim forms and supporting documentation to various units for final processing.
  • Verify accuracy and completeness of patient information and insurance documentation.
  • Being flexible with the nurses for proper endorsement of the patient files. Preparing insurance claim forms for each patient with individual insurance details and policy-benefits, card eligibility and co-payment.
  • Making a visit entry for opening a file. Endorse to the nurse for initial medical assessment till to the doctor’s diagnosis and double check the requested procedures. Preparing for billing process after the nurse discharge and for pharmacy (medication).

Receptionist

Harley International Medical Clinic
09.2012 - 10.2014
  • Greeted incoming visitors and patients professionally and provided friendly, knowledgeable assistance.
  • Register new patients and confirmed appointments, communicated with patients and updated patient’s records.
  • Facilitates patient flow by notifying the provider of patient’s arrival, being aware of delays and communicating with patients and clinical staff.
  • Filling up all the important details from the insurance card to the insurance form needed for each patient.
  • Answered phone promptly and directed incoming calls to correct department.
  • Check if there are enough registration form, insurance form, laboratory form, radiology form, continuation sheet and new file for the new patient.
  • Keep reception area clean and neat to give visitors and patients positive first impression.

Nursing Assistant

N. P. Medical Clinic
03.2009 - 03.2011
  • Answering patients calls and determining how best to help them.
  • Interview patient to obtain medical histories.
  • Assess patient status and notify physicians of clinical changes.
  • Checked patient vital signs such as temperature, blood pressure.
  • Record data on patient sheet.
  • Maintained patient charts and confidential files.

Medical Assistant

Citihealth Diagnostic Center
09.2008 - 02.2009
  • Prepare examination room and interview patients to obtain medical histories.
  • Directed patients to exam rooms, fielded questions and prepared for physician examinations.
  • Assist physician during ultrasound procedure.
  • Assist in the orientation of new staff members.
  • Assess patient status and notify physicians of clinical changes.
  • Sanitized, restored and organized exam rooms and medical equipment.
  • Performed electrocardiogram (ECG) procedure, medical records management, including filing, organizing and scanning documents.

Cashier

Watsons Pharmacy, Watsons Your Personal Store
08.2006 - 10.2006
  • Greeted customers entering store and responded promptly to customer needs.
  • Welcomed customers and helped determine their needs.
  • Worked flexible schedule and extra shifts to meet business needs
  • Operated cash register for cash and credit card transactions with excellent accuracy level.
  • Dispense medicine to Watsons patrons.
  • Trains new employee as per company’s standard.
  • Checked out transactions are carried correctly and follows corporate procedures.
  • Assist in physical counting and inventory.

Education

Bachelor of Science - Nursing

Arellano University
Legarda Street, Sampaloc, Manila, Philippines
03-2006

Skills

  • Insurance claims processing
  • Insurance processes
  • Insurance verification
  • Customer service and assistance
  • Multi-tasking & flexibility
  • Work with less supervision with professionalism
  • With medical insurance process knowledge
  • Medical Terminology
  • Current Procedure Terminology (CPT)
  • Medical Coding
  • Electronic Medical Records (EMR)

    • International Statistical Classifications of Diseases ICD

Certification

Registered Nurse | Professional Regulation Commission

Timeline

Insurance Coordinator

Medcare Medical Centre Branch of Medcare Hospital LLC
04.2018 - 06.2025

Customer Service Executive (C.S.E.) - Senior Staff

Medcare Medical Centre Branch of Medcare Hospital LLC
03.2015 - 06.2025

Receptionist

Harley International Medical Clinic
09.2012 - 10.2014

Nursing Assistant

N. P. Medical Clinic
03.2009 - 03.2011

Medical Assistant

Citihealth Diagnostic Center
09.2008 - 02.2009

Cashier

Watsons Pharmacy, Watsons Your Personal Store
08.2006 - 10.2006

Bachelor of Science - Nursing

Arellano University

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DIVINA S. BELDAD, RN