FLORDELIZA SU-AY
Iloilo City
Summary
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.
Equipped with strong problem-solving abilities, willingness to learn, and excellent communication skills. Poised to contribute to team success and achieve positive results. Ready to tackle new challenges and advance organizational objectives with dedication and enthusiasm.
Overview
20
20
years of professional experience
Work History
Clinical intake Team (Authorization department)
Humana
11.2020 - Current
- Creating and building authorization.
- Check if the procedure code require an authorization and who managed, IPA, vendor or Humana
- Checking the status of the authorization request if the clinicals receive and attached
- Initiating verbal clinicals if the caller ready to answer the question and answer of the clinicals
- Sending fax copy of the approved authorization and denied authorization.
- Self-motivated, with a strong sense of personal responsibility.
- Worked effectively in fast-paced environments.
- Worked well in a team setting, providing support and guidance.
- Excellent communication skills, both verbal and written.
- Proven ability to learn quickly and adapt to new situations.
- Skilled at working independently and collaboratively in a team environment.
- Demonstrated respect, friendliness and willingness to help wherever needed.
- Assisted with day-to-day operations, working efficiently and productively with all team members.
- Passionate about learning and committed to continual improvement.
- Worked flexible hours across night, weekend, and holiday shifts.
- Managed time efficiently in order to complete all tasks within deadlines.
- Organized and detail-oriented with a strong work ethic.
- Paid attention to detail while completing assignments.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
Benefits and Eligibility
HUMANA Insurance
11.2019 - 11.2020
- Receiving phone call from the provider checking the member benefits and legibility of the policy
- Checking how much the copay, deductible and co-insurance
- Checking if the member affiliated with the IPA or under the special group
- Checking if the procedure code required an authorization and check the authorization guidance who will manage the authorization, either the vendor, humana or IPA
- Skilled at working independently and collaboratively in a team environment.
- Proven ability to learn quickly and adapt to new situations.
- Excellent communication skills, both verbal and written.
- Worked well in a team setting, providing support and guidance.
- Passionate about learning and committed to continual improvement.
- Worked flexible hours across night, weekend, and holiday shifts.
- Managed time efficiently in order to complete all tasks within deadlines.
- Organized and detail-oriented with a strong work ethic.
- Paid attention to detail while completing assignments.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
Customer Services Representative
Apria Healthcare
11.2018 - 11.2019
- Receive phone call from the member and assist the member
- Place new order for the DME product order by the member
- Follow up the member order and check the status.
- Checking the documents what else they need to comply in order to process and get approved if the order still pending.
- Track the member’s order in the logistic
- Managed timely and effective replacement of damaged or missing products.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Resolved escalated customer issues, restoring confidence in company's commitment to service excellence.
- Identified and resolved discrepancies and errors in customer accounts.
- Addressed customer inquiries to ensure satisfaction and foster positive service experience.
- Delivered prompt service to prioritize customer needs.
- Coordinated with logistics department to expedite shipping for urgent customer orders.
- Recommended, selected and helped locate and obtain out-of-stock product based on customer requests.
- Responded to customer requests for products, services, and company information.
OFW Domestic Helper
Go, Chai
07.2008 - 05.2018
- Tutor to the toddler
- Assisted in meal planning and preparation, ensuring nutritious meals were served daily.
- Managed laundry services, including washing, drying, folding, and ironing clothing items.
- Performed light cleaning duties such as dusting, vacuuming, and wiping down bathrooms.
- Maintained a clean, safe, and organized home environment for family members.
- Provided attentive childcare with age-appropriate activities to foster growth and development.
- Established trust with employers through reliable performance in completing daily tasks efficiently.
- Do the household chore
- Marketing and coking
- Make sure the house is tidy and clean
OFW Domestic Helper
Boon Chye
01.2005 - 01.2008
- Taking good care of a 2 months old baby
- Make sure the house is neat and tidy everyday
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Assisted in meal planning and preparation, ensuring nutritious meals were served daily.
- Managed laundry services, including washing, drying, folding, and ironing clothing items.
- Performed light cleaning duties such as dusting, vacuuming, and wiping down bathrooms.
- Maintained a clean, safe, and organized home environment for family members.
- Provided attentive childcare with age-appropriate activities to foster growth and development.
- Established trust with employers through reliable performance in completing daily tasks efficiently.
Education
Damires Elementary School
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Don Tiburcio A. Lutero National Comp. High School
Bachelor of Science - Computer Science
University of Southern Mindanao
Skills
- Friendly, positive attitude
- Teamwork and collaboration
- Customer service
- Problem-solving
- Time management
- Attention to detail
- Flexible and adaptable
- Dependable and responsible
- Multitasking
- Computer skills
- Calm under pressure
- Problem resolution
Timeline
Clinical intake Team (Authorization department)
Humana
11.2020 - Current
Benefits and Eligibility
HUMANA Insurance
11.2019 - 11.2020
Customer Services Representative
Apria Healthcare
11.2018 - 11.2019
OFW Domestic Helper
Go, Chai
07.2008 - 05.2018
OFW Domestic Helper
Boon Chye
01.2005 - 01.2008
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Don Tiburcio A. Lutero National Comp. High School
Bachelor of Science - Computer Science
University of Southern Mindanao
Damires Elementary School
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