Summary
Overview
Work History
Education
Skills
Timeline
CustomerServiceRepresentative
FRITZEL RIVERA MACARAT

FRITZEL RIVERA MACARAT

City Of Cebu,CEB

Summary

Collaborating Advisor streamlines nurse practitioner collaboration and onboarding so clinical relationships launch with clear documentation and consistent follow-through. Supports credentialing workflows, coordinates 9–15 collaboration and credentialing reviews per week, and keeps onboarding steps moving across cross-functional teams. Brings a Bachelor of Science in Nursing and medical operations experience to every intake and compliance handoff.

Overview

10
10
years of professional experience

Work History

Collaborating Advisor

NP Collaborator
06.2025 - Current
  • Support nurse practitioners through the physician collaboration and onboarding process.

Quality Analyst

Project IntelyCare
03.2022 - 06.2025
  • Analyzed product quality metrics to identify trends and recommend improvements.

Medical Records Processor

Picnichealth Philippines
01.2022 - 03.2022
  • Processed and verified patient records for accuracy and compliance with regulatory standards.

Pre-authorization Representative

Access Healthcare
11.2021 - 12.2021
  • Processed patient authorization requests efficiently to ensure timely medical services.

Medical Coder

Shearwater Philippines
07.2021 - 08.2021
  • Verified insurance eligibility and benefits for diverse healthcare services consistently.

Customer Service Advocate / Subject Matter Expert

Optum Global Solutions
08.2018 - 06.2021
  • Resolved customer inquiries through multiple channels, enhancing overall satisfaction and service quality.

Customer Service Representative

Opsify Philippines
11.2016 - 05.2018
  • Analyzed customer feedback to identify trends and recommend process improvements for service delivery.

Education

Bachelor of Science - Nursing

Cebu Institute of Technology - University
Cebu
01-2013

Immaculate Heart of Mary Academy - undefined

Minglanilla, Cebu
01-2008

Minglanilla Science and Technology School - undefined

Poblacion Ward 1, Minglanilla, Cebu
01-2004

Skills

Quality monitoring

Chart review

Process audit

Regulatory compliance

Physician onboarding

Credentialing support

Care coordination

Timeline

Collaborating Advisor

NP Collaborator
06.2025 - Current

Quality Analyst

Project IntelyCare
03.2022 - 06.2025

Medical Records Processor

Picnichealth Philippines
01.2022 - 03.2022

Pre-authorization Representative

Access Healthcare
11.2021 - 12.2021

Medical Coder

Shearwater Philippines
07.2021 - 08.2021

Customer Service Advocate / Subject Matter Expert

Optum Global Solutions
08.2018 - 06.2021

Customer Service Representative

Opsify Philippines
11.2016 - 05.2018

Minglanilla Science and Technology School - undefined

Immaculate Heart of Mary Academy - undefined

Bachelor of Science - Nursing

Cebu Institute of Technology - University
FRITZEL RIVERA MACARAT