Jennelyn Tuazon
Prior Authorization Representative
Summary
Experienced Prior Authorization Representative with a proven track record of effectively collaborating with insurance company representatives to secure preapproval for medical procedures. Detail-oriented professional with over six years of experience in managing documentation. Recognized as a valuable team player with exceptional multitasking abilities.
Overview
10
10
years of professional experience
4
4
years of post-secondary education
Work History
Senior Representative II
Eviden
03.2024 - 01.2025
- Insurance Verification for Eligibility and Benefits
- Validation of Healthcare Network
- Verification for Coordination of Benefits
- Generation Prior Authorization
- Collaboration with Healthcare Providers to collect necessary information
- Monitoring and Follow-ups
- Investigates insurance denials
Patient Services Representative I
CONIFER GBC
06.2022 - 03.2024
- Verification Eligibility & Benefits
- Securing Pre-certification/Authorization
- Confirmation of Coordination of Benefits
- Document all call details per standard operation procedure
- Interact with Healthcare Providers for needed information via call,email and Fax
- Monitoring and Follow-ups with Insurance companies
- Investigates insurance denials
Provider Service Advocate
WIPRO PHILIPPINES
05.2019 - 06.2022
- Reviewing investigating and processing Claims
- Assisting the Healthcare Providers for their queries with regards to Benefits and Eligibility of Member's Insurance
- Helping the Provider initiating a Prior Authorization and Appeals status and submission
Customer Service Representative
SPI GLOBAL
02.2016 - 05.2019
- Assisting the Cignal subscriber with regards to Billing, Technical and upselling
Telemarketer
PLDT
01.2015 - 02.2016
- Outbound call for upselling
Education
BS Nursing -
Our Lady of Fatima University
01.2006 - 01.2008
Hotel and Restaurant Services - undefined
Our Lady of Fatima University
01.2008 - 01.2010
Timeline
Senior Representative II
Eviden
03.2024 - 01.2025
Patient Services Representative I
CONIFER GBC
06.2022 - 03.2024
Provider Service Advocate
WIPRO PHILIPPINES
05.2019 - 06.2022
Customer Service Representative
SPI GLOBAL
02.2016 - 05.2019
Telemarketer
PLDT
01.2015 - 02.2016
Hotel and Restaurant Services - undefined
Our Lady of Fatima University
01.2008 - 01.2010
BS Nursing -
Our Lady of Fatima University
01.2006 - 01.2008
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