Jessah Mae Depita

• Processed high-volume prior authorizations, referrals, and medication requests across multiple insurance payers and specialties.
  
• Reviewed clinical documentation for completeness and accuracy to support timely authorizations and reimbursement.
  
• Monitored authorization status and proactively followed up with insurance carriers to prevent delays in patient care.
  
• Resolved insurance eligibility, authorization, and scheduling issues by coordinating with patients, providers, and payer representatives.
  
• Collaborated with physicians, nurses, case managers, and ancillary departments to ensure seamless patient care coordination.
  
• Maintained accurate patient records, medical histories, and provider documentation within EHR systems while ensuring HIPAA compliance.
  
• Scheduled new and follow-up appointments, specialist referrals, diagnostic testing, and procedure coordination across multiple provider calendars.
  
• Prioritized urgent patient requests, authorization deadlines, and provider needs in a fast-paced clinical environment.
  
• Communicated treatment plans, appointment details, and provider instructions to patients, improving continuity of care.
  
• Assisted providers with administrative and clinical workflows to improve operational efficiency and patient access.
  
• Coordinated prescription refill requests and medication prior authorizations with providers, pharmacies, and insurance carriers.
  
• Maintained compliance with HIPAA, payer guidelines, and organizational policies while handling confidential patient information.
  
• Supported revenue cycle activities by verifying benefits, obtaining authorizations, and reducing delays in reimbursement.
  
• Managed multiple priorities simultaneously while meeting strict turnaround times for authorizations, referrals, and patient requests.
  
• Delivered responsive patient support by addressing questions, resolving concerns, and ensuring a positive care experience.

• Coordinated appointments for patients in Central America.
• Ensured all patient records were thoroughly verified, diagnoses were accurately reviewed, and schedules were properly arranged.
• Provided smooth and efficient support for patients and healthcare providers.
• Maintained and verified patient records to ensure appointments were properly supported by their benefits.
• Transcribed medical diagnoses, physician notes, and other clinical information accurately into electronic health records (EHR) or medical databases.
• Reviewed and proofread transcriptions for accuracy, completeness, and compliance with medical terminology standards.
• Processed prior authorization requests for medical procedures and prescription medications in accordance with payer guidelines
• Coordinated prescription refills by verifying eligibility, obtaining provider approval, and ensuring timely processing
• Managed medical orders, including entry, verification, and follow-up with providers and insurance companies
• Communicated with physicians, pharmacies, and insurance representatives to gather required clinical documentation.

Insurance claims (property/auto)

• Processed property and auto claims end to end, ensuring accurate and timely resolutions.
  
• Guided clients through coverage, claim steps, and required documentation to improve first‑pass completeness.
  
• Coordinated with carriers and adjusters to verify coverage and expedite approvals.
  
• Maintained audit‑ready records for all claims and related transactions in [system/tool].
• Updated clients proactively from first notice of loss through settlement.
  
• Investigated and resolved discrepancies to minimize disputes and payment delays.
  
  Real estate support
  
• Qualified buyers by clarifying needs, budgets, and timelines for residential and commercial purchases.
  
• Conducted property searches, showings, and tours, curating shortlists aligned to client priorities.
  
• Advised on market conditions, pricing, and valuations using current comps and trends.
  
• Prepared and explained contracts, disclosures, and agreements to ensure compliant, on‑time closings.
  
• Nurtured client relationships through regular communication, milestone updates, and post‑sale support.

• Guided patients in meeting their pharmaceutical needs by reviewing diagnoses and recommending appropriate medications, ensuring safe and effective treatment.
• Updated and maintained patient insurance records to guarantee accurate coverage and seamless claims processing.
• Verified insurance eligibility, benefits, and coverage details to support billing, claims, and timely reimbursement.
• Facilitated patient requests for medical supplies through mail-order processing, ensuring prompt and accurate delivery.
• Monitored prescriptions and insurance approvals to prevent delays, resolve issues, and enhance patient satisfaction.
• Ensured compliance with healthcare regulations, HIPAA privacy standards, and company policies.

• Managed a clothing business through online market and store outlet.
• Created designs for print and digital media, including shirts, mugs, souvenirs, business logos, and signage.
• Supervised a team of designers, providing guidance, feedback, and quality control.
• Proficient in graphic design software and tools (e.g., Adobe Photoshop, Illustrator, CorelDRAW).
• Strong creativity and visual storytelling ability.
• Excellent attention to detail and color theory application.

• Led staff training to enhance product knowledge and customer service skills.
• Developed process documentation and best practices for consistent knowledge sharing.
• Analyzed customer feedback to drive service improvements and optimize operations.
• Served as SME for Telco B2B accounts, managing escalations and complex business line issues.
• Managed billing accounts for corporate and consumer clients, including coverage plans, troubleshooting, and sales support.
• Ensured accurate account profiles and delivered a positive customer experience through timely issue resolution.

• Managed consumer Telco accounts, ensuring accurate billing, coverage, and service delivery.
• Resolved customer inquiries and escalations efficiently, enhancing satisfaction and retention.
• Analyzed client feedback to identify improvement opportunities and streamline service processes.
• Led initiatives to optimize workflows, reduce response times, and improve overall customer experience.
• Provided guidance and support to customers on products, services, and account management.