Joanne Mae Advincula
Pangasinan
Summary
Dynamic Healthcare Customer Service Representative with extensive experience, excelling in insurance verification and prior authorization. Proven ability to assist members with Medicare enrollment while ensuring HIPAA compliance. Recognized for exceptional multitasking and organization skills, enhancing patient satisfaction and operational efficiency.
Overview
7
7
years of professional experience
Work History
Healthcare Customer Service Representative
Imagenet Philippines Inc
08.2024 - Current
Assisted Customer who are inquiring about:
- Eligibility and Coverage
- Prior Authorization
- LEP - Late Enrollment Penalty
- Claims
- Patient Scheduling
Healthcare Customer Service Representative
Optum Global Solutions
08.2019 - 07.2024
UMR INTAKE LOB
August 2019 to September 2022
- Handling Inbound calls from Providers who wants to set up Prior and Retro Authorizations.
- Familiarity with cpt codes and dx codes.
CMS RESUBMISSION LOB
September 2022 to July 2024
- Assisting members enrollment to Medicare.
Airline Customer Service Agent
Bosch Service Solutions
10.2018 - 06.2019
- Handled Passenger's claims for compensation regarding flight irregularities such as delays and cancellations.
Education
Tourism And Hospitality Management
Far Eastern University
06-2018
Skills
- HIPAA compliance
- Insurance verification
- Appointment scheduling
- Patient confidentiality
- Call center experience
- Claims processing
- Referral coordination
- Patient eligibility verification
- Multitasking and organization
- Insurance billing
Timeline
Healthcare Customer Service Representative
Imagenet Philippines Inc
08.2024 - Current
Healthcare Customer Service Representative
Optum Global Solutions
08.2019 - 07.2024
Airline Customer Service Agent
Bosch Service Solutions
10.2018 - 06.2019
Tourism And Hospitality Management
Far Eastern University
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