Krisna Apao
Patient Care Coordinator
Cebu City
Summary
Dynamic Patient Care Coordinator with a proven track record at Optum Global Solutions, excelling in insurance verification,claims processing and refill medications. Demonstrated strong attention to detail and patient relations, enhancing satisfaction through efficient appointment scheduling and effective communication. Proficient in EMRs and committed to HIPAA compliance, ensuring confidentiality and quality care.
Overview
6
6
years of professional experience
Work History
Patient Care Coordinator
Optum Global Solutions
02.2022 - 03.2025
- Take inbound and outbound calls to member,patient, provider and insurance. Verify patients insurance coverage.
- Managed sensitive patient information with strict adherence to HIPAA guidelines, maintaining confidentiality and privacy at all times.
- Coordinated with insurance companies for accurate billing and claim processing, reducing errors and financial discrepancies.
- Monitored inventory levels of medical supplies and equipment, placing orders when necessary to prevent shortages or delays in patient care provision.
- Communicated with insurance companies to verify coverage and obtain authorizations for medical treatments and procedures.
- Process medication refills.
- Sent Rx request and verify patient's prescription.
- Discuss billing information, process payment and copayments.
- Enroll eligible member to copay cards and financial hardships program.
- Enhanced patient satisfaction by efficiently scheduling appointments and managing patient flow.
- Update and manage patient's medical history.
- Evaluate in-network and out of network pharmacy
Customer Service Representative
Tech Mahindra
04.2019 - 11.2021
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Responded to customer requests for products, services, and company information.
- Assisting customers with sales,support and troubleshooting.
- Handling customer inquiries and issue related to prepaid and postpaid plans.
- Managed timely and effective replacement of damaged or missing products.
- Track orders
- Discuss billing information and process payment.
Education
Bachelor of Science - Secondary Education Major in English
Trinidad Municipal College
Trinidad, Bohol 04.2001 -
Skills
Computer Literacy
Proficiency in G Suite and Microsoft Office
Proficient in EMRs and EHRs system
Familiarity with medical terminology
Strong attention to detail
Self-motivation and discipline to work independently
Patient relations
Patient Care
Multitasking Abilities
Benefits explanation
Payment collection
Insurance verification
Payment arrangements & negotiation
HIPAA compliance
Appointment scheduling
Claims processing
Medical billing
Prescriptions verification
Medication refill
Timeline
Patient Care Coordinator
Optum Global Solutions
02.2022 - 03.2025
Customer Service Representative
Tech Mahindra
04.2019 - 11.2021
Bachelor of Science - Secondary Education Major in English
Trinidad Municipal College
04.2001 -