Summary
Overview
Work History
Education
Skills
References
Work Setup & Availability
Timeline
Generic
Lydys Gatlabayan

Lydys Gatlabayan

Mandaluyong City

Summary

Detail-oriented and highly organized healthcare professional with over 7 years of experience in provider and reimbursement batch processing, pre-adjudication, client communication within healthcare and consulting industries. Proven ability to manage high-volume claims efficiently while maintaining accuracy and providing excellent client support. Proficient in Microsoft Office and office equipment operation.

Overview

9
9
years of professional experience

Work History

Claims Batcher / Analyst

Lift-Off Consulting Inc.
02.2024 - Current
  • Conduct pre-adjudication of reimbursement claims to ensure accuracy and completeness.
  • Notify clients of missing documentation or reasons for denial via email.
  • Assign batch numbers to reimbursement / provider claims and prepare for further processing.
  • Respond to reimbursement-related inquiries with professionalism and clarity.

Receptionist / Claims Processor

Micare Philippines, Inc.
02.2020 - 02.2024
  • Greeted and directed visitors, maintaining a welcoming front-office environment.
  • Managed incoming and outgoing transmittal transactions and disseminated received documents to appropriate personnel.
  • Assigned batch numbers for reimbursement / provider claims and coordinated with processing teams.
  • Processed reimbursement and provider claims with attention to deadlines and compliance.

Claims Processor – Reimbursement and Death Claim

Philhealthcare, Inc.
01.2017 - 01.2020
  • Assigned batch numbers for reimbursement / provider claims, prepared transmittals, and endorsed claims to designated processors.
  • Processed and pre-adjudicated reimbursement claims accurately and efficiently.
  • Conducted initial review of death claims, prepared documentation for insurer's adjudication.
  • Provided regular status updates to clients via phone or email.

Education

Bachelor of Science - Information Technology

STI College Global City
10-2016

Skills

  • 60 WPM Typing Speed
  • Proficient in Microsoft Office (Word, Excel, Powerpoint and Outlook)
  • Excellent written and verbal communication (English & Filipino)
  • Works well independently and in team settings
  • Dependable and organized
  • Capable of handling a variety of challenges, responsibilities and fully committed in accomplishing set goals efficiently

References

Available upon request.

Work Setup & Availability

  • Fully equipped home office with reliable internet and computer
  • Available full-time

Timeline

Claims Batcher / Analyst

Lift-Off Consulting Inc.
02.2024 - Current

Receptionist / Claims Processor

Micare Philippines, Inc.
02.2020 - 02.2024

Claims Processor – Reimbursement and Death Claim

Philhealthcare, Inc.
01.2017 - 01.2020

Bachelor of Science - Information Technology

STI College Global City

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Lydys Gatlabayan