Proven track record in enhancing operational efficiency, evidenced by a significant reduction in turnaround times for prior authorization requests at Optum Global Solution. Skilled in Microsoft Excel and adept at building strong client relationships, consistently exceeding sales targets. Demonstrated expertise in procurement strategy and warehouse operations, leading to improved inventory control and data integrity.
Overview
8
8
years of professional experience
Work History
Prior Authorization Specialist
Optum Global Solution
North Gate., Alabang Muntinlupa City (Remote)
11.2022 - Current
Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
Verified eligibility and compliance with authorization requirements for service providers.
Analyzed medical records and other documents to determine approval of requests for authorization.
Reduced turnaround time for prior authorization requests by utilizing electronic submission methods.
Evaluated clinical criteria for approval or denial of services requiring pre-authorization.
Monitored pending cases closely, proactively following up on outstanding documentation needed for successful approval outcomes.
Data Integrity Clerk
Tri-Land Logistic
Purok 1 Brgy. Saimsim, Calamba
11.2021 - 04.2022
Regularly updated documentation related to data management processes, ensuring clear understanding among stakeholders regarding protocols and expectations.
Demonstrated keen attention to detail in all aspects of work, resulting in consistently accurate and reliable output.
Trained new employees on best practices for maintaining data integrity, fostering a shared commitment to quality control.
Improved overall data quality by proactively identifying areas for improvement and implementing targeted solutions.
Assisted with database migration projects, ensuring seamless transfer of critical information without loss or corruption.
Facilitated communication between departments to resolve any inconsistencies in shared data resources.
Inventory Control Analyst
Fast Logistic Pulo
Pulo , Deizmo Rd., Cabuyao City, Laguna
07.2020 - 08.2021
Checked work and purchase orders against actual materials and resolved variances.
Helped create and improve inventory control policies.
Increased order accuracy by conducting regular audits and implementing a robust quality control system.
Improved turnover rates by proactively identifying slow-moving items and developing targeted sales strategies.
Conducted root cause analyses for discrepancies in inventory records, implementing corrective actions as needed.
Streamlined inventory management by implementing effective tracking systems and data analysis.
Optimized warehouse layout for improved accessibility, reducing time spent on locating items and fulfilling orders.
Conducted monthly counts of inventory at different locations.
Rejected damaged items, recorded shortages and corresponded with shippers to rectify issues.
Completed physical inventory counts each month.
Purchasing Clerk
Toyota Boshoku Philippines
111 Commerce Rd, Laguna Technopark, Biñan, Laguna
10.2018 - 03.2020
Organized purchasing files both physically and electronically for easy access during audits or reviews by management staff members.
Tracked delivery status of outstanding purchase orders, providing updates to relevant departments as needed.
Assisted in the implementation of new procurement software, leading to improved data management and reporting capabilities.
Verified accuracy of bills of lading, contracts and purchase requests.
Monitored inventory levels to prevent stockouts, ensuring timely replenishment of critical items.
Coordinated with warehouse personnel to ensure proper receipt and storage of delivered goods upon arrival at the facility.
Kept meticulous records of orders in computer system using [Software].
Ensured accuracy of purchase orders, minimizing errors and delays in deliveries.
Developed strong relationships with key suppliers, fostering a collaborative environment for effective negotiations.
Account Executive
OPPO Mobile Technology Inc.
Calamba, Province Of Laguna
03.2017 - 09.2017
Provided exceptional customer service, addressing client concerns promptly and effectively to ensure long-term loyalty.
Managed multiple accounts simultaneously while maintaining organization and prioritizing tasks efficiently.
Exceeded sales targets consistently by identifying new business opportunities and creating customized solutions for clients.
Boosted client satisfaction by developing and maintaining strong relationships through effective communication.
Conducted regular check-ins with existing clients to assess their needs and identify upselling opportunities.
Delivered informative presentations to potential clients, showcasing the unique value of products or services offered.