Mary Gemielle Rabe
San Carlos City
Summary
Compassionate and committed Physiotherapist with a Bachelor\'s Degree in Physical Therapy from De La Salle Medical and Health Sciences Institute. Adaptable, dependable, and detail-oriented, focused on meeting deadlines, supporting team goals, and consistently bringing my best to every task. Knowledgeable Authorization Insurance Specialist/Patient Care Coordinator with a proven track record in managing authorization processes and ensuring compliance with industry standards. Adept coordination with team members and healthcare providers has led to streamlined operations and improved patient satisfaction. Demonstrates expertise in problem-solving and attention to detail, ensuring timely and accurate processing of authorizations.
Overview
4034
4034
years of post-secondary education
2
2
Languages
Work History
Authorization Specialist/Patient Care Coordinator
Cliniqon
- Worked for nearly a year, actively supporting the team by regularly meeting or surpassing individual targets for processing authorization requests. Helped improve patient satisfaction by making the process smoother and more efficient.
- Improved patient satisfaction by streamlining authorization processes and ensuring timely responses to inquiries.
- Initiated contact with the patient's insurance provider to request prior authorization and verify eligibility and benefits.
- Transmitted relevant clinical documentation and medical notes to the referring provider’s office to ensure continuity of care and provide an update on the patient’s current status.
- Increased accuracy by diligently reviewing and verifying patient eligibility, coverage, and benefits information.
- Assisted in training new team members on company policies and procedures for handling authorization requests.
- Maintained compliance with HIPAA regulations, safeguarding sensitive patient information during the authorization process.
- Communicated with people from various cultures and backgrounds on application process.
THERAPY/ PATIENT COORDINATOR
HOLY TRINITY HEALTHCARE
- Company Overview: HOME HEALTH COMPANY AT HOUSTON,TEXAS, USA
- HOME HEALTH COMPANY AT HOUSTON,TEXAS, USA
- Coordinated with healthcare professionals to accurately update patient information in electronic medical records EMR (KINNSER) systems.
- Coordinated with healthcare professionals to accurately update patient information in electronic medical records EMR systems.
- Requested authorizations from insurance companies via Phonecalls, fax or portals
- Supported patients in navigating insurance claims, providing guidance and documentation to facilitate processing.
- Facilitated communication between patients and healthcare professionals, acting as a liaison for efficient care delivery.
- Liaised with hospitals and other organisations to gather and store patient information.
- Scheduled staff rosters, ensuring adequate coverage for optimal patient support and care continuity.
- Ensured compliance with health and safety protocols, conducting regular checks to maintain a safe environment.
- Received, made and diverted telephone calls, taking messages with attention to detail and prompt, appropriate delivery.
- Handled incoming calls and correspondence, directing enquiries to appropriate departments for swift resolution.
- Arranged patient appointments and treatment plans by consulting and collaborating with other healthcare providers and specialists.
- Answered general patient enquiries, making new, follow-up and rescheduled appointments.
- Provided administrative support to healthcare teams, helping to streamline patient care processes.
- Trained and mentored new and junior team staff, providing supportive and motivating environment to help team performance.
- Processed telephone requests for appointments and services using SpectrumVoIP’s, directing callers to appropriate healthcare professionals.
- Managed patient records with confidentiality, updating information and maintaining accuracy in database systems.
- Kept patient records accurate, updating information promptly on company IT system software.
- Reviewed and assessed staff processes, reducing hazards posed for residents and staff whilst promoting regulatory compliance.
Member's Care and Hospital Assistant (MCA)
CARITAS HEALTH SHIELD INC.
- Company Overview: HEALTH MAINTENANCE ORGANIZATION (HMO)
- HEALTH MAINTENANCE ORGANIZATION (HMO)
- Enhanced organisational efficiency through effective management of operations.
- Handled confidential documents, ensuring secure filing and retrieval as per compliance regulations.
- Trained new staff in company procedures, operational best practices and computer software.
- Managed client communications by answering phones and corresponding through email.
- Provided empathetic support to clients during claim disputes, acting as a mediator between them and insurance companies.
Physical Therapy Intern
Veterans Memorial Medical Center
02.2019
- Physical Therapy Rehabilitation (Out-patient and In-Patient Dept.) Charity Center
Physical Therapy Intern
Medical City
- Physical Therapy Rehabilitation (Out-patient, In-Patient Dept
- And ICU Dept.) Private Center
Education
Bachelor of Science - Physical Therapy
Dela Salle Medical Health and Sciences Institute
Secondary Education/ Highschool -
Ednas School of San Carlos City
Skills
Multidisciplinary team Collaboration
References
- Reyjean C Tanga, Supervisor, 09859766692
- Tricia Jane B Bautista, Assistant Supervisor, 0905-2612432
Languages
1,A1,5,C1
Timeline
Physical Therapy Intern
Veterans Memorial Medical Center
02.2019
Authorization Specialist/Patient Care Coordinator
Cliniqon
THERAPY/ PATIENT COORDINATOR
HOLY TRINITY HEALTHCARE
Member's Care and Hospital Assistant (MCA)
CARITAS HEALTH SHIELD INC.
Physical Therapy Intern
Medical City
Bachelor of Science - Physical Therapy
Dela Salle Medical Health and Sciences Institute
Secondary Education/ Highschool -
Ednas School of San Carlos City
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