MARY NICOLE G. LABAY
Parañaque City
Summary
Experienced healthcare professional with a strong background in prior authorizations and utilization management. Proven ability to streamline workflows, reduce approval times, and ensure compliance with payer policies. Committed to optimizing processes and enhancing patient care through efficiency and collaboration. Excited to leverage analytical and communication skills in a Medical Virtual Assistant role, contributing to the delivery of high-quality healthcare services.
Overview
2
2
years of professional experience
Work History
Prior Authorization Specialist
Access Healthcare
07.2024 - Current
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Intern
Unilab
06.2023 - 07.2023
- Under Corporate Quality Assurance and Compliance (CQAC) Division
- Supported staff members in their daily tasks, reducing workload burden and allowing for increased focus on higher-priority assignments.
Education
Bachelor of Science - Microbiology
06-2024
- Academic Achievement Award: Cum Laude
- College of Science Dean's Lister (2020-2023)
- Thesis Paper: Screening of the Carotenoid Potential of a Pigmented Yeast CMY 051 Isolated from Mangrove Leaves (2024)
- GPA: Cum Laude
Senior High School -
06-2020
- Graduated
- Research paper: Repellent Activity of Ponkan (Citrus poonensis) Peels Essential Oil against Yellow Fever Mosquitoes (Aedes aegypti) (2020)
Junior High School -
01.2018
- Graduated
- Best Research Paper on the Comparative Study of Different pH Level and Microbial Growth of 12 Branded Water Bottles Available in the Philippines (2017)
Skills
- Active Listener
- Quick Learner
- Computer Literacy
- Critical Thinking
- Time Management
- Knowledge of HIPAA compliance standards
- Strong communication
- Prior authorization process
- Medical terminology
- Electronic health records proficiency
Accomplishments
- Best Research Paper, Comparative Study of Different pH Level and Microbial Growth of 12 Branded Water Bottles Available in the Philippines, 2017
- Academic Achievement Award, Cum Laude, 2024
- Dean's Lister, College of Science, 2020-2023
- Research Paper, Repellent Activity of Ponkan (Citrus poonensis) Peels Essential Oil against Yellow Fever Mosquitoes (Aedes aegypti), 2020
- Thesis Paper, Screening of the Carotenoid Potential of a Pigmented Yeast CMY 051 Isolated from Mangrove Leaves, 2024
Languages
Tagalog/Filipino
English
Timeline
Prior Authorization Specialist - Access Healthcare
07.2024 - Current
Intern - Unilab
06.2023 - 07.2023
Operation Brotherhood Montessori Center - Junior High School,
University of Santo Tomas - Bachelor of Science, Microbiology
University of Santo Tomas - Senior High School,
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