Michelle Ann Marie Yeban
Registered Nurse
Liloan Cebu
Summary
Dynamic Patient Advocate with a proven track record at Optum Global Solutions, adept at enhancing patient experiences through effective communication and streamlined processes. Skilled in insurance verification and caseload management, I foster trust while ensuring timely access to care, significantly reducing wait times and improving service delivery.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Patient Advocate
Optum Global Solutions Phils Inc
06.2021 - Current
- Coordinated referrals to specialty care services within the network or external organizations in a timely manner.
- Liaised between patients and medical staff, facilitating effective communication of needs, preferences, and treatment plans.
- Streamlined appointment scheduling for better patient flow, reducing wait times and improving overall experience.
- Worked effectively with staff from all departments to coordinate resolutions.
- Managed patient complaints professionally and efficiently while maintaining strict adherence to HIPAA regulations.
- Provided emotional support to patients and families during challenging medical situations, fostering trust and rapport.
- Educated patients on available resources and community programs, increasing their access to needed services.
- Collaborated with healthcare providers to ensure timely, accurate, and compassionate care for patients.
- Educated patients and families on healthcare options and financial support resources.
Clinic Nurse
English International Language School Inc
09.2023 - 10.2024
- Contributed to a positive work environment by collaborating effectively with colleagues and supporting team goals.
- Assisted physicians during examinations and procedures, providing expert clinical support as needed.
- Enhanced clinic efficiency by streamlining processes and implementing best practices in nursing care.
- Collaborated with interdisciplinary teams for comprehensive patient care, ensuring optimal health outcomes.
Utilization Management Representative
EXL Service Philippines Inc
05.2019 - 09.2020
- Provided comprehensive support to clinical staff, assisting in the development of guidelines for appropriate service utilization.
- Developed strong working relationships with healthcare providers to ensure seamless communication and coordination of services.
- Reduced wait times for essential services by effectively managing utilization review caseloads and prioritizing urgent requests.
- Conducted thorough reviews of medical records, ensuring compliance with regulatory requirements and industry standards.
Billing Advisor
WIPRO Philippines Inc
02.2014 - 05.2019
- Researched and resolved billing discrepancies to enable accurate billing.
- Worked with multiple departments to check proper billing information.
- Strengthened client relationships through effective communication regarding billing issues and concerns.
- Enhanced customer satisfaction with timely and accurate invoice generation.
Data Entry Clerk
Innodata Knowledge Services Inc
09.2011 - 06.2012
- Completed data entry tasks with accuracy and efficiency.
- Organized, sorted, and checked input data against original documents.
- Sorted documents and maintained organized filing process.
- Verified accuracy of data entered into system to produce error-free reports.
Education
Bachelor Of Science In Nursing -
University of The Visayas
Mandaue City, Cebu10.2010
Bachelor Of Science In Nursing -
Cebu Doctors’ University
Mandaue City, Cebu05.2008
Skills
Verbal and written communication
Certification
HIPAA Certification
Timeline
HIPAA Certification
03-2025
Clinic Nurse
English International Language School Inc
09.2023 - 10.2024
Patient Advocate
Optum Global Solutions Phils Inc
06.2021 - Current
Utilization Management Representative
EXL Service Philippines Inc
05.2019 - 09.2020
Billing Advisor
WIPRO Philippines Inc
02.2014 - 05.2019
Data Entry Clerk
Innodata Knowledge Services Inc
09.2011 - 06.2012
Bachelor Of Science In Nursing -
University of The Visayas
Bachelor Of Science In Nursing -
Cebu Doctors’ University
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