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
Patient rights
Activity monitoring
Caseload management
Insurance understanding
Organized nature
Quality assurance
Insurance Verification
Formularies
Information Collection
Insurance billing
Medical terminology
EMR
Fee Collection
Eligibility Determination
Payment collection
Interpreting physician orders
Insurance verifying
System updates
Medical insurance
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