Prince Sebastian Uylengco

Key Responsibilities
Managing Incoming and Outgoing Communications:
Sorting and prioritizing letters, emails, faxes, and other forms of communication.
Responding to inquiries and forwarding correspondence to the appropriate departments or individuals.
Drafting and Editing Letters:
Writing and editing professional letters, memos, emails, and other forms of written communication.
Ensuring all written correspondence maintains a high standard of grammar, spelling, and professionalism.
Tracking Correspondence:
Maintaining records of communications sent and received for future reference.
Ensuring all correspondence is handled in a timely manner and deadlines are met.
Confidentiality:
Handling sensitive or confidential information appropriately.
Following privacy policies to ensure that confidential data is protected.
Customer Service:
Engaging with clients, customers, or stakeholders via written communication to address queries, complaints, or provide updates.
Ensuring all communications reflect the company’s tone and branding.
Document Management:
Organizing and maintaining communication logs, databases, and archives.
Ensuring that all correspondence is accessible and well-organized for quick retrieval.
Authorization Specialist I
Key Responsibilities:
Processing Authorizations:
Review requests for services or treatments that require prior authorization (e.g., medical procedures, insurance claims, or credit applications).
Determine whether the request meets the requirements set by the company, insurance providers, or government regulations.
Issue approvals or denials based on eligibility, medical necessity, or policy guidelines.
Verification of Information:
Ensure all required documentation (medical records, claim forms, etc.) is accurate and complete.
Verify insurance coverage or eligibility for services, ensuring that clients or patients are eligible for the requested services.
Communication:
Contact healthcare providers, clients, or insurance companies to clarify any discrepancies or request additional information.
Communicate approval or denial decisions to clients, patients, or other departments and explain any necessary steps.
Serve as a point of contact for inquiries related to authorizations and provide updates on the status of requests.
Compliance and Regulations:
Ensure that all authorizations are processed according to company policies, regulatory standards, and insurance guidelines.
Stay up-to-date with changing policies, laws, and healthcare regulations (e.g., HIPAA in healthcare, or state insurance regulations).
Documentation and Record Keeping:
Maintain detailed records of all authorization requests and decisions made, ensuring they are compliant with legal requirements.
Use electronic health record (EHR) systems or insurance management systems to log and track all authorization requests.
Problem Resolution:
Address issues such as delays or rejections in authorization and work toward resolutions, which may involve appealing denied claims or coordinating with different departments.
Follow up with clients or providers to ensure that services are rendered after authorization.

• Settling bills of the patient
• Outbound call for collections
• Taking care of refunds and some escalated calls
• Discussing bills and sometimes the explanation of benefits of the patient itself of what there patient responsibility is

• Negotiating debt settlement for the client
• Calling banks, law offices, business owners and etc
• Identify and assess customersʼ needs to achieve satisfaction
• Updating client information in management system (i.e
• Premium, address, coverage, etc)
• Sorting out bulk debts

• Checking of billing/payment status
• Assisting technical needs
• Updating client information in management system (i.e
• Premium, address, coverage, etc)
• Selling the product for revenue

• Identify and assess customersʼ needs to achieve satisfaction
• Keep records of customer interactions, process customer accounts and file documents
• Assisting customer's via live chat
• Follow communication procedures, guidelines and policies
• Assisting VIP players playing casino games virtually

• Identify and assess customersʼ needs to achieve satisfaction
• Keep records of customer interactions, process customer accounts and file documents
• Assisting customer's via live chat
• Follow communication procedures, guidelines and policies
• Selling Happy Socks

• Assisting customer's via email
• Refund/Reorder items from their shopping lists
• Tier 2 representative for Size/Color of items that the customers wanted to change within their shopping basket

• Transcribing calls from dealerships in the US
• Keep records of customer interactions, process customer accounts and file documents
• Follow communication procedures, guidelines and policies