Qaya Mikaela C. Banez
Customer Service, Insurance Coordinator
San Rafael
Summary
Detail-focused professional with knack for organization and coordination. Possesses strong understanding of insurance processes and demonstrates proficiency in data management and client communication. Committed to ensuring smooth operations and positive client experiences.
Overview
9
9
years of professional experience
1
1
year of post-secondary education
Work History
Virtual Insurance Coordinator
Knight Neurology
06.2024 - 12.2024
- Verified insurance and communicated coverage to staff and patients.
- Prepared insurance claims for submission to clearinghouses or insurance companies.
- Improved risk management strategies by analyzing client profiles and recommending suitable insurance coverage.
- Facilitated smoother internal communication, organizing regular meetings between different departments.
- Managed high call volumes while maintaining a professional demeanor, ensuring prompt attention to inquiries or concerns.
- Assisted in maintaining accurate patient records, contributing to the overall organization of the hospital.
- Coordinated insurance documentation for efficient billing processes, reducing administrative workload for medical staff.
- Provided clear directions to visitors regarding department locations or specific services offered within the facility.
- Collaborated with medical staff to ensure timely communication and exchange of information between patients and healthcare providers.
- Enhanced patient experience by efficiently managing front desk operations and maintaining a welcoming environment.
- Managed multi-line phone system and pleasantly greeted patients.
- Coordinated patient scheduling, check-in, check-out and payments for billing.
- Transcribed phone messages and relayed to appropriate personnel.
- Checked patient insurance, demographic, and health history to keep information current.
- Adhered to strict HIPAA guidelines to protect patient privacy.
- Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
Sales Coordinator
Rivoli Group
Doha, Qatar
10.2021 - 11.2022
- Enthusiastically delivered superior customer service, understanding clients' needs, and adeptly advised on tailored product ranges, consistently achieving sales targets with advanced techniques
- Utilized up-selling and cross-selling strategies to boost sales, while nurturing customer relationships to foster long-term brand loyalty
- Expertly handled new product launches, promotions, and visual merchandising, ensuring seamless stock replenishment and maintaining impeccable cleanliness and hygiene standards
- Implemented CRM system, providing valuable feedback, and efficiently coordinated with customer care center for exemplary after-sales service
- Generated daily sales reports and adhered to company procedures for ordering, cash handling, and other best practices
Medical Insurance Coordinator
Houston American Medical Center
Doha, Qatar
04.2020 - 09.2021
- Assisted patients with insurance claims, billing, and payment collections
- Communicated with insurance companies and patients for coverage and balances
- Researched and resolved insurance billing issues, improving communication
- Managed outstanding insurance claims and maintained client database
- Identified and addressed financial concerns for patients
- Handled front desk duties, calls, and mail distribution
- Welcomed visitors and provided assistance
- Managed reservations and packages
- Demonstrated excellent organizational skills
External Sales Associate
Qatar Duty Free - Qatar Airways
Doha, Qatar
12.2015 - 03.2020
- Engaged customers warmly, identifying their specific needs and desires
- Utilized effective F.A.B
- Technique to present and demonstrate products, persuading customers through highlighting features, advantages, and benefits
- Proactively strived for outstanding sales outcomes in the department
- Provided seamless handover to other departments, ensuring customers' diverse needs are met
- Offered assistance in high-pressure sections of the shop, maintaining a team-oriented approach
- Skillfully identified and cater to the unique requirements of QDFC Customers
- Seized every opportunity to maximize sales, adeptly employing the ten bestselling techniques and employing both complimentary and substitute selling approaches when suitable
Education
Bachelor of Science - Psychology
01.2011 - 01.2012
Skills
Microsoft office
Customer service and assistance
ICD-10 coding
Claims
Insurance claims processing
Sales support
Medical billing and coding
Insurance verification
Medical billing proficiency
Teamwork
Customer service
Problem-solving
Time management
Data entry
Multitasking
Timeline
Virtual Insurance Coordinator - Knight Neurology
06.2024 - 12.2024
Sales Coordinator - Rivoli Group
10.2021 - 11.2022
Medical Insurance Coordinator - Houston American Medical Center
04.2020 - 09.2021
External Sales Associate - Qatar Duty Free - Qatar Airways
12.2015 - 03.2020
Manila Central University - Bachelor of Science, Psychology
01.2011 - 01.2012