Sherlly Batidor
Laguna
Summary
Knowledgeable patient representative offers demonstrated skills in case management and service coordination. Expertly handles complaints, inquiries and service questions to meet patients' access needs and correct problems related to care. Well-versed in policies, procedures and standards.
Overview
8
8
years of professional experience
1
1
Certification
Work History
Patient Services Representative
Med Supply US
Florida
09.2022 - 03.2024
- Paid attention to detail while completing assignments.
- Self-motivated, with a strong sense of personal responsibility.
- Maintain confidentiality of all patient information according to HIPAA regulations.
- Resolve customer complaints in a courteous manner while adhering to company policies.
- Enter new patient demographics into database system accurately and efficiently.
- Review patient records for accuracy and completeness of data entry.
- Participates in team meetings to discuss new initiatives or process improvements.
- Answers incoming calls from patients in a professional manner and responds to inquiries or directs them to appropriate personnel.
- Contact patients to confirm their address, insurance details, and doctor's information.
- Generate orders for Continuous Glucose Monitoring (CGM) supplies.
- Monitor orders and reach out to patients if delivery attempts are unsuccessful.
- Reach out to insurance providers to verify patient eligibility, benefits, and any necessary prior authorizations. Handle incoming calls from patients, doctors, and insurance agents.
- Review claims before initiating billing processes with insurance companies.
- Generate invoices and manage payment processing.
Operations Supervisor
Valor Global Ph
Taguig
08.2020 - 02.2022
- I oversaw a team of medical billing representatives who called insurance to verify patients' eligibility and benefits, ensuring they were motivated to achieve organizational goals.
- I developed and implemented a timeline to achieve targets.
- Tasks were delegated to team members.
- I conducted training sessions for team members to maximize their potential.
- I empowered team members with skills to enhance their confidence, product knowledge, and communication skills.
- Quarterly performance reviews were conducted.
Customer Service Representative
Teleperformance
Mandaluyong
10.2015 - 09.2017
- Assist insurance members with queries regarding billing and the coverage of their prescription drug plan.
- Take payments over the phone.
- Review refund/credit requests and ensure that the patient won't use another insurance.
Education
Some College (No Degree) - BS in Entrepreneurship
Rizal Technological University
Metro Manila, PhilippinesSkills
- Insurance Verification
- Patient Registration
- Healthcare knowledge
- HIPAA Compliance
- Work Quality Evaluation
- Problem-Solving
- Customer Service
- Phone and Email Etiquette
- Payment Processing
- Team Leadership
- EMR Updating
- Eligibility Determination
- Insurance Billing
Certification
- EF SET English Certification
- LinkedIn Customer Success Management Fundamentals
- LinkedIn Speaking Confidently and Effectively
- LinkedIn Learning Excel 2021
Quote
To know what is right and not to do it is the worst cowardice.
Confucius
Timeline
Patient Services Representative
Med Supply US
09.2022 - 03.2024
Operations Supervisor
Valor Global Ph
08.2020 - 02.2022
Customer Service Representative
Teleperformance
10.2015 - 09.2017
Some College (No Degree) - BS in Entrepreneurship
Rizal Technological University