Summary
Overview
Work History
Education
Skills
References
Disclaimer
PERSONAL/BACKGROUND
Timeline
Generic
Shiela Abada

Shiela Abada

Angono

Summary

With great familiarity towards US Healthcare System and a result-driven candidate which will serve as a key to contribute on improving process efficiency to benefit company.


Aiming for a positive work environment by earning a strong rapport and camaraderie; bringing the diverse group of people together towards common goal.

Overview

8
8
years of professional experience

Work History

Senior Processing Executive

Cognizant
08.2022 - 05.2025
  • Specialize on acquiring eligibility and submitting authorizations on different insurance companies.
  • Checking status of authorization (via outbound calls and portals).

Subject Matter Expert (SME) – Prior Authorization Dept.

Hinduja Global Solutions, Ltd.
07.2021 - 01.2022
  • Submission of daily updates regarding patient-insurance status that are due for follow up via Outlook email copying all assigned agents and their respective Team Lead/s.
  • Distribution of new patient’s profile or “specimens” to agents.
  • Providing assistance towards operation to newly hired agents upon their certification.
  • Handling escalated issues and agents’ overdue backlogs.

Patient Care Coordinator – Prior Authorization Dept.

Hinduja Global Solutions, Ltd. / Betaine PH
01.2019 - 01.2022
  • In charge of getting patient's benefits & eligibility; processing required authorizations with their health plan; inbound and outbound calls; back office (such as emailing & reviewing medical policy guidelines)
  • Maintain considerable concentration with constant time pressures and interruptions.
  • Maintaining a professional rapport with patients and their respective physicians.

Human Resources Assistant - Recruitment

Hotel Sogo
11.2017 - 04.2018
  • Maintaining a professional rapport with patients and their respective physicians.
  • Partnering with hiring managers to determine manpower needs.
  • Screening resumes of highly potential candidates; Providing job interviews (phone calls or in-person) and job posting (via web or LGUs).
  • Conducting Training and Orientation to newly hired employees as well as job offer; internal audits and compliance (branch visits).
  • Administering appropriate company assessments & endorsing to management for further evaluation.

Education

Bachelor of Science - Psychology

University of The East, Manila
04-2016

Skills

  • Quality assurance
  • Compliance
  • Teamwork and collaboration
  • Customer service
  • Adaptability and flexibility
  • Telephone and email etiquette

References

  • Angelo, Silvestre, Authorization Specialist, 09463301077, Brightstar Care
  • Luvina, Alivio, Authorization Specialist, 09672871800, Cognizant

Disclaimer

I hereby certify that above information is true and correct the best of my knowledge and belief SHIELA M. ABADA Applicant

PERSONAL/BACKGROUND

I'm an experienced Authorization Specialist on Health Care for 6 years.

Timeline

Senior Processing Executive

Cognizant
08.2022 - 05.2025

Subject Matter Expert (SME) – Prior Authorization Dept.

Hinduja Global Solutions, Ltd.
07.2021 - 01.2022

Patient Care Coordinator – Prior Authorization Dept.

Hinduja Global Solutions, Ltd. / Betaine PH
01.2019 - 01.2022

Human Resources Assistant - Recruitment

Hotel Sogo
11.2017 - 04.2018

Bachelor of Science - Psychology

University of The East, Manila

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Shiela Abada