Summary
Work History
Education
Skills
Timeline
Generic

Vanessa Mae Bendolo

Insurance Verification And Prior Authorization Expert
San Jose Del Monte, Province Of Bulacan

Summary

With 13 years of industry experience, including 10 years in US healthcare, I bring deep expertise in Revenue Cycle Management, prior authorization (medical, DME, behavioral health, ABA services), and insurance verification across 400+ payers nationwide. I excel at streamlining workflows, ensuring compliance, and reducing denials to improve patient access, supported by strong leadership in pharmacy operations, workforce management, training, and supervision.

Work History

ABA Insurance & Authorization Specialist

BruntWork / MBH
Virtual
  • Executed end-to-end insurance verification and secured prior authorizations for Applied Behavior Analysis (ABA) therapy.
  • Navigated complex behavioral health payer requirements to ensure uninterrupted patient care and maximize reimbursement.

Insurance Verification & Prio Authorization Coordinator

DME / US Med
Taguig City
  • Managed high-volume insurance verification and DME authorizations for 400+ providers nationwide.
  • Verified eligibility and clinical necessity for medical equipment, maintaining strict accuracy to reduce claim denials across diverse payer platforms.

Operations Supervisor & WFM Specialist

OPTUM GLOBAL SOLUTIONS
Quezon City
  • Leadership: Served as Supervisor and Corporate Trainer, leading high-performance teams and onboarding new talent.
  • WFM & Strategy: Acted as Workforce Management (WFM) Planner and Real-Time Analyst (RTA), optimizing staffing levels and service-level agreements (SLAs).
  • Pharmacy Expertise: Delivered expert-level customer service as a Pharmacy Helpdesk Representative and Mail Order Pharmacy Advocate, supporting patients with medication access and resolving complex benefit inquiries.
  • Service Excellence: Provided high-quality support in a fast-paced healthcare environment, ensuring compliance, efficiency, and patient satisfaction.

Education

Bachelor of Science - Business Administration Major in General Business Management

Cebu Institute of Technology – University (CIT-U)
Cebu City
07-2022

Associate - Computer Technology

Asian College of Science And Technology (ACSAT)
Zabarte Philippines
01-2012

Skills

Medical terminology expertise

Data entry proficiency

Insurance verification

Prior authorization processing

Computer skills

Timeline

ABA Insurance & Authorization Specialist

BruntWork / MBH

Insurance Verification & Prio Authorization Coordinator

DME / US Med

Operations Supervisor & WFM Specialist

OPTUM GLOBAL SOLUTIONS

Bachelor of Science - Business Administration Major in General Business Management

Cebu Institute of Technology – University (CIT-U)

Associate - Computer Technology

Asian College of Science And Technology (ACSAT)

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Vanessa Mae BendoloInsurance Verification And Prior Authorization Expert