Ciara B. Email & Phone Number

Cebu City, Ph

Central Visayas, Philippines

Cebu, Central Visayas, Philippines

Responsible for verifying insurance on our schedule and obtaining pre-authorization as needed. Verification of any and all in-network and out of network insurances and Medicare.Obtains precertification for physician’s office if applicable.Determines patient qualification for coverage and notes patient accounts respectively.Maintains current list of facility insurance precert agreements.Responsible for entering any missing data by schedulers (i.e.: Bloodwork, screening questions, etc.)Inform management of any changes required in obtaining pre-authorizations in order to update and keep the Pre-certification manual accurate.Versatile and willing to coordinate with and participate in, when necessary, all other aspects of our other Business Offices and locations.

Cebu, Central Visayas, Philippines

Applies clinical nursing skills to support the coordination, documentation and communication of medical services and/or benefit administration determinations.Use clinical knowledge, interpersonal skills, and independent critical thinking skills towards interpreting criteria, policies, and procedures to provide the best and most appropriate treatment, care or services for members.Collaborate with providers, members, or other parties to facilitate the most efficient care and treatment plans.Maintain curiosity around new ways of doing business and new opportunities to further support our members and our business unit needs.The ideal candidate will be flexible as there are some occasions that may require additional hours worked on any given day, week, weekend, or holiday.Solution oriented and promote top quality work while improving processes to promote simplicity.

Cebu, Central Visayas, Philippines

Resolve most complex issues including repair, maintenance, billing, and or ordersProactive identification, communication, and resolution of service affecting issuesTechnical support for product service problem resolutionRecognize and recommend operational improvementsServe as first level of escalation for problem resolution with consumer or business customersDirect, coordinate, and provide the highest level of customer service to ensure consistent customer satisfaction.