Cleofas Yuson Iii Email & Phone Number

Dubai, United Arab Emirates

- Handles Case Management/Cost Containment for Inpatient and Complicated High-cost Outpatient Service Pre-authorizations and Treatment Guarantee issuance for the medical claims within our Network Medical Providers.- Expert in usage of DRG coding to maximize cost containment and avoid overutilization.- Attends to various internal & external customers' queries, escalations regarding preauthorization process and status, member queries/complaints, and all other internal queries regarding the company's medical policy.

Dubai, United Arab Emirates

Dubai

Dubai, United Arab Emirates

• Gives preauthorized approval of medication claims requested by a network of pharmacies as per the guidelines of the member’s policy.• Gives precertification for special consultations and outpatient procedures, emergency inpatient admissions and other treatment requested by medical care providers within network and as per the guidelines of the member’s policy.• Evaluates email and fax requests sent by a network provider based on the member's policy and sends out approval letters to them.• Evaluates and calculates each member’s benefit limit for each service category before giving approval

Banilad, Mandaue City, Philippines

• Delegates workload to colleagues to carry-out orders and nursing routines within the shift schedule.• Follows the nursing process in rendering patient care.• Performs procedures such as NGT feeding, IVF termination, Blood transfusion administration etc.• Practices all-around nursing function. (Emergency Room, laboratory, Operating room, Delivery room, and Ward and Private room nurse).• Functions as Nurse-phlebotomist in the hospital laboratory.• Responsible for team scheduling for proper staffing and workload delegation.

Cebu City, Philippines

*Proofreads/Edits medical dictation processed/encoded by Medical transcriptionists.*Checks quality of a medical report to ensure client satisfaction.*Tagging errors made by MTs.*Taking actions such as counseling to the MTs responsible for report discrepancies.*Providing feedback and training in an interactive manner imparting knowledge to medical transcriptionists

Bachelor Of Science (B.S.), Registered Nursing/Registered Nurse

Secondary, High School/Secondary Diplomas And Certificates

Activities and Societies: Student Body Organization Level 3 representative