Edsel Ivan Acuña Email and Phone Number
Versatile professional with a multifaceted background in healthcare administration, client management, insurance, and customer service within the US healthcare system. As a Clinical Administration Coordinator, adept at overseeing administrative tasks to streamline patient care processes, ensuring adherence and maintaining compliance particularly to HIPAA Policy. Experienced individual with proven ability to cultivate strong client relationships, assess insurance needs, and provide tailored solutions. Knowledgeable in navigating the complexities of insurance policies and adept at communicating with clients to ensure satisfaction. Skilled in customer service, resolving inquiries, and ensuring positive experiences. Passionate about leveraging expertise in healthcare administration and insurance to optimize operational efficiency, enhance client relationships, and drive organizational success.
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Clinical Administration CoordinatorOptum Mar 2024 - PresentPhilippines -
Senior Client PartnerAccess Healthcare Services Apr 2023 - Feb 2024PhilippinesServing as Subject Matter Expert (SME) to new hires and providing assistance and support to my colleagues. -
Client PartnerAccess Healthcare Services Oct 2022 - Apr 2023Taguig, National Capital Region, PhilippinesAs Client Partner we utilize EHRS (Electronic Health Record System) specifically AthenaOne in obtaining authorization for a specific medical procedures. We also utilize medical coding such as ICD-10 codes and CPT codes in order to obtain authorization. I did manage new hires in the team for a month serving as their POC to provide the necessary workaround in processing requests. Provide daily KPIs and challenges of my subordinates directly to Manager and Group Leader.
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Trainee Client PartnerAccess Healthcare Services Apr 2022 - Oct 2022I conduct outbound calls to providers and/or payers to obtain authorization of specific medical procedure (such as imaging, surgery and injections) and/or prescription drug. Also, check and verify on patient's eligibility, benefits and coverage. We create documentation proper of the call and take appropriate action on the revenue cycle system.
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Jr. Quality Assurance InspectorLloyd Laboratories Inc. Feb 2019 - Feb 2022Philippines -
Quality Assurance Quality ControlFisher Farms, Inc. Aug 2018 - Feb 2019Pulilan, Bulacan -
Research AssistantBureau Of Plant Industry Jun 2017 - Aug 2017Metro Manila
Edsel Ivan Acuña Skills
Edsel Ivan Acuña Education Details
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Biology, General -
Bulacan State UniversityBiology, General
Frequently Asked Questions about Edsel Ivan Acuña
What company does Edsel Ivan Acuña work for?
Edsel Ivan Acuña works for Optum
What is Edsel Ivan Acuña's role at the current company?
Edsel Ivan Acuña's current role is Clinical Administration Coordinator at Optum.
What schools did Edsel Ivan Acuña attend?
Edsel Ivan Acuña attended Bulacan State University, Bulacan State University.
What skills is Edsel Ivan Acuña known for?
Edsel Ivan Acuña has skills like Microsoft Office, Leadership, Management, Microsoft Excel, Microsoft Word, Microsoft Powerpoint, Research.
Who are Edsel Ivan Acuña's colleagues?
Edsel Ivan Acuña's colleagues are Kayla Pendrak, Aravindh Raja, Nitish Nagpal, Mariel Lacend, Sierra Williams-Byrd, Chandu Chandana, Jyoti Gore.
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