• Plan, coordinate and carry out patient care operations. • Address patient requests and needs in a professional manner. • Respond to patient concerns timely and ensure patient satisfaction. • Develop patient care plan based on Physician’s assessment information. • Suggest process improvements to enhance patient services. • Maintain patient records confidential and secure.

Health Coach May 2017 – March 2019• The Health Coach is responsible for contacting participants that are eligible for the program for enrollment and provides necessary wellness coaching to reduce or eliminate high-risk behaviors.• Encourages adoption of habits that are conducive to a higher quality of life.• Responsible for supporting operational aspects of the division to meet the organization’s customer requirements and satisfaction.• Develop and conduct onsite health-related wellness seminars and training courses for interested employees and family members• Develop and distribute health education materials to identified employees and family members• Develop customized care plan for program participants including goals and plan of actionCoordinate Care with other health-related vendors for optimal patient careClaims processor Oct 2015 to May 2017• Determines covered medical insurance losses by studying provisions of policy or certificate.• Establishes proof of loss by studying medical documentation; assembling additional information as required from outside sources, including claimant, physician, employer, hospital, and other insurance companies; initiating or conducting investigation of questionable claims.• Documents medical claims actions by completing forms, reports, logs, and records.• Resolves medical claims by approving or denying documentation; calculating benefit due; initiating payment or composing denial letter.• Ensures legal compliance by following company policies, procedures, guidelines, as well as state and federal insurance regulations.• Maintains quality customer services by following customer service practices; responding to customer inquiries.• Provides legal support by assembling documentation for settlement action.• Protects operations by keeping claims information confidential.• Prepares reports by collecting, analyzing, and summarizing information.

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Senior Nurse in a tertiary hospital with 300 bed capacity in Emergency, ICU, Medical/Surgical Ward.

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