Kristopher Vinuya Email and Phone Number

• Responsible for the validation of information for all medical claims.• Process all validated claims as per company standards and policy coverage.• Accounts processed claims for easier and timely review and settlement.• Liaise between policy holders and network provider to ensure proper delivery of services.

• Pay visit to admitted members to assess and gather information on member’s case needed for evaluation and approval with basis on his policy coverage.• Personally delivers LOA (Letter of Authorization) to providers to guarantee accurate coverage.• Liaise between policy holders and network provider to ensure proper delivery of services. • Validate and process provider claims to be submitted for accounting, and personally delivers payments.

• Provide holistic care for patients with basis on the plan of care and the nursing process.• Maintain a good working relationship with members of the health team to ensure proper delivery of care.• Educates patients on health maintenance and disease prevention.