Ma Edrie Eade Email & Phone Number

United Kingdom

IMG provides 24/7 assistance to policyholders and corporate clients all around the world. This includes medical assistance and devices, roadside assistance, claims handling services but to name a few. As an assistance administrator, our main task is providing help to insured clients who suffer injury or illness whilst overseas or require roadside assistance. Assisting with the coordination of medical care, the handling of a loss or their return home.Additional duties include;-Handle all inbound and outbound calls in a helpful, polite and professional way-Set up a medical case and guide customers on the claim process and hand it over to the team if needed.-Collected insurance information and other related documents and entering into a computerized database -Verified insurance policy and coverage-Acted as liaison between clients, provider and other insurance company-Communicated proactively with customers in the resolution of insurance deficiencies through effective forms of communication including oral and written email inquiries-Meticulously identified and rectified inconsistencies and discrepancies in medical documentation-Handling complaints and queries professionally-Support the team through sharing information and knowledge

Dubai, United Arab Emirates

-Assisted patients with eligibility and benefit coverage-Securing pre-approvals-Liason of clients and insurance companies regarding claims approvals, eligibility, payments and analyzing receivables and reports-Aquiring correct CPT and ICD codes to ensure proper treatment and billing of all detailed procedures while keeping all patient information secure and confidential. -Solving claim denials and billing issues-Maintaining professional telephone, email etiquette and customer service while making claim inquiries and quickly resolving compaints and concerns-Demonstrate strong attention to detail and ability to multitask within the fast-paced work environment-Schedule treatments and prcedures-Creating reports for records and audit

Dubai Silicon Oasis, Dubai, United Arab Emirates

-Processing and reprocessing medical claims-Entering claims utilizing CPT and ICD codes-Conducting objective,fair and thorough timely claims audit/review-Ensuring that medical claims, medical records and other documentation essential to the healthcare industry is in compliance with federal and industry standards. -Completing assigned audits accurately and within a set time period.-Conduct calibration discussions with managers to ensure the Claim Department has consistency in understanding and application of file handling expectations.-Maintain monthly and quarterly reporting with management over the assigned task, including assessment of action items and evaluation of action plans; expertise and utilization of the audit tool as necessary.-Interpret and apply coverage issues accurately with a full understanding of the requirements surrounding good faith file handling.-Communicate effectively with all levels of employees, insurers and health care providers.

Business Point Building, Office No. M01 & M02, Port Saeed, Deira, Dubai , Uae

-Handling claims submission/re-submission.-Assessing medical documents and validating the information on all claims received.-Attained proper claim scanning and well equipped documentation.-Coordinating with network providers,members, company HR's and brokers for any documents needed for processing.- Processing claims and Review/audit claims as for insurance coverage, validity, policy terms and conditions.-Entering claims utilizing knowledge of Current Procedural Terminology (CPT & ICD 10)-Assisting during claim reviews as for claim coverage, validity, policy terms and conditions, etc.-Monitor closely claim processing as per agreed TAT.-Run claim reports.-Sending POs to client.-Resolving problems resulting from claim settlement.-Facilitates issues and concerns and channel to respective departments.-Maintain a good customer relationship to members, payers and providers.-Assist during pre- approvals.-Involved in company health care activities and programs.

Cebu City, Philippines

• Listening to customer requirements and presenting appropriately product to make a sale.• Maintaining and developing relationships with new and existing customers in person and via telephone calls and emails.• Negotiating on price, costs, delivery and specifications with buyers and managers.• Creating detailed proposal documents, often as part of a formal bidding process.• Making accurate, rapid cost calculations and providing customers with quotations.

Cebu City, Philippines

• Identifies patient care requirements by establishing personal rapport• Assessing and evaluating medical status of patients.• Performing nursing care for patients with complex medical issues.• Documenting procedures carried out during all the phases of operation and treatments.• Performing preoperative assessment and set up operation rooms.• Assures quality of care by adhering to therapeutic standards. Measuring health outcomes against patient care goals and standards.• Documenting patient care services by charting in patient and department records.• Ensures operation of equipment by completing preventive maintenance requirements.

Cebu City, Philippines

• Negotiating the terms of sales agreements and closing out sales.• Provide customers with quotations.• Communicating with existing and potential customers and demonstrating product benefits.• Identify new markets and business opportunities.• Reviewing sales performance.

Inabanga, Bohol , Philippines

• Maintaining excellent patient assessment, intervention, and compliance with medical policies and procedures.• Administered medications and reviewed patient charts.• Providing pre- and post-operation care.• Deploying emergency treatment or resuscitation when necessary.• Providing emotional support to patients and relatives.