Adel Callo

 Adel V. Callo Las Pinas City-   Work Experiences Reimbursement Specialist GeBBS Healthcare Solutions, January 28, 2019 – January 31, 2020 Trained and transitioned to Pre-collect and Accounts Receivable team. Check claims status via web chat, email and cold calling to insurance call centers, then compiles data into an excel file when reported to the client.  Doing research about denied and underpaid claims then file an appeal to insurance if necessary. Trained to gather claim’s payment details such as offsets, missing claim payments and send information to on-shore team thru e-mail for posting. Performing different tasks as assigned by clients such as: - Cold calling to insurance call centers to get Eligibility and Benefits for the year 2020. - Cash balance write off on the un-reimbursable amount on the claim. Authorization Representative Corporate GeBBS Healthcare Solutions, July 13, 2018 – January 28, 2019   Check authorization status for home infusion services thru cold calling to insurance call centers and thru insurance websites, then compiles data into an excel file when reported to the client. Resubmits authorization if the previous submission was not received by the insurance. Obtain and send patient medical records if requested by payer. Customer Service Representative   TeleTech, Inc. June 28, 2017 – July 16, 2018  Inbound Customer Service Representative answering calls from medical services providers to provide eligibility and benefits of the patients. Trained and transitioned to member services department, designated to answer calls from members regarding eligibility and benefits, authorization status for prescription, in-patient services, healthcare application inquiries and doing researches and exact resolutions to billing issues.    EDUCATIONAL BACKGROUND  Bachelor of Science in Business Administration, Major in Financial Management Partido State University  Graduated in March 2017