Arlene Cruzin

Arlene C. Cruzin Block 10 Lot 19 Greenvale Homes Malagasang II-G, Imus, Cavite--➢ Education Bachelor of Science in Computer Science (completed 4 years) Metro Business College (formerly Metro Data Computer College) ➢ Work Experience VA for Reimbursement Team December 19, 2022 to March 5, 2026 MBH Services LLC • • • • Contact insurance company to know the status of the claims Reach out to Authorization Team, Provider Status Team and Benefit and Eligibility Team for assistance in related to denied claims Handled reconsideration and appeal for claims that were denied incorrectly Post insurance and member’s payment Customer Partner Specialist October 4, 2021 to December 16, 2022 Global Healthcare Resource • • Virtual Assistant of the company’s Marketing Director My tasks depend on the assignment given on weekly basis. Example of the tasks are below ❖ Merged duplicate contact information in Hubspot ❖ Checked RCM remote jobs healthcare in HubSpot and Linkedin ❖ Checked Articles about Revenue Cycle Management, Coding, Billing, or Prior Authorizations, Patient Call Center ❖ Checked company’s website Customer Service Representative February 1, 2021 to September 27, 2021 AJT Diabetic Incorporated • • Assist patients with ordering diabetic supplies and educate patients on product usage Ensure HIPAA compliance and protect patient information Customer Service Representative July 9, 2018 to June 7, 2019 RMS Collect Phils. Inc., an iQor Company • • Contact customers via phone regarding their overdue accounts Resolve billing and payment discrepancies Warehouse Supervisor March 20, 2017 to July 6, 2018 Medethix • • • • • Supervise daily warehouse operations (receiving, storage, and dispatch of goods)Resolve billing and payment discrepancies Monitor inventory levels and ensure accuracy of stock records Lead and manage warehouse staff, including scheduling and performance monitoring Ensure proper handling and storage of products, especially sensitive items (e.g., pharmaceuticals) Coordinate with other departments (logistics, procurement, and distribution) Customer Service Associate January 12, 2015 – March 17, 2017 EXL Service Philippines, Inc. • Cater provider phone calls, calling about status of their claims, send it back for review if needed • Ensure compliance with healthcare regulations (HIPAA, payer guidelines Customer Service Representative November 4, 2013 - January 09, 2015 United Health Group • Cater provider phone calls, calling about status of their claims, send it back for review if needed • Ensure compliance with healthcare regulations (HIPAA, payer guidelines Customer Service Representative II April 18, 2008 - November 1, 2013 Teletech, Roxas • Cater provider phone calls calling about eligibility, benefits and status of their claims, send it back for review if needed • Ensure compliance with healthcare regulations (HIPAA, payer guidelines)