Edilbert Tawatao

As someone who identifies the needs of customers for effective solutions, I'm committed to high-quality service that ensures a positive experience.

I am a professional Customer Service Executive with over 6 years of experience in handling multinational clients. My unique professional experience stems from years of providing excellent customer support, creative problem solving, and building customer loyalty.

For 3 years, I had worked for a couple of US Insurance companies supporting Provider Services, Billing, and Collections. I am fully aware of the HIPAA regulations, critical, non-critical, and all the terms in between.

As someone who had worked for Cigna and UnitedHealthcare, knowledge about US Healthcare is something I am proud of and have mastered over time. I am fully aware of how Benefits and Eligibility works, the works around Insurance Claims (HCFA-1500 and UB-04), and even how Medicare and Medicaid work as far as the Coordination of Benefits is concerned.

Knowledgeable of the following tools:

CITRIX - A system that houses internal applications including Microsoft 365, video conferencing apps, softphones

ISET - A CRM application where information and notations are updated, and modifications are made

ICUE - An application where pre-authorizations are requested for a certain procedure code

UNET - An MS-DOS application where insurance claims and denials may be referenced

ONEVIEW - A CRM application where patients' information and notations are updated

OUTLOOK - A web app from Microsoft consisting of webmail, calendaring, contacts, and tasks services

MBS - A CRM application where changes are made on consumers' information

RIGHTNOW WEB - A CRM software application where transactions are made including communicating with consumers

SLACK - An application where communications are made within an organization

QUICKCONNECT - Just like Slack, it allows communication within the company

SKYPE - An application that provides instant messaging (IM), audio and video calls, online meetings, availability (presence) information, and sharing capabilities

VIPR - An MS-DOS application where insurance claims can be checked further

GOOGLE WORKSPACE - A collection of software marketed by Google including Sheets, Docs, and Meets among others

CANVA - A graphic design platform, used to create social media graphics, presentations, posters, documents, and other visual content

WEBEX - Focuses on web conferencing and videoconferencing

HANGOUTS - A Google application that allows video calls and other means of communication

WAYSTAR - A billing platform used for billing claims and other provider services