Eduardo Ladringan

CUBAO, QUEZON CITY - (MOBILE)-(EMAIL) EDUARDO A. LADRINGAN II PROFESSIONAL EXPERIENCE EXPERIENCE HIGHLIGHTS: Order Management (Full time Employee) November 2019 to Present S&P Global • Responsible for processing Quotes submitted by the Commercial organization and ensure they follow our business partner (Commodity Insights) operational guidelines • Responsible for submitting quotes across our internal departments to complete invoicing (booking) but are also responsible for sending quotes back to the processor for correction • Complete an accurate and thorough review of Standard and Large Quotes daily in our CRM System “SalesForce” to provide a clean invoice to the client for prompt payment • Full understanding of core billing system Zuora, Oracle Cloud (Fusion) as it relates to billing, product and credit/debit memo application • Manage TAX requirements in Vertex for accurate exemption and application • Process CVENT activities for conference attendees and email delivery of invoice to client • Intermediate accounting knowledge of Credit / Debit Memo application is beneficial for the candidate to quickly adapt across the department • Meet the mid-year and annual goals set forth to you by Order Management leadership • Notify management of trends within OM Review that have a negative impact to SLA or to our subscribers (Document and provide prompt/actionable resolution) • Subject Matter Expert in our operational policies, provide consultation for our colleagues and troubleshoot as needed to ensure accurate submission of quotes • Report all system defects across SalesForce, Zuora, Oracle Cloud (Fusion) & Vertex • Fulfill all audit requirements set forth by management June 2018 to November 2018 Agent - Prior Authorization Request Bytes – Pulmonary Solutions • Verify patient’s insurance eligibility. • Approves patient’s prior authorization • Call patient for verification • Call Patient’s Doctor to request documents October 2014 – January 2018 Reimbursement Team Lead – Additional Document Request and Appeals (Non-Voice) Arriva Medical an Alere Company • Responsible for assigning the daily work list to agents • Supervises the day to day tasks of agents and ensures everyone is meeting the performance goals. • Coordinates with other department leads to obtain necessary documentation or information needed for account resolution. • Regularly delivers coaching and feedback to agents • Has the ability to read and interpret an Explanation of Benefits • • • • • • • • • Has the ability to adapt to and work with the different tools and systems used to carry out duties and responsibilities (i.e. Flash, SSI, Noble) Keeps IT and/or Manager informed of system issues. Proficient in the knowledge of the equipment and services offered by the Company. Works as a part of the company team by Communication effectively with all departments. Observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPPA). Promotes companies culture by adhering to policy, procedure and mission statement. Adapts to and demonstrate the ability to dela with frequent changes in the work environment. Meets individual, departmental and company goals. Other duties as assigned. May 2013 – October 2014 Reimbursement Subject Matter Expert – Credit Recovery / Refunds (Non-Voice) Arriva Medical an Alere Company ▪ Supervise and coach the team mates on their weekly basis to reach their monthly targets. ▪ Training and monitoring the team’s daily tasks to ensure quality work and a productive environment. ▪ Play a significant role in long-term planning, including an initiative actions plans regarding refunds process toward operational excellence. ▪ Report team’s daily tasks to supervisor. ▪ Assist agents on process workflow. January 2012 – May 2013 Reimbursement Credit Recovery Coordinator / Refunds (Non-Voice) Arriva Medical an Alere Company ▪ Process Refunds/Recoup to patient and insurances (Medicare, BCBS, UHC, HUMANA, CIP, etc.). ▪ Process Debits to patient’s accounts (send refund checks). ▪ Posting payment on patient‘s account. (CASH POSTING) ▪ Void claims on line for Medicaid. ▪ Analyze patient account to verify if valid for refund. ▪ Correct necessary adjustments on patient’s account. ▪ POC for refunds January 2011 – January 2012 Document Management Specialist (Non-Voice) Maxicare – Health Insurance ▪ Process and encoding billing (ICD 10) to hospitals and patients. ▪ Analyse account to post bills. EDUCATION SY- San Sebastian Colle-Recolletos, Manila Bachelor of Arts Major in Mass Communication ▪ President, Sebastinian Arts Society- SY- De Los Santos – STI College, Quezon City Bachelor of Science Major in Nursing ACHIEVEMENTS ▪ ▪ ▪ ▪ ▪ ▪ Top Agent for Refunds Team last- Became Subject Matter Expert of Refunds last May 2013 - present Assigned as Head of the extracurricular activities committee. Represented the company as one of the Basketball Players in the last tournament (BPO CLASSICS) Founder and Former President of Mountaineering club. Passed the Internship Program for Team Lead Position QUALIFICATIONS People, service and career oriented LANGUAGES English, and Filipino INTERESTS AND ACTIVITIES Basketball, Music and Cars ***CHARACTER REFERENCES AVAILABLE UPON REQUEST***