Floyd Anthony Pascual

FLOYD ANTHONY PASCUAL CUSTOMER SERVICE ADVOCATE INTRODUCTION Hi there! I'm Floyd, and I have been with the healthcare industry for more than 10 years now. Having served both Doctors and Members, providing Medical benefit and currently Prescription benefit information to Medicare members. CAREER PROGRESSION VIRTUAL ASSISTANT Tyler Gould - Icon Salon Systems, 2019 under MVP marketing and research agency through Upwork (homebased) Calls Salons located in select cities of Canada to check if they sell a specific product line. PROFESSIONAL SKILLS APPOINTMENT SETTER AllState Insurance - ZTS - Zeerie Telemarketing Services, 2019 Claims Checking Verifying Healthcare Benefits Verifying Prescription Benefits Enrollment Verification Member Profiling Document Checking CONTACT DETAILS Number: - Email:-Skype: floydanthonypascual Calls prospects within Texas state and asks if they wanted to be given a quote for home and auto insurance. Cold calling Appointment Setting CUSTOMER SERVICE ADVOCATE Optum Global Services, 2018 - United Healthcare I help in providing Medicare members their insurance information such as eligibility, plan type and the covered medications under their plan. I also help in processing their premium payments. If in case that a drug requires authorization, I initiate the authorization process which will then be sent to the utilization management team. Also, if in case that a drug is not covered, I look for a possible alternative. Provide prescription drug benefits (Part D) to Medicare Members over the phone Process monthly premium payments Gives plan options PROVIDER SERVICES APAC Philippines,- - Blue Cross and Blue Shield of New Jersey I assist providers (doctor's, hospitals and other medical service providers) in checking their MY INTERESTS Watching Movies Reading Basketball Boxing Playing Video Games patient's benefits for both inpatient and outpatient services. I also check if the service requires either a referral or authorization. I also help in checking claims, if in case that the claim was processed incorrectly, I was also given tier 2 access to reprocess such claims. Provides benefit information to Medical health providers over the phone Checks denied claims Reprocess claims that were denied in error Checks submitted documents Doing outbound calls for updates Checks why AR applied to providers Checks ICD9 and 10 codes ACADEMIC BACKGROUND UNIVERSITY OF PERPETUAL HELP SYSTEM LAGUNA Electronic Communication Engineering (2002)