Francis Carol Abella

Francis Carol Abella

$9/hr
Prior auth specialist (pain management, MRI, CT, PET, surgical)
Reply rate:
100.0%
Availability:
Full-time (40 hrs/wk)
Age:
27 years old
Location:
Davao City, Region 11, Philippines
Experience:
5 years
FRANCIS CAROL M. ABELLA PROFESSIONAL PROFILE A dedicated healthcare specialist with a passion for compassionate care and expertise in providing personalized medical solutions. With over 5 years of experience in the field, I had become a trusted name in the healthcare industry. I have this passion for helping others and making a positive impact on their lives led me to pursue further specialization in healthcare management. This unique combination of medical expertise and management skills allows me to understand the intricate dynamics of the healthcare system and deliver comprehensive solutions tailored to each patient's needs. My commitment to compassionate, patient-centered care and staying up to date with the latest medical advancements makes the perfect choice for your healthcare needs. Known for my exceptional interpersonal skills, I excel in building rapport and establishing trust with both patients and healthcare professionals. I am detail-oriented, organized, and adept at managing multiple tasks efficiently. As a proactive problem-solver, I am committed to provide excellent service and ensuring positive patient experiences. With a deep understanding of medical insurance, I am confident in my ability to contribute effectively to the healthcare team. My goal is to make a meaningful impact by delivering compassionate care and improving the overall well-being of individuals. I am excited to leverage my expertise and passion to contribute to the success of your organization and make a difference in the lives of patients. CONTACT - -- WORK EXPERIENCE Phase 2, Narra St. Block 28 Lot 23, Deca Homes, Bago Gallera, Davao City 8000 FGC PLUS - Health Care Account (Virtual Assistant Supervisor/Team Lead) Dec 2023 – September 2024 After 6 months being a QA, I got promoted as a Team Leader/ Supervisor specific to Authorization line of business, where I manages and leads a team of employees. I ensure team performance, set goals, provide guidance, and resolve issues. I also facilitate communication, monitor targets, and promote a positive work environment. PERSONAL INFORMATION Age:25 Birthday: September 8, 1998 Birthplace: Davao Oriental Sex: Female Civil Status: Single Religion: Roman Catholic Citizenship: Filipino Height: 5'3 ft. Wight: 58 kg. Language: English Father’s Name: Frannie Abella Occupation: Food Vendor Mother’s Name: Chona Abella Occupation: Tricycle Driver SKILLS Customer Service Customer Sales Email Chat Support Teaching Training Skills Quality Analyst Team Leader Problem Solver Hardworking Communication Skills Data Entry Skills Administrative Support Medical Knowledge Empathetic and Patience Adaptability Computer and Technical Skills Data Privacy and Security Medical Claims and Appeal Benefits and Eligibility Authorization EMR/EHR Med FM FGC PLUS- Health Care Account (Virtual Assistant Quality Analyst) May 2023 – Dec 2023 After being an authorization specialist for a year, I got promoted in support and management team as Quality Analyst where I am responsible for monitoring and evaluating the performance of employees to ensure adherence to quality standards, provide feedback, analyze data, and implement improvement strategies to deliver high-quality services to clients. EDUCATION Bachelor's Degree: Professional Teacher Licensed Tertiary: Bachelor of Elementary Education Philippine Women’s College of Davao Juna Subdivision, Matina Davao City (S.Y-) Secondary: Maryknoll School of Lupon Lupon, Davao Oriental (S.Y-) Primary: San Isidro School Batobato San Isidro Oriental (S.Y-) FGC PLUS - Health Care Account (Virtual Assistant Authorization Specialist) April 2022- May 2023 As an authorization specialist, we call insurance or check portals to determine if any service or cpt codes requires an authorization before the services done. Once codes are determined that authorization is required, we will initiate a request via call, online portal or submit it through fax. Teleperformance Davao (Customer Service Representative/Subject Matter Expert) Healthcare Account March 2019 - April 2022 After taking inbound and outbound calls as a healthcare customer service representative for a year, I got promoted to a position of subject expert. As an SME, I was assisting other representative concern/questions regarding on how to do the process and also, I was taking escalated call from patients. SPED Davao IQOR (Customer Sales Representative) February2019-March2019 A seasonal account every February (Valentines Day Ramp) which we are taking customers order specific with flowers, chocolates and toys for their loved one’s special occasions.
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