Fretzi Maroo Gayomali

Fretzi Maroo Gayomali

$5/hr
Medical Biller / Account Receivable
Reply rate:
-
Availability:
Full-time (40 hrs/wk)
Age:
41 years old
Location:
Lipa City, Batangas, Philippines
Experience:
10 years
Fretzi Maroo Gayomali Lot 22, Block 1, Villa de Lipa II, Sabang, Lipa City, Philippines 4217 Contact Number:- Email Address:- Occupational Objectives To secure a position in a large organization where my skills and talents can be optimized and which can provide excellent opportunities for career growth with my more than 13 years of experience. Personal Data Age: Birthday: Sex: Civil Status: Religion: Nationality: Language Spoken: 34 March 14, 1984 Female Married Catholic Filipino English, Filipino Professional Profile • • • Team player with the ability to work independently Enthusiastic, hardworking and eager to learn Works well under pressure Work Experience AR Representative (Home-based) APS Billing, LLC Decatur, Georgia May 2018- December 2018 AR Representative (Home-based) Clinic Anywhere 1 Chase Corporate Drive, Suite 400 Birmingham, AL 35244 November 10, 2017 - present Medical Billing Specialist (Home-based) WRS Health Goshen, New York November 15, 2015 – October 30, 2017 Job Description: • Review latest A/R Weekly Report, follow up on claims within two weeks and notate all work in WRS • Create claims • Check rejections • Post payments for day – manual • Review autopost – apply any unapplied payments, make sure balances are not transferred incorrectly • Upload EOBs • Create deposit batches for paper checks faxed or emailed to WRS • Follow up on any denials – Also review Gateway for zero pay EOBs and follow up • Review allowable mismatch report on a weekly basis • Appeal claims as necessary • Forward any claims that you have questions on to WRS on a weekly basis • Forward anything to be printed to WRS as a complete PDF file (include all items that need to be sent including a copy of the claim as part of the file) ESL Online Teacher 51Talk August 2015 – November 2015 Job Description: • Teach the English language to Chinese students online and evaluate their performance based on set guidelines • Prepare and study the teaching materials before the lesson starts • Conduct one-on-one video lessons with students within the prescribed time • Provide corrective feedback and ensure that the students understand each lesson • Create a lesson memo with the necessary feedback about the topics discussed Clinical Admin Coordinator United Health Group (Manila) Mckinely Town Center, Taguig City March 5, 2012 – July 5, 2015 Job Descriptions: - Applies knowledge/skills to basic, repeated activities. - Demonstrates minimum depth of knowledge and skills in own function. - Responds to standard requests. - Requires assistance in responding to non-standard requests. - Solves routine problems by following established procedures. - Others prioritize and set deadlines for employee. - Works with others as part of a team. - Requires outbound calls for all facilities that require information. International Sales Rep One World Connections 37th Floor Orient Square F. Ortigas Jr. Ortigas Center, Pasig City September 19, 2011- December 2011 Job Descriptions: 1. An Outbound Call for all UK Businesses that could serve as a lead to our telemarketers in selling telecoms. Technical Support Representative STREAM HP Corporate World, Shaw Boulevard, Mandaluyong City June 2011 – August 2011 Job Desciptions: • • • Guide customers through the installation and updating of software and hardware. Escalate complex problems to appropriate staff member or department. Help customers identify and resolve problems with products by phone. Claims Representative Intake Coordinator Teletech United Health Group ( United Behavioral Health ) Robinsons Place, Lipa City , Batangas March 7, 2008 – June 15, 2011 Job Descriptions: • • • • • • • • • • • Focusing on voice Quality, Customer Service Skills & Process Quality Giving general information and to assist in processing claims in the system. Providing Authorizations and Notifications Answering all questions regarding claims, payments, adjustments and benefits. Knowledge in navigating tools, ( ISET, UFE, Unet, Facets, Ibaag, Knowledge Library, Ces, Live Facets, IDRS, Pass, CBS, Linx, Edss, UCR, Virtual Que, Pncbank) Utilize change management to drive results Share best practices and support team goals and objectives Use creativity to solve problems Drive consistency and efficient processes in the team. Assist in the resolution and response to issues and questions from co-workers that may surface upon review of quality results and identified errors. Actively participate in quality improvement initiatives/meetings Awards / Recognitions: Excellence Performance Award 1st Quarter of the Year 2010 – Headed by Mr. Tyler Moore (UBH) Star Award for Outstanding Performance as Claims Representative (United Behavioral Health) Star Award for Outstanding Performance as Intake Representative (United Behavioral Health) Clinic Nurse Ideal Clinics (Dermatology – Dermatologic Surgery – Cosmetic Surgery – Laser Surgery –Hair Transplant – Pediatrics – Ophthalmology – Facial Care – Dental) Damascus St. Hadda, Sana'a, Republic of Yemen November 1, 2006 - October 31, 2007 Job Description: Dermatology / Cosmetics Department: • • • To attend in patients who are temporarily admitted to this clinic. Accompanied patients needed for consultation. Assisting doctors in the management of some medical procedures: • • • • Botox, Collagen, Hair Removal Laser, Mesotheraphy, Schlerotheraphy, Tattoo Removal, Skin Care etc. Always maintain completeness, precise and accurate information in the patients' record chart. Maintaining sterile technique in performing medical procedures or operations to prevent spread of infection. Serves as a high quality of utmost care for the patients. Dental Department: • Prepare patients File. • Accompanied patients to doctors needed for consultation. • Prepares the room and sterile instruments needed for consultation and any other dental procedures. • Assisting in some minor dental operations: Extraction, Oral surgery, Orthodontics. • Keeping good relationship with the patients with utmost care. Staff Nurse Lipa City Eye Center N. L. Villa Memorial Medical Center Felix Manalo St, Lipa City, Philippines March 27, 2006 – June 29, 2006 Job Description: 1. Establishes priorities based on patient’s needs and availability of resources of time, other personnel equipment supplies and maintain confidentiality of patient’s personal data. 2. Assisting doctors in consultation: Automated Refraction, Visual acuity, Laser. 3. Assisting and arranging schedules of patients in performing major and minor eye operations. Nursing Assistant OB Gyne / Pediatric Ward St. Frances Cabrini Medical Center Maharlika Hi- Way, Poblacion, Sto. Tomas Batangas Philippines February 9, 2005 – September 15, 2005 Job Description: 1. Demonstrates clinical competence by consistently providing and evaluating the effectiveness of care given self and nursing assistants. 2. Accompanied patients in admitting and discharging to promote harmonic relationship. 3. Answers patients' questions in the simplest manner they can understand, providing them the explanations and the care they needed. 4. Responsible in building therapeutic technique relationship with patients to gain their cooperation in the management of care. 5. Prepare patients for, and assist physicians in the diagnostic and therapeutic procedures done. Educational Background University of Batangas Bachelor of Science in Nursing Hilltop, Batangas City, (2000 – 2004) Philippines Bauan High School Bauan, Batangas Philippines Secondary Level (1996 – 2000) Alalum Elementary School Alaum, San Pascual, Batangas Philippines Elementary Level (1990 – 1996) Trainings and Seminars Attended Six Sigma – Lean Training United Health Group (Manila) Mckinley Town Center, Taguig City October, 2013 Six Sigma White Belt Training United Health Group (Manila) Eastwood, Quezon City March, 2012 Accent and Conversational Teletech English Robinsons Place, Lipa City March 10-21, 2008 Product and Operational United Behavioral Health Training Robinsons Place, Lipa City March 24, 2008 -present Near Hire Training American Accent Training Advance Contact Solutions Inc. SM Lipa November 14 – 30, 2007 Bedside Care Seminar St. Frances Cabrini Medical Center Poblacion I, Maharlika Highway, Sto. Tomas, Batangas Philippines August 20, 2005 Basic Life Support St. Frances Cabrini Medical Center Poblacion I, Maharlika Highway, Sto. Tomas, Batangas Philippines February 16 and 18, 2005 Nursing Dilemma: University of Batangas How to thrive professionally? Batangas, Philippines January 22, 2004 Nursing educators at the Center of Workload University of Batangas Batangas, Philippines January 21. 2003 Special Skills and Interests • Consistently exceeding the Key Performance Indicators set for the process • Born with Courage Energy and Perseverance • Computer Literate (MS Word, Excel, PowerPoint, Internet) • Excellent Interpersonal and Communications Skills • Confident and Poised Interaction with Individuals at all levels readily developing rapport with co-worker • Dedicated Individual achieving a reputation of consistently going beyond what is required • Accepts directions easily and is willing to Invest time and effort that is necessary to complete duties • Has the ability to be effective and productive when faced with tasks.
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