Gisstine Albino

Gisstine B. Albino Bliss Labangon Cebu Philippines - E-mail:- PROFILE: A Bachelor of Science in Nursing graduate. Skilled in identifying and anticipating patient needs. Driven to establish and achieve business objectives. Excellent listening and communication skills and a resourceful team member with a positive demeanor. KEY QUALIFICATIONS  4 years of formal education and training from a qualified nursing school  Extensive knowledge of complex medical terms and procedures  Good time management and organizational skills  Skilled in developing trust and build good rapport with customers  Excellent command over written and verbal communication  Good convincing and negotiation skills  Flexible and result oriented with ability to maintain confidentiality RELEVANT SKILLS  Good communication and inter-personal skills  Outstanding people skills  Skilled in dealing with psychologically emotional situations  Good attention to detail and observation  Ability to respond questions and offer suggestion  Happy to work individually and as part of a team  Computer Literate  Working knowledge in MS Word, MS Excel, MS PowerPoint and Windows OS EDUCATION: Cebu Doctors’ University – Bachelor of Science in Nursing School year 2009 to 2013 University of San Carlos Basic Education Department School year 1998 to 2009 PROFESSIONAL EXPERIENCE: Medical Care Specialist Convergys Philippines Cebu, City Account: Wellpoint Line of Business: Anthem Blue Cross and Blue Shield (All State) June 2013 – June 2014 HIGHLIGHTS: Promoted as SME Coach Intern January 2014 – June 2014 RESPONSIBILITIES:  Trained in US Health Insurance System  Benefits and Eligibility  Billing and Claims Processing  Proficient in ICD-9 and CPT coding  Prior Authorization review and approval Resolution Specialist United Health Group Philippines Cebu, City Account: Provider Services June 30, 2014 – March 15, 2017 HIGHLIGHTS: Promoted to Subject Matter Expert November 2014 – November 2015 RESPONSIBILITIES:  Trained in US Health Insurance System  Benefits and Eligibility  Billing and Claims Processing  Proficient in ICD-9, ICD-10 and CPT coding  Prior Authorization review and approval  Medical documents reviewer Promoted as Supervisor for Operations November 2015 – March 2017 RESPONSIBILITIES:  Call Escalation  Call Quality Evaluation  Performance and developmental planning  Handling a team of more than 30 heads  Weekly Performance Calibration  Weekly business review with clients  Employee Engagement POC Medical Biller WRS Health March 2017 - October 2017 RESPONSIBILITIES:  Trained in US Health Insurance System  Claims creation and billing processing  Proficient in ICD-9, ICD-10 and CPT coding  Prior Authorization review  Medical documents reviewer REFERENCE: Jordana Bariquit Assistant Manager United Health Group Contact Number:- Angelo Gabrielle Solera Senior Trainer United Health Group Contact Number:-