Laarni Berdin

 Laarni Mandarlipe Berdin Experience MEDICAL INSURANCE ELIGIBILITY SPECIALIST | BRAIN AND SPINE CENTER, US | MAY 24, 2021 – PRESENT · Checking the eligibility of the patients daily, handling eleven providers at a time. · Updating the patient insurance details and checking if it is cover in our facility or not. · Computing copayment and balance if there is. DENTAL VIRTUAL ASSISTANT | WASHINGTON PARK DENTAL | FEBRUARY 16, 2021 . Daily checking of remittance advice from the insurances, namely Mass Health, United Healthcare, Delta Dental of Massachusetts, Delta Dental Insurance, Delta Dental of Colorado, and Scion OneCare. · Payment posting on Eagle soft daily. EMAIL SUPPORT VIRTUAL ASSISTANT | E-COMMERCE, US CLIENT| AUGUST 5, 2020 – JANUARY 28, 2021 · Updating promotional templates. · Sending email marketing promotions daily. · Answering email inquiries. · Sending the link, keywords to the customers. · Recording of orders. · Processing of refunds/gift cards. · Bookkeeping. · Daily report at the end of the shift. DENTAL VIRTUAL ASSISTANT | DENTISTRY SUPPORT, A US CLIENT| JUNE 15, 2020 – SEPTEMBER 15, 2020 · Calling insurances for the status of the claims and updating the spreadsheets of clinics assigned. · Payment posting on Google sheets, Google drive. · Encoding dental claims. · Sending the claims every day through Dentrix and Eaglesoft. · Data mining on Facebook or on a website. INSURANCE COORDINATOR | HR ASSISTANT| RECEPTIONIST |CALL CENTER AGENT |CO-COONA DAY SURGICAL CENTER| COCOONA AESTHETIC TRANSFORMATION CENTER, DUBAI, UAE · Enrolling new staff for addition in the insurance, for deletion and for the refunds. · Preparing/Submitting/Verifying/Approving the Monthly Statistics for Emiratis, International patients, and Residents for Cocoona Day Surgical and Cocoona Aesthetic monthly statistic as mandated by Dubai Health Authority on the portal. · Checking the certificates of the doctors, nurses, laser technicians for filing and references and see to it if it is updated. · Checking the validity of the licenses of the doctors, nurses, technicians for renewals. · Greets and meets the patients at all times. · Giving consent for the patient details and registering it on the system. · Answering phone calls, emails and transferred to the concerned department. · Calling the patients for the appointments. · Booking the patients. · Billing and issuing receipts. · Closing the bill and the card machine at the end of the shift. · Make daily reports for the cash and credit transactions on the book. · Make daily reports for the products/services that have been made for the day for each laser technician and doctor on an excel sheet. · Checking, verifying insurances of the patients, getting approvals, calculating for the copayment, data entry, and sending out the claims on a timely basis. INSURANCE COORDINATOR | PRE AUTHORIZATION OFFICER | REVENUE CYCLE MANAGEMENT DEPARTMENT UNDER AL SALAMA GROUP, MY HEALTH DAY SURGICAL CENTER LLC., 3RD FLOOR, AL GHURAIR TOWER 2, DEIRA, DUBAI, UNITED ARAB EMIRATES | NOVEMBER 3, 2018- APRIL 30, 2019 · Double checking the patient's eligibility through insurance card and or EID if the patient is covered in our facility as Reception Team will do the first Checking. · Giving notes to the attending physician if the patient needs prior approval for the procedures and the labs as per the insurance protocols. · Forwarding the claim form to the Medical Coder team if it needs approval for proper documentation of diagnosis and waiting for their response. · Requesting approval for the procedures/treatments for the labs and medicines on the portal. · Coordinating with doctors/nurses if the insurance company needs more information about the patient. · Updating the team for the approvals. · Updating the insurances for the inclusion of new doctors and their specialization. · Forwarding insurances memorandum received to head office. · Helping the Reception team if they have issues with the patient's eligibility, copayment, and the likes. · Other ad hoc duties that the Director and the Deputy COO will assign. INSURANCE COORDINATOR | AL DHUHA MEDICAL CENTER, FLAT 102, AL SHURAFA TOWER 1, SHAIKH RASHID STREET, RUMAILAH, AJMAN, UNITED ARAB EMIRATES | JULY 9,2016- JULY 9, 2018 · Entertains inquiries through phone calls, on mobile, or walk-in patients. · Checking the patient's eligibility through insurance card and or in Emirates ID if it is cover in the clinic. · Secures consent for the insurance patient and has their insurance card and EID photocopy. · Gives note to the attending physician if the patient needs prior approval for the procedures and the labs. · Requests for the approval for the procedures/treatments, for the labs and medicines. · Bills the patients. · Encodes the patient record in the excel sheet. · Coordinates with the insurance company on day to day basis for the approval if it is approved and or if it has been rejected and see to it if it needs resubmission and other supporting documents for further evaluation of the insurance company. · Bills the patient on Eclaim and send it to DHPO at the end of the month. · Follow up for the outstanding claims, make resubmission if it is necessary, and reconciliation. · Coordinates with the insurance companies for the inclusion/empanelment of the medical center. · Makes negotiation with the insurance companies for the tariff and the likes. · Assists the secretary on her duties. · Prepares monthly remittances from the insurance for the doctors as we have four departments. (Ob-gyne, Dentistry, G.P., Pediatrician). · Other tasks assigned by the doctor. SECRETARY/RECEPTIONIST/INSURANCE COORDINATOR | EMIRATES CARDIOLOGY CLINIC, SUITE 303, N.S TOWER, AL QAWASEM CORNICHE, RAS AL KHAIMAH, UNITED ARAB EMIRATES | APRIL 2015-NOVEMBER 2015 · Entertains inquiries through phone and or walk-in patients. · Explains to the patient's the prices for cash and the insurance patients and has them secure consent for registration and the claim form. · Assists the doctor when treating the patient. · Billing the patient for cash, sending authorization for approval for the procedures, insurance company insurance, and having them file and putting them on the claim's status. · Coordinates with the insurance companies on a day-to-day basis for follow-ups, the approval and remittance advice/payment received and balancing the book. · Prepares monthly statistics report for Ministry of Health (MOH). · Prepares invoices and monthly reports for paper claims for the insurance companies. · Prepares invoices and monthly reports for electronic Billing for DHPO for the insurance companies that require Eclaims submission. · Prepares appointments for the doctor and the patients. · Other related tasks assigned by the doctor. Education Tertiary: Bachelor of Science in Business Administration Major in Management Manuel S. Enverga University Foundation Candelaria, Incorporated Candelaria, Quezon, Philippines - Diploma: Computer Secretarial AMA Computer Learning Center San Pablo City, Philippines - Best in Computer Secretarial Award Diploma: Professional Caregiving Course St. Augustine School of Nursing Leadership Award Excellence Award Mangilag Sur, Candelaria, Quezon 4323 Philippines - - Skills Data Entry Data Mining Medical VA Dental VA Social Media Chat Support Email Customer Service Representative Canva Customer Service Email Management