Lawrence Rosales

WORK EXPERIENCE HelloRache Healthcare Virtual Assistant August 2019 - Current Able to determine eligibility and benefits of patients for medical and vision. Files claims for routine vision exams and contact lens. Sets pre-appointment meeting. HCL Techonologies LTD , Taguig City Senior Customer Support Associate August 2017 – May 2019 LAWRENCE ROSALES, RN Healthcare Virtual Assistant Qualifies non-STAT DME orders Able to determine eligibility and benefits of patients from commercial to government insurance. Determines if the DME is within our scope or not (for cancellation) Does contact referrals of physicians through phone or fax for any missing patient information (demographics, diagnosis, requesting of new prescription, clinical notes, WOPD), or even cancellation of orders. Contacts insurance over-the-phone to determine eligibility and benefits of DME, follows-up result of authorization requests. Fills out authorization form if insurance is requiring one prior to deliver. Does contact patients (HIPAA is applied) to advise patient on status of DME order, cancel an order, or schedule delivery. OTHER WORK EXPERIENCE Covergys Phils P R O F I L E He is trained to perform customer qualifications on non-STAT intakes for a DME provider in the US. In his previous job, he manages DME non-STAT escalation inbox from sorting out emails, responding to stakeholders on a timely manner, and executes resolution from the issues escalated. C E R T I F I C A T E S Hello Rache Health Care Virtual Assistant Certification HIPAA Certification HIPAA Awareness for Healthcare Providers Aug, 2011 - Feb, 2017 CSR, Mentor, Communications and Culture Trainer, Products and Specifics Trainer. EXL Service Philippines Inc, Pasay City June, 2010 – April 2011 Appointment Coordinator Contactcenter.com Oct, 2008 - May 2010 Chat, email, and phone support, CSR E D U C A T I O N Bachelor of Science in Nursing (2008)