Maria Gracia M. De Guzman, RN
2901 Lorenzo dela Paz Pandacan, Manila-Home:-
Mobile:-
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Experience
In-patient Coordinator
July 2013 –Feb 22 2018
United Health Group
responsible for ensuring the accuracy and timely management of service notifications for current, future, and retrospective admissions from facilities and/or Inpatient Care Managers (ICMs)
manage cases for shared risk, fully insured, partial risk carve-out, and OOA acute inpatient, skilled nursing, AIR and LTAC admissions, in the appropriate UM system
utilize the Blended Census Report (BCRT) to identify cases requiring updates and/or correction
route Priority Review inpatient cases from Intake to ICM
Intake Coordinator
November 5, 2012 – July 2013
United Health Group
8th Floor, UHG Science Hub Tower 1, Campus Avenue corner Turin Street, McKinley Hill Cyberpark, Fort Bonifacio, Taguig City
receives and coordinates notification of insurance providers for prior authorization
using discretion and independent judgment in handling providers’ complaints received, documents and forwards to appropriate department
proficient with data entry, computer skills for generation of daily communication.
maintains positive internal and external customer service relationships
work well with and demonstrate respect for colleagues at all levels and consistently contribute to a positive work environment for the entire staff
Customer Support Associate
August 2007 – July 18, 2012
Teletech Holdings Inc.
Building F, SM Corporate Offices 1000 Bay Boulevard, SM Central Business Park, Pasay City
responsible for handling transactions for a leading Australian telecommunications account which include tasks such as system alignment and issue resolution, and documenting all transactions in the relevant systems
maintain high level of program and product knowledge in order to provide the best value solution to the customer
assisting colleagues in addressing customer's issues by providing floor support
as Person-of-contact to the team lead:
responsible for monitoring absence and attendance of the team
ensure team has tools and systems access required to fully perform job function
escalate system issue to appropriate department
management of the workload via queue assignment
available for the colleagues’ questions and issues
coordinate with other team leaders for the reports submission and issues handling
achieve 100% assigned goals for team by implementation of company’s rules
Skills
Communication & Customer Management
Deals with customers at all levels via telephone and email, to ensure successful communication via actively listening, conveying necessary information accurately, and asking questions when clarification is needed.
Critical thinking, Action planning, & Problem solving
Analyzes situations, identifies problems, identifies and evaluates alternative courses of action through utilization of principles
Team Player & Goal Motivated
Enjoys sharing knowledge and encouraging development of others to achieve specific team goals; refined planning and organizational skills that balance work, team support and ad-hoc responsibilities in a timely and professional manner.
Education
Primary92 – 1998Asilo Colegio de San Vicente de Paul
United Nations Avenue, Manila
Secondary98 – 2003ERDA Technical Secondary School
Beata, Pandacan, Manila
Vocational98 – 2003ERDA Technical Secondary School (Automotive)
Tertiary03 – 2004BS in Business Administration
Pamantasan ng Lungsod ng Maynila
Intramuros, Manila
04 - 2006BS in Nursing
Oct - Mar 2009Metropolitan Hospital College of Nursing
Jun - Oct 2009Sta. Cruz, Manila
