Mark Fernandez

 Unit 4 wilvir home, purok sanjose, bunao, dumaguete city -- mark b. fernandez Professional experience EXPERIENCE HIGHLIGHTS: November 16, 2015 - December 14, 2018 Insurance Analysts Insurance Support Services International Corporation Provide insurance benefits, payment details. Obtain necessary documentation needed when failure to receive up-front, i.e. CAF, DOF, auths, insurance information, etc. Follows up on all denials prior to the payors appeals deadline. Correctly bills electronically and hard copy based on company policy. Must be able to correct and resubmit claims as needed Works as a part of the company team by communicating effectively with all departments. Observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPPA). Provides exceptional customer service to both internal and external customers. Promotes companies culture by adhering to policy, procedure, and mission statement. Completes assigned work in a timely and efficient manner. Adapts to and demonstrates the ability to deal with frequent changes in the work environment. July 14, 2014 - August 28, 2015 AR Collection Reimbursement Arriva Medical an Alere Company Performs collection follow up on assigned accounts on a regular basis. Request correct adjustments to resolve outstanding account balances. Obtain necessary documentation needed when failure to receive up-front, i.e. CAF, DOF, auths, insurance information, etc. Follows up on all denials prior to the payors appeals deadline. Correctly bills electronically and hard copy based on company policy. Must be able to correct and resubmit claims as needed Works as a part of the company team by communicating effectively with all departments. Observes legal and ethical guidelines for safeguarding patient and company confidentiality (HIPPA). Provides exceptional customer service to both internal and external customers. Promotes companies culture by adhering to policy, procedure, and mission statement. Completes assigned work in a timely and efficient manner. Adapts to and demonstrates the ability to deal with frequent changes in the work environment. October 17, 2011 – March 24, 2014 Tier 2 / Escalation TELUS transition to Harte hanks Phone assistance technical support for a variety of issues Windows XP, Windows 7, Windows 8, Networking and application support Triage Level II and Escalation tickets. Resolve Network and connectivity issues. Verify with the customer that the issue has been resolved and update the ticketing system. Communicate plan, progress, and issues in a timely manner. Actively contribute to ongoing process improvement. Performs other duties or special projects as assigned. November 4, 2010 - June 6, 2011 Tier1 – Technical support Hinduja Global Solution Provides answers to clients by identifying problems; researching answers; guiding client through corrective steps. Improves client references by writing and maintaining documentation. Resolve network and connectivity issues. Updates job knowledge by participating in educational opportunities; maintaining personal networks. Phone assistance technical support for a variety of issues. Education SY-AMA Computer learning Center Computer Programming Qualifications Experienced professional adept in a wide range of roles including customer service, technical support, chat and email support, and administrative support. Demonstrated expertise in health and life insurance, with a background in claim submission, insurance verification, and data entry. Proficient in computer applications and dedicated to providing valuable back-office support for seamless organizational operations. Languages English, and Filipino Interests and activities Reading, internet surfing ***Character References available upon request***