Michelle Fernando

Michelle Fernando

$4/hr
Claim Specialist and provides health benefit for the clients.
Reply rate:
-
Availability:
Hourly ($/hour)
Age:
37 years old
Location:
Cainta, Rizal, Philippines
Experience:
7 years
 Michelle M. Fernando Address:067 Catalino Cruz Street Cainta, Rizal Mobile Number:- E-mail- CAREER OBJECTIVE To obtain a position that will enable me to use my organizational skills, customer service background and to maintain customer satisfaction and contribute to company success. EDUCATION­­­­­­­­­­­­­­­­­­­ 2005 – 2009 Central Colleges of the Philippines 73 Aurora Boulevard Quezon City Bachelor of Science in Nursing 2001 – 2005 Cainta Catholic College High School Diploma, March 2005 WORK EXPERIENCE­­­­­­­­­­­­­­­­­­­­­­­ April 2011- present Hinduja Global Solutions Humana Medical (Benefit Verification Specialist , Claims specialist and interpreter ) Skilled in customers verification of healthcare benefit Ensure and assist clients in obtaining proper insurance referrals and prior authorization before their visit. A claims specialist, or claims examiners responsible for reviewing a client’s claim in order to determine whether or not they are covered under a policy and to evaluate the extent of a settlement that the insurance company must pay. Manage in creating and updating medical authorization before the procedures will be done October 2009 – April 2010 NARS Program ( DOLE ) Worked as Community Health Nurse Served as School Nurse Based and assigned at OB GYN and Medical Ward PROFESSIONAL DEVELOPMENT Registered Philippines Nurse June 2009 Passer Registration Number:- SPECIAL SKILLS Possesses a strong work ethic and a high level of professionalism Written and verbal Communication Promptly responded to general inquiries from member’s staff and clients via telephone, mail and fax. Reliable and driven, with strong time management and prioritization abilities. Trained as a Team Leader that manages employees including training and keeps management updated on team’s performance. PERSONAL BACKGROUND Born on February 28, 1988. Has a good communication skill, fluent in English and Filipino (written and oral). Has satisfactory intrapersonal skills and can work well with others. Resourceful, enthusiastic, patient, flexible, and dynamic. REFERENCES Shiela Salayog Hinduja Global Solutions - Claims specialist - Laiza Gonzales Hinduja Global Solutions – Team Leader-
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