Rhodora Olavere

RHODORA OLAVERE CLAIM SPECIALIST PROFESSIONAL CAREER CONIFER HEALTH SOLUTIONS AR Collection Specialist Rep II 2020- current - Claims Collections - AR follow-up. - Subject matter expertise. PERSONAL PROFILE To render the skills and knowledge that I’ve gained from my previous work experience. To be able to work diligently and be dedicated to any assign position. To obtain worthwhile experience that will be a stepping stone for better career development moreover enhance my professionalism, personality, and social life. To share God’s given wisdom and talents in the corporate world OMEGA HEALTHCARE Pre Certification Coordinator for ATHENA & MEdpilot Cash Posting- - Obtained authorization for radiology or high-tech imaging procedure. - Reviewing Chart notes, Medical Records, OP report. -Making an outbound call to obtain authorization/ Back office - Medpilot account: credit balancing for professional billing back office. SPECIALIZATIONS UNITED HEALTH CARE WEST - Claims Specialist Tier 2 - Utilization Management Rep I - Resolution Specialist - Top performer ARC for 3 consecutive months - Knowledgeable in Internet applications and some MS office applications. - Can work just anybody, quite deliberate in private and gregarious as the situation dictates. Have good communication skills. - Leadership skills with adaptive behavior. - Can quickly adapt to changes in the work environment. SKILLS AND HOBBIES -Singing -Cooking -Gambling - Watching -Playing online games SME/Provider Advocate/ Utilization Management- - Subject matter expertise. Taking sup call, doing escalation for claims that were not paid. - Assisting provider about claim status. - Process EOB, EOP, Stop pay and reissue a check. - Cross-trained for intake or prior authorization. - Benefit quoting - SME, escalation team for claim reimbursement. - Intake representative for O/P setting and facility. TELEPERFORMANCE Customer Service/ Technical Support- - Troubleshoot residential phone line for AU account. - Assigning technician on the site. - Make sure FCR is met NCO/ RMH Collections for Financial account- - Calling consumer about the past due to account and providing options for settlement. EDUCATION HIGHLIGHTS MANILA CENTRAL UNIVERSITY Bachelor of Science in Nursing The year- BAGONG BARRIO NATIONAL H.S The year-