1. Medical Specialist UnitedHealth Group · Full-timeUnitedHealth Group · Full-time Aug 2019 - Sep 2021 · 2 yrs 2 mosAug 2019 - Sep 2021 · 2 yrs 2 mos Cebu, Central Visayas, Philippines · On-siteCebu, Central Visayas, Philippines · ● Answer incoming phone calls from health care providers and identify the type of assistance the provider needs, (E.G benefit and eligibility, authorizations for treatment, referral) ● Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide an appropriate response to the caller ● Answer incoming phone calls from health care providers and identify the type of assistance the provider needs, (E.G benefit and eligibility, authorizations for treatment, referral) ● Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide an appropriate response to the caller Skills: Health Insurance · Referrals · Claims Management · Prior Authorization · Medical Terminology · Benefits Management 2. Home Loan Specialist ● Accurately input information into the CRM system ● Preparation of the application and pack to be sent to the clients ● Submission of the loan application to the lender ● Actively monitors the stages of the loan process, utilizing bank systems and reports ● Calling banks with regards to the status of the application ● Discussing conditions or missing information required with assessors ● Responsible for content research and data entry for each client's information which includes checking outstanding documents needed on processing a loan ● Data research on candidates that meets client criteria ● Accurately input information into the CRM system ● Preparation of the application and pack to be sent to the clients ● Submission of the loan application to the lender ● Actively monitors the stages of the loan process, utilizing bank systems and reports ● Calling banks with regards to the status of the application ● Discussing conditions or missing information required with assessors ● Responsible for content research and data entry for each client's information which includes checking outstanding documents needed on processing a loan ● Data research on candidates that meets client criteria Skills: Mortgage Lending · Account Management · Marketing · Customer Relationship Management (CRM) 3. FOCUS MENTAL HEALTH SOLUTIONS OF LONG ISLAND, INC. ● Checking eligibility and benefit if the patient is covered for mental health ● Verify patient’s medical insurance for upcoming appointments by using Availity and other medical websites or contacting insurance by phone ● Updating insurances on patient's chart such as; copays, coinsurance, and deductible ● Checking eligibility and patients’ coverage for their financial responsibilities ● Verifying if referrals and authorization are required for a certain procedures and services ● Checking eligibility and benefit if the patient is covered for mental health ● Verify patient’s medical insurance for upcoming appointments by using Availity and other medical websites or contacting insurance by phone ● Updating insurances on patient's chart such as; copays, coinsurance, and deductible ● Checking eligibility and patients’ coverage for their financial responsibilities ● Verifying if referrals and authorization are required for a certain procedures and services Skills: Eligibility · Benefits Administration · Insurance Claims · Virtual Assistance · Referrals · Prior Authorization