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Cleofas Y.

@raztadog

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Medical Insurance Claims / Social Media Manager

$10 USD / Hour

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United Arab Emirates (9:11 AM)

Joined on February 27, 2010

$10 USD / Hour

Medical Insurance Claims Medical Coding Expert Medical Transcriptionist Registered Nurse Quality Assurance (Data/Content processing) SEO/Blogger/Internet Advertiser I am a very committed person. I do spend a lot of my time online. I did a lot of projects online on a part-time basis specifically in the field of SEO and internet marketing using different platform (facebook and odesk). I am also well-experienced in medical informatics and medical transcription. I also do medical coding specifically the usage of CPT coding and ICD 10 coding.

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Experience

Medical Pre-Authorization Offier

Aug, 2017 - Present

8 years, 11 months

Bupa Global - Oman Insurance Company

Aug, 2017 - Present

8 years, 11 months

- Gives pre-authorized approval of medication claims requested by a network of pharmacies as per the member’s policy terms and condition. - Process electronic pre-authorization through the electronic portal for admissions and other treatment requested by medical care providers within network and as per the guidelines of the member’s policy. - Gives support through calls for card holders, brokers and providers who seek assistance in relation to pre-authorization transactions.

Aug, 2017 - Present

8 years, 11 months

Medical Call Centre Executive

Feb, 2016 - Aug, 2017

1 year, 6 months

Dubai Insurance Company

Feb, 2016 - Aug, 2017

1 year, 6 months

- Gives pre-authorized approval of medication claims requested by a network of pharmacies as per the member’s policy terms and condition. - Process electronic pre-authorization through the electronic portal for admissions and other treatment requested by medical care providers within network and as per the guidelines of the member’s policy. - Gives support through calls for card holders, brokers and providers who seek assistance in relation to pre-authorization transactions.

Feb, 2016 - Aug, 2017

1 year, 6 months

Medical Claims Executive

May, 2014 - Feb, 2016

1 year, 9 months

Inayah TPA

May, 2014 - Feb, 2016

1 year, 9 months

- Gives pre-authorized approval of medication claims requested by a network of pharmacies as per the member’s policy terms and condition. - Process electronic pre-authorization through the electronic portal for admissions and other treatment requested by medical care providers within network and as per the guidelines of the member’s policy. - Gives support through calls for card holders, brokers and providers who seek assistance in relation to pre-authorization transactions.

May, 2014 - Feb, 2016

1 year, 9 months

Education

University of San Carlos

2004 - 2008

4 years

BS Nursing

Flag of

Philippines

2004 - 2008

4 years

Qualifications

Registered Nurse

2008

Professional Regulation Commission of the Philippines - Board of Nursing

Passed the Philippine Board Exam for Nurses

2008

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