ALVIN H. ABRENICA, PTRP

*** * ******* ******* ******** St.

Mandaluyong City PHILIPPINES 1550

+639**-*******/+639**-*******

ad47ao@r.postjobfree.com

PROFESSIONAL SUMMARY

People Manager with 19 years of work experience in the Healthcare Industry dealing with customers for their Inpatient availment and monitoring Inpatient Supervisors and Specialists achieving the Organizational Goal of 95%. Collaborates both with Internal and External customers providing excellent customer service through proper communication and good delivery of results. Supervised and motivated a team of 6 Supervisors and 19 associates in extending quality service to our clientele. SKILLS

● Goal Oriented, Collaborative, Team Player, Time Management, Adaptability, People Management

● Adaptive to advanced technology with good computer skills WORK HISTORY

MAXICARE HEALTHCARE CORP. Assistant Manager-In Patient Services Dept. Maxicare Tower, Makati City April 1, 2016 up to present

● Monitors Inpatient Supervisor’s functions and ensures that all members are serviced by IP Staff

● Handles member/doctor/provider concerns and complaints received thru Supervisors and Staff regarding attitude of Supervisors/Roving Specialists, denial of cases, application of benefits and issuance of limits.

● Submits reports to Manager on monthly monitoring of data and collation of reports per area concerning In Patient availments which includes: Key Results Area and Key Performance Indicator, length of stay, denied admissions and top diseases.

● Validation and approval of Supervisor and Staff member’s daily time record, official business, overtime, transportation and meal reimbursement forms, daily accomplishment reports and phone bill justification.

● Supervises the Training Officer in conducting training and orientation of IP Staff members and new hires on LOA issuance and system handling, product knowledge and benefit/limit application, patient care and customer service.

● Monitors and facilitates documentation processes and policies of the unit/department.

● Attends product and account roll outs and inter-departmental and external meetings from time to time whenever necessary.

● Spot visits hospitals and Staff to validate knowledge and handling of personnel based on process/policies and on service provided, attitude to member’s confined, billing and payment concerns and other concerns which may arise from visit.

● Reports significant concerns and feedback gathered during patient visits to concerned departments and sections.

MAXICARE HEALTHCARE CORP. Supervisor-In Patient Services Dept. Maxicare Tower, Makati City, October 10, 2011 – March 31, 2016

● Leads to ensure team compliance and adherence to company KRAs, policies, and directives.

● Ensures Roving Specialists daily monitoring and assistance of confined members from admission to discharge.

● Approves issuance of Maxicare’s Letter of Authorization (LOA) for hospitalization of members according to authority limits and member’s benefit program per the service agreement and summary of benefits.

● Analyzes and discusses with Roving Specialists the decision on coverage/non-coverage for complicated cases.

● Monitors and validates excess charges for in-patient availments.

● Responsible for creating and monitoring team work schedules and assignments as well as approval of daily time records, leaves, and overtime work.

● Conducts regular team meetings, coaching and guidance activities to immediate subordinates.

● Conducts revalida examinations for probationary candidates as well as periodic assessment and learning needs assessment reviews for regular employees.

● Ensures all patients are visited and revisited by the assigned Roving Specialists to discuss the benefits, requirements, and limitations concerning the coverage or non-coverage of availments.

● Receives and responds to availment queries or clarifications from internal and external clients.

• Leads to ensure team compliance and adherence to company KRAs, policies, and directives.

• Ensures Roving Specialists daily monitoring and assistance of confined members from admission to discharge.

• Approves issuance of Maxicare’s Letter of Authorization (LOA) for hospitalization of members according to authority limits and member’s benefit program per the service agreement and summary of benefits.

• Analyzes and discusses with Roving Specialists the decision on coverage/non-coverage for complicated cases.

• Monitors and validates excess charges for in-patient availments.

• Responsible for creating and monitoring team work schedules and assignments as well as approval of daily time records, leaves, and overtime work.

• Conducts regular team meetings, coaching and guidance activities to immediate subordinates.

• Conducts revalida examinations for probationary candidates as well as periodic assessment and learning needs assessment reviews for regular employees.

• Ensures all patients are visited and revisited by the assigned Roving Specialists to discuss the benefits, requirements, and limitations concerning the coverage or non-coverage of availments.

• Receives and responds to availment queries or clarifications from internal and external clients.

MAXICARE HEALTHCARE CORP. Customer Care Specialist Maxicare Tower, Makati City, December 10, 2007 – Oct. 10, 2011

● Responsible for the correct implementation of Member’s healthcare benefit policy and the delivery of superior customer service at all times.

● Monitors daily In-patient availment at all affiliated hospitals.

Records daily admissions and discharges

Grants coverage or non-coverage of availment according to authority limits

Conducts In-patient visits and issues Letter of Authorization (LOA)

Coordinates with the hospital’s Billing or Credit and Collection unit to facilitate discharge of members and collection of excess charge payment, if any.

● Receives and handles availment queries of members.

● Resolves complaints of members, otherwise elevates to the Roving Team Supervisor.

● Assists the Roving Team Supervisor in conducting trainings to new hires in the Roving Unit

MAXICARE HEALTHCARE CORP. Claims Analyst (Philhealth) Maxicare Tower Makati City September 28, 2007 – Dec. 10, 2007

CARITAS HEALTHSHIELD INC. Member’s Care Assistant E. Rodriguez Sr. Blvd., Q.C. Dec. 15, 2003 – Sept. 26, 2007

● Receives Member’s Relation Assistant’s endorsement of benefits to be availed by the members.

● Facilitates admission of members in accredited hospitals.

● Advice member and ensured that the required Philhealth, third party subrogation is filed by the appropriate party prior to discharge.

● Provides assistance to members who are for discharge.

● Issues Letter of Authorization to hospital’s Credit and Collection with the corresponding coverage of each member.

● Explains to members regarding incurred excess charges if any and ensures its prompt collection prior to discharge.

● Advice to the attending doctor to indicate the Final diagnosis in discharge summaries.

ROCKWELL SPA Spa Therapist

Makati City Aug. 2003 – Nov. 2003

PASIG CITY GENERAL HOSPITAL Vol. Physical Therapy Staff Pasig City March 13, 2002 _ June 13, 2002

● Provide Rehabilitation services to patients with disabilities to improve their Neuromuscular, Musculoskeletal, Sensory motor and related Cardiovascular and Respiratory function.

● Provide services that help restore function, improve mobility, relieve pain, and prevent or limit permanent disabilities of patients suffering from injuries or disease.

● Restore physical disabilities through modalities such as Electrical Stimulation, Hot Moist Packs and Cold Compress, Infrared Radiation, Paraffin Wax Bath and Ultrasound to relieve pain and swelling.

● Treatment also includes exercises from patients who have been immobilized and lack flexibility, strength and endurance.

● Teach patients to use assistive and adaptive devices such as crutches, prosthesis and wheelchair.

● Provide progressive gait training with and without assistive devices in negotiating barriers on even and uneven terrains.

● Provide guidelines for student Interns for proper execution of treatment programs.

● Provide orientation and supervision to newly hired Physical Therapy Staff to personally obtain direct patient care and continuing education relating to the long-term field of Physical Therapist.

● Examine patient’s Medical Histories then test and measure their strength, range of motion, balance and coordination, posture, muscle performance, respiration and motor function.

● Develop treatment plans describing a treatment strategy, its purpose and anticipated outcomes.

● Document progress, conduct periodic examinations and modify treatments when necessary to track patient’s progress.

EURO-MED LABORATORIES PHIL., INC. Production Worker IPPI Bldg. U.N. Ave. Feb. 27, 2001 – July 26, 2001 EDUCATIONAL BACKGROUND

Highest Educational Attainment:

Bachelor of Science in Physical Therapy

De Los Santos College

April 2000

EXAMINATION TAKEN

PHILIPPINE PHYSICAL THERAPY AND OCCUPATIONAL THERAPY LICENSURE EXAMINATION Date: February 4 & 5, 2002

Gen. Ave: 77.30

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