Fast learner. Knowledge in handling phone calls. Knowledge in do

MARY ROSE B. CORTEZ

#* **** * *********** ****** Valenzuela City

Home : *** ** **

Cell : 091*-***-****

***********@*****.***

SUMMARY

Skilled Provider Data Analysts who maintains a high level of professionalism, patience and

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efficiency to minimize provider's dissatisfaction, address their concern faster and increase

their loyalty.

Trained to perform clerical jobs and can perform multi task work.

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WORK EXPERIENCE

PROVIDER DATA ANALYST FEBRUARY 2008 – FEBRUARY 2014

ACCENTURE INC

I am a Provider Data Analysts who receive various providers query through calls

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and correspondence. The basic work that I am doing is to encode and put all Provider's

demographic information such as their Name, Gender, Birthday and their Professional

details such as their Mailing or Correspondence address, Remit Address, and Practice

address, also their SSN, NPI, EIN, DEA and license in our database. These actions are

all under the Claims Team.

I am also under the Correspondence Team which is much complicated and difficult

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to handle. This is the part where we received a written correspondence, or signed

correspondence as well as W9 which informs us of the change of their address, Business

Names and type of their Business (going solo to group; going group to solo). This is the

time where I myself decide if I am going to process Provider request, before I process their

request, I need to validate if their requirements are all met. I all the correspondence am

valid, such as deciphering if the signature is from Provider or from a representative of the

group.

The third process that I went through is the Application process. This is where the

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provider will be contracted on our Commercial Products. This process is one of the two

most complicated works on our Project. Because these team are the one who was being

escalated most, when Provider's contracts are not being cascaded correctly, when

Provider's Priority request are not being closed on the day they request it or wanted it.

Also complicated because providers are monitoring the status of the application day by

day.

I am also trained to process Priority Requests. Usually priority request are special

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request coming from our Superior onshore trough email or phone call (if is very urgent)

which often against our Guidelines or Job Aides. (Job Aides is the guidelines we used to

maintain a process flow). Once there priority request against our Job Aides, this is the time

that the process are being pended for some reasons. Such as thinking if we can pursue

their request even if it’s not in the Job Aides, if YES, then maybe we need to update our

Job Aides and the process.

I am also trained to do Return Mail, which do a 90% phone call. This process is

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where we received a correspondence with Provider name and address. I need to validate

if the address written on Correspondence is Providers active address or a bad address.

Bad address means that these addresses are need to be deleted on our database so

current and correct information for Provider will be the one to be stored.

I also process other type of contracts, such as WC, Ancillary and BH contract;

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these are another type of contract that has their own process flows. This team is a

combination of call and correspondence, because providers who are requesting for this

type of transaction often want their request to be done urgently.

DAY 2 PROCESSOR

CITIFINANCIAL CORP. MAY 2007 – JANUARY 2008

Right after two week of my graduation, I worked as a Data Encoder / Day 2 processor. I

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was hired to perform clerical task such as Receiving/ Sorting/ Checking/ Validating/

Encoding and Composing a Report to be submitted for a deliberation.

Receiving a Salary Loan application from different branches of our Company. This is the

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first thing I need to do when coming at work. I need to receive several of boxes of

application from different branches. I will count the number of folders received in front of

branch representatives.

Then make some sorting, this is when I scan all the requirements passed by applicant to

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see if all attachments are valid and correct. Such fields on the applications are all filled up

properly. Xerox of valid ID's are readable. Pay slip or proof of Income as well as Proof of

residence are attached.

Then checking if the demographics information is all complete. Signature of applicants is

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readable and correct per copy/ Xerox of Valid ID's received.

Validating if applicant should be forwarded to next department. The next department will

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be the one to reach out to the applicant for verification purposes. Also this is the time that I

need to check if the names of applicant are previously on our database. If yes, then I need

to see if the applicant is a good payer, or have an outstanding balance or have a

delinquent status. By then these applicant will be informed by the next department for the

status of their loan. However, if applicant's name is not in the database, next step will be

follow.

Encoding, this is the time that I need to encode and input all the information of applicant to

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our database and put my initials at the last part of the Windows, so when other associate

will be visiting the database they will know whom to call to verify such questions as where

do the papers of applicant went, why do I qualified the applicant to the next step and the

date where the database is being updated.

The last part is the reporting, I am the one who make the report to be passed to my

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immediate supervisor for her editing or checking of some details. The report says the

number of envelopes/ Application that are being received. The number of applicants that

qualified and the number of envelopes that are being returned for some reasons.

DATA ENCODER

PHILHEALTH – (PMAIS) MAY 2006 – APRIL 2007

I work as a pure data encoder for PHILHEALTH / PMAIS (Philippine Membership Accounts

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Information System) for the last year of my stay in PUP. This is a project based work for

students of PUP. I encode the name of the member, amount they contribute, bank where

the payment are done and the date of their payments.

I am awarded as the TOP encoder for several months for this project. Unfortunately, I

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need to drop this part time job to be able to complete and process all the requirements for

my graduation.

ON THE JOB TRAININGS

BANGKO SENTRAL NG PILIPINAS

Cor. A. Mabini and P. Ocampo Sr. Sts.

Malate Manila

Administrative Services Department

Period: February to March 2007 (100 hrs)

UNIVERSITY OF THE EAST RAMON MAGSAYSAY MEMORIAL MEDICAL CENTER

Aurora Boulevard, Quezon City 1105

Out Patient Department

Period: November to December 2006 (100 hrs)

METROPOLITAN WATERWORKS SEWERAGE SYSTEM

Katipunan Road, Balara Quezon City 1105

Asset Department

Period: June to August 2005 (100 hrs)

POLYTECHNIC UNIVERSITY OF THE PHILIPPINES

PUP MAIN Campus Sta Mesa Manila

Payroll Department

Period: July to September 2004 (200 hrs)

SKILLS

Fast learner.

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Knowledge in handling phone calls.

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Knowledge in doing Clerical jobs

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Know how to make a good decision.

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Can adapt to the needs of situation.

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Can work under minimum supervision

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Keen into details.

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EDUCATIONAL ATTAINMENT

POLYTECHNIC UNIVESITY OF THE PHILIPPINES

PUP MAIN Campus Sta Mesa Manila

STA MESA, MANILA

2003 – 2007

DR. JUAN G. NOLASCO HIGH SCHOOL

TIOCO, TONDO MANILA

1999 – 2003

EMILIO JACINTO ELEMENTARY SCHOOL

VELASQUEZ,TONDO MANLA

1993 – 1999

PERSONAL BACKGROUND

Married

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March 15, 1986

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28 years old

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References are available upon request.

I hereby swear that all of the above information are true and correct with my knowledge.

Mary Rose B. Cortez

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