Medical Data Analyst
Resume:
PINKIE A. MANARANG
*** ***** **** **. ******* PA, 19044
************@*****.***
OBJECTIVE:
To qualify for a job based on my abilities and to be involve in challenging works, in which the company will benefit with my technical know-how, competency, efficiency, and skills in attaining its goal at all times.
CAPABILITIES:
Has knowledge in different office productivity tools such as MS word, Power point and Excel.
Creative, imaginative and innovative
Hardworking, responsible and goal - oriented
Capable of working with minimal supervision
Willing to render overtime if needed
Can easily adapt to the environment
Willing to undertake intensive training if necessary
WORK EXPERIENCES:
OUTSOURCE NETWORK CONTACT CENTER and BACK OFFICE SERVICES INCORPORATED (ONET) (Makati City, Philippines)
Medical Data Analyst
September 2013 –January 2016
Analyzing Documents/ Data Information’s, facilitating email requests, encoding and uploading Information’s of Providers, Doctors, Room rates and CPT rates in payorlink system for Maxicare Account.
Protect confidentiality of the documents for uploading such as Doctors Service Agreement, Provider’s contract, Room rates and other documents endorsed by Maxicare.
Encoding new entries and updates in Maxicare’s Payorlink system.
Uploading and encoding of provider information – accredited hospitals and clinics, as well as non-accredited clinics and hospital in Payorlnk system.
Encoding, validation and uploading of CPT rates and room rates of various providers.
Escalation of issues and concerns to Maxicare client pertinent to data uploading.
Provide daily/weekly/monthly report of production.
EQUICOM INFORMATION TECHNOLOGY, INC. (Makati City, Philippines)
Document Management Specialist (Claims Processor for Outpatient Department)
March 2012 – April 2013
Responsible for compiling data from record to document patient condition and treatment according to standardized coding specification.
Follow hospital/company coding guidelines and regulatory rules in governing corresponding coding decisions.
Identify patient’s condition if within account’s benefit and limit.
Responsible for computing the final bill for hospital and professional fee availments.
Audits claims for accuracy, completeness, correct and proper use of CPT and ICD10 coding.
Responsible in making roll-outs for accounts with special instructions and considerations.
Plans for possible corrective actions to improve one’s accuracy.
MAXICARE HEALTHCARE CORPORATION (Makati City, Philippines)
Medical Data Analyst
September 2009 – December 2011
Protect confidentiality of the documents for uploading such as Doctors Service Agreement, Provider’s contract, Room rates and other documents endorsed by Maxicare.
Encoding new entries and updates in Maxicare’s Payorlink system.
Uploading and encoding of provider information – accredited hospitals and clinics, as well as non-accredited clinics and hospital in Payorlnk system.
Encoding, validation and uploading of CPT rates and room rates of various providers.
Escalation of issues and concerns to Maxicare client pertinent to data uploading.
Follow up calls (if needed) to Doctors and Providers to ensure complete and correct information prior for uploading and updating in Payorlink system.
Ensures that the Provider’s and Doctor’s contract and other documents are complete prior for filling.
Provide daily/weekly/monthly report of production.
EDUCATIONAL ATTAINMENT:
Concordia College
Bachelor of Science in Nursing
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