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Senior Billing, Insurance Coordinator, Claims Processor

Location:
Dubai, United Arab Emirates
Posted:
July 08, 2020

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Resume:

CHERRIE P. JUANEZA

Al Baraha, Deira, Dubai, UAE

Contact No. 052-*******

Email Add: adee25@r.postjobfree.com

OBJECTIVE:

Highly professional with strategic thinking, communication, collaboration, leadership and creative problem-solving abilities, innovative ideas, excellent work ethics, flexible and efficient in different hospital settings, with experience in the Middle East, healthcare and insurance companies now seeking for a full- time career in a world-class healthcare insurance company anywhere in the GCC Region where I can share my expertise and achieve career advancement. PROFILE:

Good oral and written communication skills. Highly motivated to perform challenging task. Possesses the capacity to handle any kind of work provided once explained. Very much keen on learning new things. Hardworking, flexible, competent, fast learner and work well under pressure with minimal or no supervision. Knowledge in MS-Word, Excel, Access, PowerPoint & Local Area Network

EMPLOYMENT RECORD:

Senior Billing and Insurance Coordinator / MOH Project Al Kuwait Hospital Dubai ( Forme rly Al Baraha Hospital ) (MOH Project) October 2015 – March 2020

Coordinating, liaising and networking between Insurance companies may it be local or international insurance companies regarding approvals, eligibility, and deductibles based on members policy. Responsible for filing and tracking insurance claims and informing patients of their claims status, process insurance and disability claims in a timely manner.Entertains patient’s queries regarding unpaid balances and their respective insurance card coverage including their eligibility and entitlements. Coordinates directly with hospital staffs and administration with regards to the case of the patient from the time the adherent is admitted up to the discharge of the member. Responsible in gathering the necessary documents in sending claims to the guarantors for payment collection PSD Medical Claim Officer / Approval Department

Globemed Gulf Insurance Company

Dubai Healthcare City

February 19, 2012 - September 29, 2015

Work in the Medical Call center in shifts to assists the providers / insured members / insurance companies for approvals and queries related to coverage, claims etc and provide excellent customer service related to these functions. Authorization and facilitation of admission and service provision at the network of providers, based on policy conditions and medical necessity. Case management and medical review of claims requiring the intervention of medical professionals. Attending calls from providers, for approvals on admission, investigations, pharmacy and clarifying on coverage of the member with limits if required approval codes. Dental Assistant / Insurance Coordinator

North Carolina Dental Practice

Dubai Healthcare City

August 17, 2010 until September16, 2011

Data Entry Clerk

Child Early Intervention Medical Center

Dubai Health Care City

February 1, 2010 – July 31, 2010

Nurse Supervisor / Insurance Coordinator / Receptionist cum Nurse Medicure Center

Al Mankhool Road, Bur Dubai

November 2005 – January 26, 2010

Staff Nurse

AL MIDHNAB GENERAL HOSPITAL

Midhnab, Al Gassim

K. S. A

June 20, 2004 – October 30, 2004

EDUCATIONAL BACKGROUND

Bachelor of Science in Nursing

Colegio De Santa Isabel

Naga City, Philippines

1986 -1990

Caregiver

Life Care Training Center

Naga City, Philippines

Jan- Aug 2003

TRAININGS / SEMINARS ATTENDED

Time Management Training & Professionalism in the Workplace Flora Creek Hotel – Dubai, U.A.E.

May 28 – 29, 2010

The Applied Behavioral Techniques Workshop

Autism Around the World Symposium 2010

Zayed University, Dubai, U.A.E.

May 6 – 8, 2010

ABA – Applied Behavioral Analysis in Schools Workshop Autism Around the World Symposium 2010

Zayed University, Dubai, U.A.E.

May 6 – 8, 2010

Using Communication Tools at Home Workshop

Autism Around the World Symposium 2010

Zayed University, Dubai, U.A.E.

May 6 – 8, 2010

Cardiopulmonary Resuscitation

(Basic Life Support Health Care Provider)

Al – Midhnab General Hospital

Midhnab, Gassim, K.S.A.

July 1, 2004

Basic Life Support Training

Boy Scout of the Philippines

Panganiban Drive, Naga City

July 14 – 19, 2003

First Aid Training

Boy Scout of the Philippines

Panganiban Drive Naga City

July 14 – 19, 2003

Volunteer

Gift of Love Naga City Chapter

Concepcion Grande, Naga City

June 16 – July 11, 2003

PERSONAL INFORMATION

NAME : Cherrie Pardinas Juaneza

DATE OF BIRTH : September 4, 1969

SEX : Female

CIVIL STATUS : Married

HEIGHT : 5’5

WEIGHT : 60 Kilos

RELIGION : Roman Catholic

VISA STATUS : Cancelled Visa ( May 3, 2020 )



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