Senior Billing, Insurance Coordinator, Claims Processor
Resume:
CHERRIE P. JUANEZA
Al Baraha, Deira, Dubai, UAE
Contact No. 052-*******
Email Add: *********@*****.***
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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