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Customer Service Project Manager

Location:
Al Dafna, Qatar
Posted:
September 24, 2023

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Resume:

Driven, self-motivated and effective in completing tasks with minimal

supervision. Confident leader and enthusiastic communicator. Works particularly well when challenge and in high pressure environments. Insurance Claims Officer

Doha Health Care Group, Doha-Al Esraa Medical Center/Al Esraa Polyclinic December 2020 up to present

Taking medical approval in various insurances for certain patient's procedures and medications.

Encoding of patient's complaints and diagnosis using ICD-10 codes

Handle all inquiries concerning insurance.

Communicating with approval team of different insurance companies.

Correspond with insurance companies to resolve the requests for additional information, or to discuss denied treatment coverage

Send information as requested by insurance companies such as X-rays, narratives, and other documentation for processing the claim when applicable.

Process and submit insurance claims daily to billing department.

Answer rejections to be submitted for reconciliation.

Review patient case sheets or files that are subjected to audit of any insurance companies.

Direct communication with the upper management regarding issues or concerns in the insurance department.

Customer Service Officer

Doha Health Care Group, Doha - Al Esraa Polyclinic December 2015 to December 2020

Responding to customer queries through registrations to specific Doctors and answering phone calls

Doing the daily and monthly patient census and reports

Handling patient's complaints and concerns

Coordinating with all the departments of the clinic about the patient inquiries

Making sure to give a simple, friendly and the best customer service at all times

Weekly meeting with the top management to discuss all the issues in the reception

Assistant Project Manager

Digital Pictures Imaging Corporation (DIPIC)

Quezon City, Philippines

October 2014 to September 2015

Assist in handling projects by talking to clients about inquiries if there is a need for approval such as prototype and quotations

Prepare quotations and job order for a specific project

Coordinate installation and ocular visit to different areas and malls

Check all the layouts of the artist and material consumption of the structures

Making sure all the projects are properly coordinated to all the persons involved inside and outside the company to be able to do it precisely and avoid damage and miscommunication.

Raiza Jane Hazel Alva

Mobile no.:+974-********

Qatar I.D #: 293********

Validity: 07 December 2023

Address: Doha, Qatar

Email add:adzw1b@r.postjobfree.com

• Proficient in Microsoft Office

programs (Ms Word, MS Excel,

MS PowerPoint)

• Knowledge of English

composition, grammar,

spelling, and punctuation

• Excellent at multi-tasking

• Ability to accept constructive

criticism

• Knowledge of basic

accountancy and office

procedures

• Ability to quickly grasp relevant

concepts regarding duties and

responsibilities

• Skilled in the use of standard

office equipment.

Religion : Catholic

Civil Status : Married

Height : 5'2''

Birthday : March 22,1993

Weight : 53 kg

Age : 30 years old

• Bachelor of Science in

Industrial Engineering

Rizal Technological University

Mandaluyong City, Philippines

2009-2014

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