clarence tolentino
About Candidate
Location
Education
Work & Experience
Supervising the IP/OP insurance coordinators Processing/Sending Emergency,Elective IP, DayCase ( All Department ) Processing Revision IP, OP RCM - Processiong Claims, ( Submission, Re-submission ) Knowledgeable with code, CPT code, ICD10, HCPCS Coordinating with all Insurance company to ff up the approvals/request Coordinating with the External Hospitals/Visiting Dr’s Knowledgeable in DHPO, Eclaims, 3M’s, EMR and other system Supervising All request and colleagues Checking the Insurance Coverage and Non Covered Always updated in Coding Guidelines
In charge on entering pre-authorization/approval for Out Patient and In Patient from different kind of insurance company In charge on processing and completion of claim forms In charge on sending approvals of Outpatient and Inpatient from the External Hospitals Billing works of insurance companies with corresponding factors and deductible
In charge on processing and completion of claim forms In charge on entering pre-authorization/approval for Out Patient and In Patient from different kind of insurance company Billing works of insurance companies with corresponding factors and deductible Coordinating to the hospitals about scheduling/booking of a operation to (Burjeel Hospital, Al Noor Hospital) Checking the insurance card if its covered/expiry to any kind of procedure Encode’s the patient information in a system Informing the patient to their appointment through phone calls and SMS
Assisting the Pharmacist if what medicine they want. Checking the expiration of every single medicine/insurance card Informing the pharmacist for the near expired medicine Maintains orderliness and cleanliness within working area Arranged the medicine in their proper shelve Sending for approval through online ( PBM link-ADNIC , Open Jet-NAS) ( ECLAIMS )