Maria Corazon Sellote
- Minglanilla, Philippines
- January 17, 2024
Graduate of Bachelor in Science of Biology from Accredited Medical School in the Philippines, studied 3 years of Medical laboratory Assistant before shifting to Biology. After Graduating I worked as Virtual Administrative Medical Assistant for US base Facilities, my Task includes: Inbound and Outbound Calls, Scheduling, New Patient Coordinator, Uploading and scanning faxes to EMR, Referral in and out of facility, Medical Records Coordinator and Prior Authorization Coodinator. Insurance Eligibility verification and Requesting DME and Medication. Able to multitask and determined urgency.
Education
Started college in the year 2014, first program was Medical Technology shifted to Biology and Graduated with the degree in Biology in the year 2018
Experience
Processing Referrals in and out of the facility
Requesting Prior Authorization for Medication, Referrals, Treatment, DME and Procedures
Submitting Appeals to Patient Insurance for Reconsideration
Calling Pharmacy and Insurance
Informing Patient regarding determination and referrals
Informing providers of medication Denials
Creating Patient Charts
Insurance Eligibility
Monitoring Team Pendings
Monthly Quality Assurance for every member in the team
Implementing Strict guidelines to ensure HIPAA Compliance
Inbound and Outbound Call
Claim Verification
Authorization Coordinator for Treatment and Medication
RFA/Request for Authorization Submission for Treatment and Medication
Denial Document Management for Treatment and Medication
Medical Records Coordinator (Records Request/Subpoena, Providers Dictation Reports, Fax Management, MRR, Bulkscans, Generating Work Restrictions)
Authorization Follow Up for Treatment and Medication
Approval/ Referral for Treatment
Phone Records Request/ Email Records Request