Criszel Joy Manlangit

I worked as a medical virtual assistant handling prior authorization specifically for pain management injections. My tasks daily was to manage inbound and outbound calls, Initiate an authorization for the upcoming procedure if one is required over the phone or via portal, keeping tracks on pending authorization, scheduling a peer to peer and submitting an appeal for denial.

I worked as an AR-follow-up for medical claims. I'm looking after denied claims and reopening them to receive maximum reimbursement from the insurance companies, analyzing complex medical claims, ensuring compliance with regulatory requirements and company policies, collaborating with healthcare providers to obtain necessary documentation for claim adjudication and utilizing claims processing software to evaluate and process high volumes of medical claims efficiently.

I worked as a Clinical intake coordinator. My task was to respond to providers' incoming calls and initiate authorization requests for various services such as, medical, surgical, chemotherapy, DME, PT, OT and Inpatient.

I worked as a customer service representative for Medicare Advantage insurance. My daily job was to resolve customer inquiries through effective communication and problem-solving strategies, respond to providers' incoming calls and provide accurate information about patient eligibility, coverage, authorizations and claims. Managed high-volume calls while maintaining a positive customer experience.

I worked as a customer service representative for Telco account, specifically Assurance Wireless. It's a free phone from the US, and we are assisting the callers to activate and troubleshoot their phone and add data and minutes as well. Collaborated with cross-functional teams to address customer feedback and improve service delivery.

I worked as a customer service representative for AT&T. My daily tasks were to respond to incoming calls from the customers, to manage their AT&T accounts, as well as set up a schedule for their internet installation.