Summary
Overview
Work History
Education
Skills
Disclaimer
Languages
Timeline
Generic

DEO CARLO ALMOGUERA

Tanay

Summary

To work in a prominent and progressive organization where I can efficiently employ my knowledge as well as absorb new job experiences for mutual benefit of the organization and myself.


Efficient Authorization Specialist with robust background in processing. Proven ability to streamline workflows and ensure compliance with regulatory standards. Demonstrated expertise in data management and quality assurance.

Overview

11
11
years of professional experience

Work History

Freelance Authorization Processor

06.2025 - Current
  • Assisted in transitioning the current active patients of the client from Axxess to Kinnser EMR, provided training for Intake with Eligibility verification.

Senior Pre Authorization Specialist

Caregiver Home Health Services
07.2023 - 06.2025
  • Checks Benefits and Eligibility possible patients.
  • Request Authorization with patients insurance.
  • Coordinate with Clinical and Scheduling team for auth requirements, such as visit notes and orders.
  • Resolve non clinical auth denials.
  • Check patients insurance on a monthly basis and update if needed.
  • Perform re-authorization and monitoring and tracking for authorization updates.
  • Communicate with the patients for any updates that needs patient involvement.
  • Provided support and training for new office staff.


Team Leader – Commercial Authorizations Team (Multi Client)

eLuckwell Data Solutions
12.2020 - 01.2023
  • Led cross-functional teams to enhance project delivery timelines and quality outcomes.
  • Mentored junior team members, fostering skill development and knowledge sharing.
  • Analyzed project performance metrics to identify opportunities for enhancement and risk mitigation.
  • Facilitated team meetings to drive alignment on goals, expectations, and project updates.
  • Oversaw recruitment and training processes for new hires, ensuring seamless integration into teams.
  • Set performance expectations for the team, monitoring progress towards goals and providing constructive feedback as needed.

Senior Associate Ops – Suncorp Car Insurance (Multi brand)

WNS Philippines
08.2019 - 11.2020
  • Consistently maintained strong relationships with clients, ensuring clear communication and timely updates on project progress.
  • Collaborated with cross-functional teams to drive successful completion of complex projects within deadlines.
  • Mentored junior associates, fostering professional growth and helping them reach their full potential.
  • Increased client satisfaction through thorough analysis of project requirements and delivering high-quality results.

Customer Service Representative - Amazon.com (Voice and Email Support)

Alorica Philippines (EGS)
10.2014 - 01.2016
  • Resolved customer inquiries through effective problem-solving and communication skills.
  • Managed high-volume calls, ensuring timely and accurate responses to customer needs.
  • Assisted in training new team members on customer service protocols and best practices.

Education

Certificate in Professional Education -

University of Rizal System – Tanay Campus
Sampaloc Tanay, Rizal
04.2018

Bachelor of Science in Business Administration - Financial Management Major

University of Rizal System – Tanay Campus
Sampaloc Tanay, Rizal
04.2013

Secondary Education - undefined

Sampaloc National High School
Sampaloc Tanay, Rizal
04.2009

Skills

  • Attention to detail
  • Teamwork and collaboration
  • Customer service
  • Data entry experience
  • Critical thinking
  • Multitasking and organizing
  • Document management
  • Employee training
  • Document review
  • Paperwork management
  • Proficient in Wellsky (Kinnser), Axxess and Kantime
  • Worked with different Insurances across multiple states - Kaiser, Anthem Blue Cross and Blue Shield UHC, Cigna, Humana, Aetna, Sentara etc
  • Worked with different Insurance Portals for verification and request - Availity, UHC, Carelon, Humana Military, Carefirst

Disclaimer

I hereby certify that the above information is true and correct to the best of my knowledge and belief.

Languages

English
Full Professional

Timeline

Freelance Authorization Processor

06.2025 - Current

Senior Pre Authorization Specialist

Caregiver Home Health Services
07.2023 - 06.2025

Team Leader – Commercial Authorizations Team (Multi Client)

eLuckwell Data Solutions
12.2020 - 01.2023

Senior Associate Ops – Suncorp Car Insurance (Multi brand)

WNS Philippines
08.2019 - 11.2020

Customer Service Representative - Amazon.com (Voice and Email Support)

Alorica Philippines (EGS)
10.2014 - 01.2016

Bachelor of Science in Business Administration - Financial Management Major

University of Rizal System – Tanay Campus

Secondary Education - undefined

Sampaloc National High School

Certificate in Professional Education -

University of Rizal System – Tanay Campus

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DEO CARLO ALMOGUERA