MELLISA TABANAO
MEDICAL INSURANCE COORDINATOR
Doha,QA
Summary
- To be part of a dynamic team and progressive, growth-oriented company. Exceptionally dedicated, ambitious and well-organized Hospital for Medical Insurance Coordinator. Eager to apply definitive skills in handling assigned units by providing both logistical assistance and support with patient care functions.
- Proficient in MS-Office (MS-Word, MS-Excel, MS-PowerPoint, and MS-Outlook)
- Proficient in English both speaking, written and telephone etiquette.
- Excellent in computer application and internet search engine.
- Possess a high level of self-discipline and responsibility.
- Ability to engender trust from the doctors, co-workers, and patients.
- Ability to work cooperatively with management, staff, and patients.
- Ability to prioritize, organize and complete tasks in a timely and independent manner.
Overview
10
10
years of professional experience
7
7
years of post-secondary education
Work History
INSURANCE COORDINATOR (OPD, IP, PHARMACY)
AL EMADI HOSPITAL
2023.01 - Current
- Processed claim forms, adjudicates for provision of deductibles, co-pays, co-insurance maximums and provider settlements
- Dealing with all health insurance companies, international or local
- Sending SMS or calling patients to inform the status of the request
- Assisted patient with eligibility and benefit coverage questions
- Requesting pre-approval through email or portal for OPD, IP & PHARMACY
- Process and submit insurance claims daily
- Monitor and follow-up on outstanding claims
- Follow-up all pending claims and procedure
- Assisting nurses, Doctors, and receptions for all insurance queries.
INSURANCE COORDINATOR/BILLING/CLAIMS
AL MAHMOUD MEDICAL CENTER
2022.02 - 2022.12
- Processed claim forms, adjudicates for provision of deductibles, co-pays, co-insurance maximums and provider settlements
- Dealing with all health insurance companies, international or local
- Coordinates meetings and training
- Assisted patient with eligibility and benefit coverage questions
- Taking approval from Insurance for Out-patient procedure
- Handling and preparing monthly reports for all insurances
- Checking daily reports, records for insurance patients
- Follow-up all pending claims and procedure
- Resubmission of rejected claims
- Preparing bills, invoices and documents amounts due to medical procedures and services
- Maintain and update records related to preapprovals and reconciliation
- Assisting nurses, Doctors, and receptions for all insurance queries.
INSURANCE COORDINATOR (OPD, IP, PHARMACY)
AL EMADI HOSPITAL
2020.09 - 2022.01
- Processed claim forms, adjudicates for provision of deductibles, co-pays, co-insurance maximums and provider settlements
- Dealing with all health insurance companies, international or local
- Sending SMS or calling patients to inform them of the status of the request
- Assisted patient with eligibility and benefit coverage questions
- Requesting pre-approval through email or portal for OPD, IP & PHARMACY
- Process and submit insurance claims daily
- Monitor and follow-up on outstanding claims
- Follow-up all pending claims and procedure
- Assisting nurses, Doctors, and receptions for all insurance queries.
INSURANCE COORDINATOR/BILLING/CLAIMS
PLANET MEDICAL CENTER
2017.08 - 2020.03
- Processed claim forms, adjudicates for provision of deductibles, co-pays, co-insurance maximums and provider settlements
- Dealing with all health insurance companies, international or local
- Coordinates meetings and training
- Assisted patient with eligibility and benefit coverage questions
- Taking approval from Insurance for Out-patient procedure
- Handling and preparing monthly reports for all insurances
- Checking daily reports, records for insurance patients
- Follow-up all pending claims and procedure
- Assisting nurses, Doctors, and receptions for all insurance queries.
RECEPTIONIST / INSURANCE CHECKER/CODER
GULF DENTAL CENTER (DUHAIL BRANCH)
2013.06 - 2017.03
- Answer phones and operate a switchboard
- Route calls to specific people
- Answer inquiries about dental treatments
- Greet visitors warmly and make sure they are comfortable
- Informing doctors and nurses about patients waiting
- Printing out receipts for each patient
- Ensure the reception area is tidy
- Coordinate mail flow in and out of the office
- Coordinate office activities
- Gather personal and insurance information
- Arrange appointments and prepare patients files
- Taking insurance approval online
- Preparing receipt/invoice for each patient
- Send email and faxes to any insurance
- Perform basic bookkeeping, filing, and clerical duties
- Take and relay messages
- Update appointment calendars
- Preparing monthly insurance report
- Schedule follow-up appointments.
Education
GED -
CAPITAL/ACHIEVERS TRAINING CENTRE
DOHA , QATAR 2023.07 - 2023.11
GED -
CAPITAL/ACHIEVERS TRAINING CENTRE
DOHA, QATAR 2023.07 - 2023.10
GED -
PHILIPPINE INTERNATIONAL INSTITUTE
DOHA, QATAR 2020.07 - 2020.11
GED -
STI DAVAO CITY
DAVAO CITY, PHILLIPINES 2001.06 - 2003.04
High School Diploma -
GEN. SK PENDATUN NATIONAL HIGH SCHOOL
SK PENDATUN, MAGUINDANAO PHILIPPINES 1997.06 - 2001.03
Personal Information
- Place of Birth: Sultan Kudarat, Philippines
- Religion: Islam
- Height: 5'1
- Weight: 56kg
- Date of Birth: 11/15/84
- Gender: Female
- Nationality: Filipino
- Marital Status: Married
Timeline
GED -
CAPITAL/ACHIEVERS TRAINING CENTRE
2023.07 - 2023.11
GED -
CAPITAL/ACHIEVERS TRAINING CENTRE
2023.07 - 2023.10
INSURANCE COORDINATOR (OPD, IP, PHARMACY)
AL EMADI HOSPITAL
2023.01 - Current
INSURANCE COORDINATOR/BILLING/CLAIMS
AL MAHMOUD MEDICAL CENTER
2022.02 - 2022.12
INSURANCE COORDINATOR (OPD, IP, PHARMACY)
AL EMADI HOSPITAL
2020.09 - 2022.01
GED -
PHILIPPINE INTERNATIONAL INSTITUTE
2020.07 - 2020.11
INSURANCE COORDINATOR/BILLING/CLAIMS
PLANET MEDICAL CENTER
2017.08 - 2020.03
RECEPTIONIST / INSURANCE CHECKER/CODER
GULF DENTAL CENTER (DUHAIL BRANCH)
2013.06 - 2017.03
GED -
STI DAVAO CITY
2001.06 - 2003.04
High School Diploma -
GEN. SK PENDATUN NATIONAL HIGH SCHOOL
1997.06 - 2001.03