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
01.2023 - 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
02.2022 - 12.2022
- 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
09.2020 - 01.2022
- 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
08.2017 - 03.2020
- 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)
06.2013 - 03.2017
- 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 07.2023 - 11.2023
GED -
CAPITAL/ACHIEVERS TRAINING CENTRE
DOHA, QATAR 07.2023 - 10.2023
GED -
PHILIPPINE INTERNATIONAL INSTITUTE
DOHA, QATAR 07.2020 - 11.2020
GED -
STI DAVAO CITY
DAVAO CITY, PHILLIPINES 06.2001 - 04.2003
High School Diploma -
GEN. SK PENDATUN NATIONAL HIGH SCHOOL
SK PENDATUN, MAGUINDANAO PHILIPPINES 06.1997 - 03.2001
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
07.2023 - 11.2023
GED -
CAPITAL/ACHIEVERS TRAINING CENTRE
07.2023 - 10.2023
INSURANCE COORDINATOR (OPD, IP, PHARMACY)
AL EMADI HOSPITAL
01.2023 - Current
INSURANCE COORDINATOR/BILLING/CLAIMS
AL MAHMOUD MEDICAL CENTER
02.2022 - 12.2022
INSURANCE COORDINATOR (OPD, IP, PHARMACY)
AL EMADI HOSPITAL
09.2020 - 01.2022
GED -
PHILIPPINE INTERNATIONAL INSTITUTE
07.2020 - 11.2020
INSURANCE COORDINATOR/BILLING/CLAIMS
PLANET MEDICAL CENTER
08.2017 - 03.2020
RECEPTIONIST / INSURANCE CHECKER/CODER
GULF DENTAL CENTER (DUHAIL BRANCH)
06.2013 - 03.2017
GED -
STI DAVAO CITY
06.2001 - 04.2003
High School Diploma -
GEN. SK PENDATUN NATIONAL HIGH SCHOOL
06.1997 - 03.2001
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