Results driven and detailed oriented individual seeking new opportunities with growth potential.
Overview
1
1
Language
30
30
years of professional experience
Work History
Navigator
Health Plan of San Mateo
South San Francisco, CA
10.2018 - 09.2026
Handled both incoming and outbound calls to members. Answered benefit questions, assisted with filing grievances and appeals. Reviewed incoming faxes, voicemails and emails. Helped resolve pharmacy Medicare Part D issues. Referred members to internal and external community partners and resources.
Night Auditor/Front Desk Clerk
Four Points by Sheraton
South San Francisco, CA
12.2019 - 03.2020
Worked as a part-time night audit and front desk clerk. Assisted with guest check-ins and check-outs. Ran daily audit and financial reports.
Contractor Foundation Specialist
Radiant Systems Inc
South San Francisco, CA
12.2016 - 10.2018
Acquired contractor position with Genentech, a Roche company. Provided customer focused reimbursement to patients, distributors, physicians and internal sales partners. Duties included, account and case management, coordinated medication shipments and returns. Answers inbound calls, participated in miscellaneous tasks.
Reimbursement Counselor
Lash Group-Amerisource Bergen
San Bruno, CA
09.2014 - 11.2016
Worked with patients and providers to navigate the insurance billing process, ensuring proper coding and submission of claims to maximize reimbursements for prescribed treatments. Conducted insurance verifications and reviewed eligibility for Patient Assistance Programs.
Contractor Passport Support Associate
CGI Federal
San Francisco, CA
11.2009 - 09.2014
Acquired contractor position with the San Francisco Passport Agency through Kelly Government Solutions and then transferred to CGI Federal. Performed clerical and manual functions that supported passport production, from data entry, scanning, printing, quality control and distribution.
Contractor Insurance Policy Coder
Kelly Services
San Francisco, CA
11.2006 - 08.2009
Acquired contractor position with West Coast Life Insurance. Duties include data entry, policy issue coding and closeouts.
Program Support & Reimbursement Counselor
Documedics-Lash Group
San Bruno, CA
05.2002 - 08.2006
Data entry, indexing, scanning and document management. Later promoted to Reimbursement Counselor, duties include case management reimbursement assistance.
Stock Associate
Banana Republic-Gap Inc
San Francisco, CA
10.2000 - 01.2004
Assisted with merchandise shipping, restocking and sales floor management.
C.N.A
Brookside Skilled Nursing
San Mateo, CA
10.1996 - 01.2000
Worked as a Certified Nursing Assistant under supervision of a Registered Nurse.
Education
Transfer Degree - Biology
Skyline College
10.2026
Associate - Applied Science in Medical Billing and Coding
Heald College
01.2014
Skills
Electronic Health Records Management, HIPAA Compliance, Customer Service, Data Entry, Salesforce, HealthSuite, Medical Terminology, Insurance Verification, Microsoft Office Programs, Managed Care HMO Plans, Case Management, Research, Critical thinking, Problem solving
LANGUAGES
English, Tagalog.
Timeline
Night Auditor/Front Desk Clerk
Four Points by Sheraton
12.2019 - 03.2020
Navigator
Health Plan of San Mateo
10.2018 - 09.2026
Contractor Foundation Specialist
Radiant Systems Inc
12.2016 - 10.2018
Reimbursement Counselor
Lash Group-Amerisource Bergen
09.2014 - 11.2016
Contractor Passport Support Associate
CGI Federal
11.2009 - 09.2014
Contractor Insurance Policy Coder
Kelly Services
11.2006 - 08.2009
Program Support & Reimbursement Counselor
Documedics-Lash Group
05.2002 - 08.2006
Stock Associate
Banana Republic-Gap Inc
10.2000 - 01.2004
C.N.A
Brookside Skilled Nursing
10.1996 - 01.2000
Associate - Applied Science in Medical Billing and Coding