Moira Kelly Dillera
BS IN COMPUTER SCIENCE
Al Khuwair, Muscat
Summary
To acquire a position where I can efficiently contribute my skills and abilities to the growth of the organization and build to secure a professional career.
Overview
7
7
years of professional experience
4
4
years of post-secondary education
3
3
Languages
Work History
Insurance Admin / Approval and Claim Processor
Burjeel Hospital/ Lifeline Hospital
07.2020 - Current
- Communicating with insurance agents and beneficiaries
- Preparing claim forms and related documentation
- Reviewing claim submissions and verifying the information
- Recording and maintaining insurance policy and claims information in a database system
- Determining policy coverage and calculating claim amounts
- Processing claim payments
- Complying with federal, state, and company regulations and policies
- Performing other clerical tasks, as required
- Provided ICD-9-10 and diagnostic codes for claims and medical procedures
- Performed medical billing and adjustments for claims
- Assisted members, physicians and hospitals with queries and concerns on accounts.
INSURANCE ADMIN/APPROVAL/CASHIER/RECEPTIONIST
DAMAS MEDICAL CENTER
05.2017 - 05.2019
- Reviews documentation from referring physician to meet the needs of the payee
- Verifies diagnosis code on patient billing is accurate and reimbursable/payable
- Works with patients' insurance companies to pre-certify/authorize procedures as ordered by the referring physician
- Communicates with field team members as needed to keep them updated
- Communicates with customers to request additional documentation as needed
- Assists with any denied claims to resolve any issues
- Pre-certification knowledge/experience, particularly for Dental and Derma
- Prior experience with patient scheduling or working in a medical centre
- Previous billing, Medicare and private pay experience preferred
- Knowledge of CPT, CDT and some knowledge of ICD-9 codes (with ability/willingness to adapt to ICD-10 codes) preferred
- Proven customer service skills
- Able to work in a high volume/fast-paced environment
- Ability to work with sensitive and confidential information
- Operating knowledge of personal computers and MS Windows applications (including Word, Excel and Outlook)
- Must be able to function effectively in a team-oriented environment
- Possess a high degree of accuracy in work output
- Ability to self-motivate.
Education
Bachelor of Science in Computer Science -
Asian Institute of Computer Studies
Caloocan, Metro Manila 01.2010 - 04.2014
Photography - undefined
Filipino Institute
Sharjah, U.A.E 07.2016 - 05.2016
Skills
Personal Information
- Height: 158 Cm
- Weight: 52 Kg
- Date of Birth: July 27, 1994
- Nationality: Filipino
- Marital Status: Single
- Religion: Roman Catholic
- Visa Status: Employment Visa
Professional Experience Summary
I am Graduate in Bachelor of Science in Computer Science. I worked for a total of Three years in the Philippines, Two Years in UAE. A highly resourceful, flexible, innovative, and enthusiastic individual, who possesses a considerable amount of knowledge, regarding Office works, A quick learner, who can absorb new ideas, and is experienced in coordinating, planning and organizing a wide range of Office activities,
Timeline
Insurance Admin / Approval and Claim Processor
Burjeel Hospital/ Lifeline Hospital
07.2020 - Current
INSURANCE ADMIN/APPROVAL/CASHIER/RECEPTIONIST
DAMAS MEDICAL CENTER
05.2017 - 05.2019
Photography - undefined
Filipino Institute
07.2016 - 05.2016
Bachelor of Science in Computer Science -
Asian Institute of Computer Studies
01.2010 - 04.2014
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