Paula E.
Mid-Level Insurance Eligibility Specialist
Open to offersNew to PlatformAbout
Paula E., based in Malabon City, demonstrates exceptional organizational and communication skills as an administrative professional with a robust background in the U.S. healthcare insurance industry. Her experience includes verifying insurance eligibility to prevent claim issues and streamline billing processes. Paula’s role with Unison Health Services saw her skillfully managing patient records and prior authorizations, thus enhancing reimbursement timelines. Additionally, her tenure at Ideal Macaroni & Spaghetti Factory honed her abilities in logistics, where she improved order processing accuracy and oversaw collaboration among sales and finance teams. As a Logistics Officer at Lifestrong Marketing, Paula coordinated shipments, maintained inventory, and ensured timely deliveries, demonstrating her command over logistics coordination. Her early career as an Accounts Payable Clerk at Puregold Price Club underlines her prowess in maintaining financial records and conducting account reconciliations. Paula is adept in working with systems such as SAP and Oracle, alongside her proficiency in Microsoft Office and Google Suite, paving the way for seamless administrative support.
Experience
Insurance Eligibility Specialist
Unison Health Services · 2024 — 2026Conducted verification of patient insurance eligibility, benefits, and coverage details to ensure precise billing and mitigate claim issues. Processed prior authorizations while following up to secure timely approvals and prevent service delays. Collaborated with billing teams to provide comprehensive documentation, aiding in the reduction of claim denials and enhancement of reimbursement timelines. Maintained organized and compliant patient records across various insurance portals and systems.Sales Admin & Logistics Associate
Ideal Macaroni & Spaghetti Factory Inc. · 2022 — 2024Oversaw the complete order processing cycle by encoding orders and preparing quotations, invoices, and sales reports. Coordinated with sales, logistics, and finance teams to ensure orders were fulfilled accurately and on time. Addressed customer inquiries related to orders, deliveries, and product specifics. Maintained and monitored sales data to facilitate reporting and support business decisions.Logistics Officer
Lifestrong Marketing Inc. · 2020 — 2022Facilitated shipment coordination by collaborating with suppliers, transport partners, and warehouses to ensure timely deliveries. Monitored and tracked shipments while resolving delays or issues to provide necessary updates. Managed inventory and generated accurate logistics documents to support efficient operations.Accounts Payable Clerk
Puregold Price Club Inc. · 2018 — 2020Handled the accounts payable process from start to finish, which included verifying invoices against purchase orders and deliveries, alongside processing timely payments via various methods. Maintained precise financial records and organized transaction histories, conducting regular account reconciliations to ensure balance accuracy and resolve discrepancies. Coordinated with vendors to address billing issues and clarify payment details, ensuring professional communication.
Skills & Expertise
Education
- Bachelor of Secondary Education – Social ScienceCity of Malabon University · 2014 — 2018