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Vanessa B. — Senior Healthcare Operations Supervisor from Philippines

Vanessa B.

Senior Healthcare Operations Supervisor

Philippines 6+ years
Open to offersNew to Platform
Languages
English
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About

Vanessa Mae C. is a seasoned healthcare operations leader with over 13 years of experience, specializing in the healthcare sector for the past nine years. As a former Operations Supervisor and RCM & WFM Specialist at companies such as Optum Global Solutions, DME/US Med, and BrunWork/MBH, Vanessa Mae C. has managed high-performing teams, developed onboarding curriculum, and driven key performance indicators in high-volume healthcare environments. Her expertise centers on Revenue Cycle Management (RCM), where she has overseen full-cycle processes from patient intake to claim resolution, as well as Workforce Management (WFM), handling real-time analysis and strategic staffing. She has managed insurance verification, eligibility checks, and prior authorizations across pharmacy helpdesk, DME, and behavioral health domains, ensuring compliance with HIPAA and maintaining operational excellence for healthcare providers and private practices.

Experience

  • ABA Insurance & Authorization Specialist

    BrunWork / MBH
    Conducted comprehensive insurance verification processes and acquired prior authorizations specifically for Applied Behavior Analysis (ABA) therapy. Worked through intricate behavioral health payer standards to guarantee ongoing patient care and enhance reimbursement potential.
  • National Insurance & Authorization Coordinator

    DME / US Med
    Oversaw a substantial volume of insurance verification and DME authorizations for over 400 providers across the country. Ensured the accuracy of eligibility verification and clinical necessity for medical equipment to minimize claim denials across various payer systems.
  • Operations Supervisor & WFM Specialist

    Optum Global Solutions
    Assumed the role of Supervisor and Corporate Trainer, guiding high-performance teams while facilitating the onboarding of new personnel. Functioned as a Workforce Management (WFM) Planner and Real-Time Analyst (RTA), fine-tuning staffing levels and ensuring compliance with service-level agreements (SLAs). Provided expert customer service and pharmacy helpdesk assistance in a busy healthcare setting.

Skills & Expertise

Education

  • Bachelor of Science in Business Administration Major in General Business Management
    Cebu Institute of Technology – University (CIT-U) · — — 2022
  • Associate in Computer Technology
    Asian College of Science and Technology (ACSAT) · 2010 — 2012

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