Mercy Fe Olandag

Mercy Fe Olandag

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Prior authorization nurse
Las Piñas, Metro Manila, Philippines

Contact Mercy regarding: 
work
Full-time jobs
Starting at USD7/hour
Flexible work
Starting at USD7/hour

Timeline


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Education

Résumé


Jobs verified_user 100% verified
  • E
    Prior Authorization Nurse verified_user Verified experience
    EXL Service (Aetna)
    Mar 2016 - Feb 2026 (10 years)
    • Manages incoming or outgoing telephone calls, emails and/or faxes to health care providers, including triage, opening of cases and data entry into the electronic health record (EHR) systems while maintaining HIPAA compliance to obtain authorization for medical procedures and/or prescriptions; • Conducts eligibility and benefits verification for patients ensuring accurate coverage details and other information; • Interprets data obtain from clinical records or systems applying the appropriate clinical criteria to see if the requested service matches insurance guidelines; • Independently coordinates the clinical resolution with the internal/external clinician support as required to validate authorization and medical necessity of medical pro
  • E
    Customer Service Representative verified_user Verified experience
    Expert Global Solutions (Anthem Blue Cross Blue Shield)
    Dec 2012 - Feb 2016 (3 years 3 months)
    • Answers inbound calls to members in a timely and friendly manner; • Determines contract and verifies eligibility and benefits ensuring active coverage details and confirming copayments, deductibles, and other information; • Evaluates problems and complaints of the members and provide one proper call resolution; • Document all client information and communication using internal system while maintaining HIPAA compliance. • TOOLS: Citrix, Facets, Avaya
  • P
    Staff Nurse verified_user Verified experience
    Perpetual Succour Hospital
    Jul 2007 - Apr 2011 (3 years 10 months)
    • An operating room nurse delegated the responsibility of working in a collaborative relationship with the Surgical team and who attends to the needs of the Sterile and Unsterile team all throughout the perioperative phase and postoperative phase. • Demonstrates the ability to establish an environment of safety for the surgical patient; • Demonstrates the ability to assess, diagnose, implement and evaluate treatments and procedures to the physiological stability of the surgical patient; • Supports patient’s rights by delivering consistent, competent and ethical care within legal standards; • Demonstrates knowledge about the physiologic, sociologic and spiritual responses of patients and their families to the operative or other invasive proc
Education verified_user 0% verified
  • V
    Virtual Assistant Training Program
    Apr 2026
  • A
    Annual Cyber Security, Data Privacy & Business Resilience Awareness Module
    Sep 2025
  • S
    Bachelor of Science in Nursing
    Saint Paul University Dumaguete
    Jun 2002 - Mar 2006 (3 years 10 months)