Benedict Sy

I'm Flexible, Reliable and Trustworthy. I can work independently with minimal supervision. I'm coachable, trainable and I can be the most absorbent sponge to be successfully align with the needs of the company.

Utilization Review Intake Coordinator/Team Supervisor - Evolent Health

(2022-06 - 2026-02)

• Obtain Authorization through portal, faxes and over the phone
• Working directly with Physician office to obtain missing clinical information.
• Submitting IT tickets to address barriers to generating cases and following the ticket through completion.
• Enters data into authorization system for Oncology, Radiation Oncology, Surgical Oncology, Cardiology Drug, Admission, Outpatient & Inpatient Procedures, Mental Health, behavioral health, home health and DME.
• Answer upcoming inbound calls from provider office to help them expedite cases, modify treatment start date, procedure codes and any authorization concern.
• Collect medical records, request track and upload denial letters into Salesforce.
• Do outbound call, regarding pending clinical cases and collaborate with insurance carriers to support authorization request.

Customer Service Representative - United Healthcare

(2020-11 - 2022-05)

• Handled eligibility, benefits, claims, prior authorization, medical billing, revenue recycle management, appeals and grievances.
• Answer upcoming high volume of calls from Provider's Office members and third party administrator and resolve their concerns in a timely manner.

Sales and Collection Senior Associate - Results CX

(2019-11 - 2020-11)

• Calling customers to inform them that their subscription was renewed and get their updated card.
• Doing Outbound Sales and calling customers to offer our services.
• Doing data entry and update data payments

Bachelor in Science in Business Administration - Human Resources - Marikina University (2015 - 2019)