Marie

Highly organized and compliance-driven Medical Insurance and Revenue Cycle Professional with hands-on experience in insurance verification, prior authorization processing, claims coordination, and patient financial services within Qatar's healthcare sector. Demonstrated ability to coordinate with insurance providers, ensure regulatory compliance, and support multidisciplinary clinical teams in high-volume hospital environments. Committed to accuracy, patient confidentiality, and operational efficiency aligned with international healthcare standards.

Patient Service / Insurance Approval at The Pearl International Hospital, Medina Central (2025-01 – Present)

• Manage insurance eligibility verification and secure pre-authorizations for outpatient, inpatient, and specialized procedures.
• Coordinate directly with major Qatar insurance providers to ensure timely approvals in compliance with policy guidelines.
• Review clinical documentation and treatment plans to ensure completeness and accuracy before submission.
• Monitor pending cases and escalate urgent approvals to prevent delay in patient care delivery.
• Investigate denied or rejected claims and prepare resubmissions with supporting documentation.
• Provide patients with accurate explanation of insurance coverage, co-payments, and financial obligations.
• Collaborate with physicians, nursing teams, and billing departments to ensure seamless patient flow.
• Maintain strict adherence to hospital policies, confidentiality standards, and healthcare regulations.

Retail Sales Representative at OOREDOO QATAR (2024-04 – 2025-01)

• Utilized CRM tools to track customer preferences and drive personalized sales.
• Achieved top sales representative status for three consecutive quarters.
• Resolved customer complaints swiftly, enhancing satisfaction and loyalty.

Front Desk Administration at WORLD OF WONDERS, AURA ENTERTAINMENT, QA (2022-10 – 2023-03)

Provides direct excellent customer service. Responsible for providing a safe environment and ensuring all services needs are met for all guests.

Medical Representative at MERGFIL PHARMA CORPORATION, PH (2021-01 – 2022-01)

Selling the company's medications to doctors, pharmacists, and other relevant healthcare professionals.

Customer Service Representative at MEDICAL SUPPLY INC. PENNSYLVANIA USA - PHILIPPINE BRANCH, PH (2020-01 – 2021-01)

Answer phones, resolve patient insurance claims or questions related to medical care and benefits information.

Wellness Concierge at AL MESSILA WELLNESS LADIES RETREAT, QA (2019-01 – 2020-01)

Working as a wellness concierge. Part of a pre-opening team. Work as a reservation agent. Giving the highest quality of service to the guest. Doing admin works and other reports.

Retail Supervisor at SEAL AND GO - HAMAD INTERNATIONAL AIRPORT, QA (2019-01 – 2019-04)

Working as a wellness concierge. Part of a pre-opening team. Work as a reservation agent. Giving the highest quality of service to the guest. Doing admin works and other reports.

Service Consultant/Sales at FITNESS FIRST, PH (2017-01 – 2018-01)

Able to do sales presentations & tours of the club. Able to create interest in the club as well as selling in person & over the telephone.

Professional Diploma in Certified Nursing Assistant – Filipino Institute Qatar (2023-01 – 2023-12)

Bachelor of Science in Business Administration, Financial Management – Arellano University Main Campus, Philippines (2011-01 – 2017-12)