Luvina Bayani
Taguig
Summary
Dynamic Senior Process Executive at Cognizant Technologies Solutions with expertise in HIPAA compliance and exceptional customer service. Proven track record in resolving billing disputes and securing prior authorizations, enhancing patient satisfaction. Adept at collaborating with healthcare professionals to streamline processes and improve outcomes, fostering loyalty and repeat business.
Overview
12
12
years of professional experience
Work History
Senior Process Executive
Cognizant Technologies Solutions
07.2017 - 05.2025
- Making phone calls, sending emails, or writing letters to inform customers of overdue accounts and negotiate payment arrangements
- Reviewing insurance claims, identifying coding or billing errors, and requesting re-bills or corrections.
- Investigating billing disputes, negotiating payment plans, and resolving customer inquiries.
- Communicates effectively with patients and healthcare providers to discuss outstanding balances and payment options, including setting up payment plans
- Strictly adheres to HIPAA regulations when handling patient information, ensuring confidentiality and security of data
- Thoroughly examining patient information to determine if a prior authorization is required
- Ensuring that the patient's insurance policy covers the requested treatment, procedure, or medication.
- Completing and submitting the necessary paperwork to the insurance company in a timely manner.
- Monitoring the status of authorization requests and taking action to address any denials or delays.
- Providing clear explanations of the authorization process and addressing any questions or concerns.
- Adhering to insurance company guidelines and regulations regarding prior authorization.
- Manage authorization denials: Work with insurance companies to address denials and secure approvals.
- Collaborate with other healthcare professionals: Work with physicians, nurses, and other healthcare providers to ensure patient care
Customer Service Representative
Sitel Philippines
01.2013 - 07.2017
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Responded to customer requests for products, services, and company information.
- Respond to customer inquiries, resolve billing discrepancies, and provide customer support.
- Persuasively encourage customers to upgrade or add complementary products, while negotiating prices and addressing any objections.
Education
Bachelor of Arts - English Language
Pangasinan State University
Lingayen, Pangasinan04-2011
Skills
- HIPAA Compliance
- ICD 10 Codes
- CPT Coding
- TestCodes / Testnames
- Customer Service
- Claims
- Prior Authorization Forms
- Billing
- Availity
- Carelon
- Navinet
- DOS Based System
Timeline
Senior Process Executive
Cognizant Technologies Solutions
07.2017 - 05.2025
Customer Service Representative
Sitel Philippines
01.2013 - 07.2017
Bachelor of Arts - English Language
Pangasinan State University
Similar Profiles
GABRIELA KURLOWICZGABRIELA KURLOWICZ
Program Manager - Workforce Strategy at Cognizant Technologies SolutionsProgram Manager - Workforce Strategy at Cognizant Technologies Solutions
Pinaki KaruriPinaki Karuri
Product Manager at Cognizant Technologies SolutionsProduct Manager at Cognizant Technologies Solutions
Paul John La PeniaPaul John La Penia
Inventory Analyst at Cognizant Technologies SolutionsInventory Analyst at Cognizant Technologies Solutions
Harsh UdassiHarsh Udassi
Project Manager at Unified SportsProject Manager at Unified Sports
Genesis DimamayGenesis Dimamay
Fraud Customer Contact Specialist at J.P Morgan Chase and Co.Fraud Customer Contact Specialist at J.P Morgan Chase and Co.