VA Profile -- Sherwin Malvar
Writing Sample >>> The following is an unedited writing sample. This will help you to better understand Sherwin's background, while also demonstrating his writing skills...
"In 2009, I started working as a Staff Nurse for a Tertiary Hospital assigned in an ICU/CCU department. After 2 years, I applied for a BPO company as a Nurse associate. Luckily, I landed the job; this was my first stint in the BPO industry. After endorsement from training, I was awarded as Top 5 Nurse Associate on my 2nd month in the company. The next month I was then awarded my first ever Top Nurse Associate award.
I have worked for US providers since 2011. The main job descriptions that I do are the following: verification of Benefits and Eligibility in health plans thru different insurance companies; Pre-auth/pre-determination processing of procedures; Claims Denial Management for those claims that are initially denied due to lack of medical information for Medical Directors and Nurse Consultants to establish a clinical judgement on a claim; Claims submission - thru mail or by using electronic payer ID; Referral to different specialties for co-management; UR Review - concurrent, prospective and retrospective and DRG claims management; Working with Claims Adjusters; Intake and Claims entry into the system from the date of injury; and other ad-hoc tasks assigned by my supervisor. Mostly of these years of experience is with our clients, the Pain Management physician based in New York City and the dentist based in Chicago, Illinois. As these clients were the ones assigned to me by our company.
The insurance companies I have dealt with are: Aetna, Cigna, Humana, BCBS, Medicare and Medicaid, Liberty, Guardian, Envolve Dental, Dentaquest of IL, Illinicare, Molina, Wellcare, Ambetter, Houston Healthcare, Unimed Direct, Wellcomp, Hartford Insurance Group, Travelers Insurance.
The platforms that I have used and familiar with are: Eaglesoft, Open Dental, PracticeFusion EMR, ATV, ReviewStat, RUMBA, ETUMS, Aetna EDI, Apex EDI, and other electronic claim submission website depending on the insurance company of the policyholder.
Working in the BPO industry taught me a lot of lessons and gained me a lot of skillsets. I find these skillsets as my assets in doing and contributing the array of experience and knowledge that I have to provide customer satisfaction."
