Alfritz Tabora

About the Candidate

AJT – Countrywide Medical  Sept 27, 2021 – July 7, 2025

* Medical Billing and Payment Posting Specialist (DME/CPAP)
* Check/verify patient account for HIPAA Compliance, Insurance eligibility, Insurance
coverage/benefits
* Review EOB for accuracy of payment
* Research discrepancies with underpayment, overpayment, denials or patient responsibility
* Handle collections on unpaid accounts
* Process payment for insurance claims(Coins, Copays, Deductible, Non-covered.)

Teletch June 8, 2015 – Sept 16, 2021

* Medical Insurance Specialist (Dental/HHC)
*Handle Insurance Verifications, Pre Authorization, Claims, Appeal Review
* Maintain accurate patient information and records within the EHR system
* Workforce Scheduler Specialist (OptumRX)
* Monitor Queue/Staffing/IDP/Occupancy/Absenteeism/Hourly/Tickets/Outages/Reports
* UHG OptumRx Prescription Drug Plan Pharmacy Refill Representative

Student Universe December 8, 2014 – April 27, 2015

* Travel Consultant Specialist (Airline Booking)
* Airline booking Email and Chat Support
* Respond to customer queries in a timely and accurate way via email & chat

Modern Healthcare Integration  April 27, 2014 – November 27, 2014*Team Leader(Part time – Mental Health )
* Assign tasks, prioritize workload and ensure timely completion by team members
*Maintain communication channels, providing updates, feedback, and guidance to team
members
* Motivate team members, recognize achievements, and promote positive team culture
* Problem Solving and conflict resolution
* Manage daily operations and tasks
* Coaching and Mentorship

Qualfon July 26, 2010 – March 22, 2014

* Customer Service/Technical Support Representative
* Provide assistance on mobile phone service provider (Straight Talk, Safelink, Net10,
Tracfone)
* Assist activate/deactivate phone service, Sales and Billing payments