Enrique Pialogo

My current role as Finance Assistant at WHO , I was primarily responsible in reimbursing the claim of active and retiree staff and issuing a Letter of Authorization for advance payment for any hospitalization and also answering queries of active/retiree staff via email or via phone.  Being able to decide whether the claim should be reimbursed or not with minimal supervision.  

During my previous role as Billing Representative in UHC, I am responsible in checking the claim for authorization and sending clinical to the payer or the insurance provider for approval of rendered services, Also triaging the folder via urgent or non-urgent or if the fax/request are need to send documents or additional documents to establish medical necessity.

During my first job at Accenture PH Inc., My primary task was to enter data in the system in a accurate and timely manner either via Image or electronic submission of the claim from the hospital and able to approved or denied a claim, if the claim already met the requirements we should approved and released the claim but if the claim required additional requirement to approved it, we need to denied the claim and ask provider for additional requirements to establish medical necessity.